Part of my job is to deal with hoarders. You know - disgusting people who cram garbage into their house and are too lazy to clean. Except you're wrong. These are not disgusting people. They most often are not lazy either. And, while there are times when I disagree as to the standard that makes an item considered to be garbage, to the human being who is affected by hoarding, they most certainly do not feel they are living in filth.
The majority of hoarders that I have come in contact with have a plan. They have a goal they feel they are working towards. And they don't want to fail. They just keep trying. Most often I see people who buy products on sale and plan on reselling these items to make money. Auctions, eBay, Craigslist -- in their mind they plan to double their money, subsidize their income, and prove to their family and friends that they aren't crazy; they're trying really, really hard.