Every episode of Hoarders goes pretty much the same way. The hoarder knows they have a problem, but they resist help. Where loved ones and professionals see garbage and filth, the hoarder sees value. They have a hard time parting with worthless, nasty possessions. They just don’t see things as they are. As each episode progresses we witness the pain of the hoarder. The process of helping the hoarder overcome his problem demands learning. Learning is tough stuff. It demands a shift in thinking.
The team of concerned helpers could just descend on the hoarder’s house and clean it up, but the poor person with the disorder wouldn’t learn anything. They’d likely go right back to behaving as they did before. The hoarder won’t make better decisions unless they see the severity of the problem. When they’re able to shift their thinking we can almost see the lights come on for them. That shift helps them see the solution, but more importantly, it helps them embrace the solution instead of fighting against it.