Margaret: If there is a local senior center where you live, you might try getting in touch with them and seeing if they have any programs to help. I know the center near where I live has a grant-funded program to help seniors with hoarding issues -- but unfortunately I am "too young" (57) to be able to participate.
I agree with starting SUPER small -- like using a plastic sack from the grocery store and put things in it like empty food cartons, used kleenexs, and the like. You have already taken a BIG step just by coming to this board, so congratulations on that!!
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