I recently read that the dsm-5 separated it from ocd. It was an interesting distinction, but darn if i can remember it! Something about ocd being repetitive things you are driven to do that keep you from living regular life, and hoarding - is not that. Youre not staying home washing your hands or checking that stuff is unplugged.

The bit about needing deep psychotherapy - the point was that (i read) you couldnt just get like the hoarders tv show to come in and clean up and expect to be cured, because the problem is more internal / psychological, not just external, one and done. I wasnt saying anything about whether or not there are or should be specialists. I just read that they had only seen any success with people in long term therapy, so i was like, okay, then i'm doing the right thing for it, gee who knew