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Inside the World of Hoarding: Understanding Developmental Disorders and Cluttered Spaces

When I received a request from a man in his 50s (Mr. A) to clean up his parents’ home, which was left empty after his mother passed away and lived alone, I visited the site with an employee of Anshin Net, a company that organizes the belongings left by her deceased. . The place turns out to be a more “garbage house” than I had imagined. The attending doctor said, “Mr. A had a developmental disorder, so his mother who passed away may have had the same problem.” (Part 2/Total 2 parts)

I am highly educated and can work, but I tend to find life difficult.

(continued from the first part)

“Developmental disorders have a strong genetic component,” says psychiatrist Nobuaki Kariya.

“If one of the parents has ADHD (a type of developmental disorder called “attention deficit hyperactivity disorder”), there is a high possibility that three of them will have ADHD if they have four children. Recently, there have been various cases of developmental disorders, such as ADHD and autism spectrum disorder, but in general, most of them are highly educated and able to work. On the other hand, they tend to have trouble with interpersonal relationships and are susceptible to harassment such as power harassment and sexual harassment, and are also more likely to develop secondary disorders (comorbid disorders) such as depression, bipolar disorder, alcoholism, and gambling disorder. I find my patients interesting, as many of them have unique talents, but they themselves find life very difficult.”

It is said that it is not uncommon for houses to become garbage dumps.

“I can’t throw things away, so my room is overflowing with things.In many cases, my room has food scraps and documents in the same row, so I can’t physically clean them up, and my mind is also cluttered. I can’t organize it.” (Mr. Kariya)

I remembered that Mr. A’s parents’ house had a large amount of things such as “umbrellas,” “shoes,” “tools” used in the garden, and “cider.” Mr. Kariya listened with great interest to the story of the garbage house, and said:

The key is to “tell it straight”

“People with ADHD have trouble focusing their attention, so when something disappears from their eyes, they forget about it and keep buying it again, saying it’s not there anymore. That’s probably why there are so many of the same things in the room. I think it’s best to dispose of things when the person in question isn’t looking, because they’ll think, “This is probably there.” (Same person)

There is a mental illness called “hoarding disorder,” in which people have trouble living because their homes are overflowing with things, but I thought that the two were completely different illnesses. In the case of hoarding disorder, the attachment and attachment to things is extremely strong, so it is impossible to throw them away without permission.

It is difficult to judge whether a person has hoarding disorder or ADHD by looking at a room full of things and trash, but in the case of Mr. A, a doctor has diagnosed him with a developmental disorder (ADHD). . In that case, the key is to throw away obviously unnecessary items in a place where they can’t be seen, and to “communicate directly.”

Looking back, I think I was able to respond fairly accurately to Mr. A, but I still felt frustrated that we couldn’t understand each other even though we were in the same space.

2024-03-02 03:01:00
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