Is hoarding a side effect of obesity? I'm not a psychiatrist nor play one on TV but with a few exceptions I just don't buy into those issues being a mental illness. Granted I think you're nuts if you are ok with living knee deep in shit but it's a self imposed crazy.   I was watching hoarders and instead of all the fuzzy feel good empathy from the psychologist I'd pay to see one of them walk in and say. This is disgusting you fat ass lazy slob. Get off your lard ass and clean this shit up. Then clean yourself, you stink.  Then make them clean all the shit out of their tub & haul their dirty diapers out.  Bring in the dumpsters and just shovel all the shit out. None of that "oh, I want to keep that dust ball, it was my favorite dustball since my mother died. Oh, I have to keep that turd, it's the last one my cat shit out before being crushed by that wall of junk when it fell. At least his flat body is still under that pile of "treasures".  At least Dr Now finally grew a pair & started calling the mini buses out on their BS. "Yes I've followed the 800 cal diet completely except I ordered pizza just once.  I have no idea how I gained a 100 lbs this month."  Ordering pizza once doesn't mean you only spoke to Dominoes once to order daily shipments of pizzas. I would love to hear him tell some of these fat morons - "you look disgusting.  How does that retard you call a boyfriend stand to look at you?"  I think some of these enablers are smarter than we give them credit for.  They're just waiting for them to kick the bucket.  That's the only reason I can see that makes sense why you'd keep feeding them. Come on, you're afraid of a person so fat they can't roll over without the fire departments help???