The other area of the house that presents a health problem is a bathroom. Objects accumulate and make it difficult for the to get in and out of the shower and the tub. The toilet bowl is person another area that is not managed clean and a threat to the individuals health.
Hoarders oftentimes become loners who depend strictly on themselves for care. They cannot realize the consequences that will be incurred if they continue on their path of self-destruction. Along the way food piles up throughout the house and is left to rot and become mouldy, becoming a serious issue to the health of the hoarder. Often too, the hoarder owns a dog or a cat. Taking care of themselves in itself is a problem, but with pets occupying the home, the chances of becoming sick significantly increases. .
The health department inevitably pays a visit to the owner of the house and issues a mandate that the home be cleaned up or the owner will face eviction. Promises are made over and over, but in many cases does not comply and the cleaning never gets done. The hoarder usually gives in when the situation comes to a head and the homeowner is given a final notice or the eviction will take place.
Compulsive hoarders are so tied in to their collection, they are reluctant to have many articles taken away and make the process of cleaning up difficult. At this point in time a specialist who deals with hoarders is brought it to help with the transition. The specialist is trained to work with hoarders in letting go of many unneeded items or items that are dangerous to the health of the inhabitant.
The specialist may have to work with the owner for long periods of time before the house is declared livable by the health department. In many cases. the specialist finds the process of a clean-up difficult and most demanding.