Hi Maven-I have been where you are at many times (I'm now 52 btw). My first husband & I both hoarded (back when know one knew what that or OCD even was) & we had a very terrible situation-bad bad bad. I would take vacations from work & clean & throw away for 2 weeks but it always came back. We had to abandon our first home as it was not possible to try & sell it-it has since been torn down. We moved into a brand new clean house & about a year later bam it was all coming back-had 2 huge storage buildings etc. Terrible. Anyway after much therapy especially CBT, some meds & extreme life changes to improve my situation I no longer hoard & my OCD is usually pretty manageable-I recommend you ask your pdoc for a tdoc referral because I think therapy is key to treating this type of thing. Also you need to have adequate space to live sounds like your current situation is a bit unfair. Please take care & let us know how you are doing