From clutter to court: clinical features and legal implications of hoarding disorder

SUMMARY Hoarding disorder is a mental health condition characterised by persistent difficulty discarding possessions, excessive accumulation and significant disruption to the safe use of the home. The resulting disability often impairs daily functioning and contributes to severe health and fire risks. In rented accommodation, these hazards commonly bring hoarding to the attention of landlords and local authorities, leading to concerns about property damage, access for repairs and the safety of neighbouring residents. This article outlines the essential clinical features of hoarding disorder for psychiatrists and explains the key legal implications in the UK, including possession and injunction proceedings, disability discrimination under the Equality Act 2010, safeguarding duties and the relevance of capacity assessments. Its aim is to provide a clear educational foundation for clinicians involved in assessing individuals whose hoarding behaviour has led to legal or housing intervention.