I've paraphrased one of my favourite quotes from this show, because as outrageous as it sounds, there's a sharp sting of truth to it.
While it can be a difficult watch, Hoarders - much like its sister-show, Intervention - gives great insight into the many reasons people succumb to the disorder.
Watch enough episodes and you find a common theme: The catalyst is typically some deeply ingrained trauma that has been long-buried. And when burying it psychologically got too hard, these people turned to stuff - physically burying themselves (and their unfortunate family members) in objectively meaningless crap, barricading themselves in from the world outside.
I first saw the show in 2007, not long after a family member - a self-described 'packrat' - died unexpectedly, and left a lot of crap behind. I found it oddly comforting to watch 'Hoarders' while I sifted through the remnants of their life.
Ten years later, after a series of unfortunate events - the GFC, unemployment, financial loss, more deaths and family issues surrounding Life-threatening illness, disability, addiction, alcoholism, depression etc. - the show helped me seek treatment that I doubt would even exist without the awareness programs like this have raised.
When I began watching it, I did so with a smug sense of complacency that there was no way I, or anyone around me, could end up like that. And while it never got to the extremes depicted on the show - I now understand how something that seems so unthinkable can potentially affect anyone of us. Definitely food for thought.