I fully understand with our fallow up treatment the clean up is in vein as it will just get filled up again. my friend who is a hoarder and dose admit he needs help however, has not changed any habits that caused the collecting recycle nightmare in his home and it just keeps growing. This man has the heart of gold, he has helped many families with low incomes he builds homes and is an awesome contractor he is very intelligent and his work is perfection and done the correct way. If all the families this man helped came together and helped him this would be clean in a day or two. He takes great strides not to let people see his upper and lower floor of his home he covers materials outside if you saw his neighborhood you would never suspect he collected so much stuff all of it is not trash or wast just stuff good most new in packages and mail order collectables. however he has a large shop with an add on, four out buildings, three story home and three sheds and its all full. The solution is to buy a new shed or add on to an existing one. His decisions process suffers so badly, I let him have control of the clean up and make sure he knows he is in control and things go very well, but when he hits a few "trouble Items" nails for example even though we just found ten boxes in one area when i sweep up the dirt he will pick all the dropped ones and save them. So I have to wait and then sweep up the dirt. boxes OMG he collects some strange things to. for example like peanut canisters washes them and stacks them in a neat area he will have 50 of them in three months. Cans plastic containers mile OJ water bottles ect... I don't know where this stuff comes from he collects everything washes it and keeps butter containers the foam under meat. we did talk and he stopped that habit and now he checks dates on food items we also got that resolved. He washes the trash them bags them and on a pile they go. he has good intentions but no fallow through on delivery to recycle them. He will only let me clean up and me alone he trusts no one else to help me. It took years to get this way and it will take years to undo it if I have to do this alone, its way to much of a job just for me alone. The home is a clean home don't get me wrong the problem is on his decisions weather to keep or through something away I have asked him to set limits like five boxes that is it no more and it takes a while for him to make a decision. when I see him confused I ask what is wrong, then I have to tell him we are just sorting and set this item with the rest of them he will not leave my side until, I assure him I am not doing anything with out his approval "he is in control" of what stays and goes. Then he will walk and put it with the others. If I hand him something we have no like pile yet he will put it back down right next to me and I have to sort it again which is totally unproductive. We cleaned the entire bottom floor in two years its full to the top again. His family has given up on him and just through money at him to fix the problem I asked if they would all pull together and help, not a chance and as far as I know all his other so called friends he helps never help him in return. They take advantage of his kindness and it irritates me to no end. Anyway what medications can help his decisions process and how can I keep him motivated. One of his fantasies are unrealistic such as he states "I am going to be his wife" I have no choice in this because god said so and I have told him many many years. I do not feel that way for him however I cant abandon him like every one else has. He is my friend and he will be forever but he will never be my husband he is to old for me for one. Any advise ????