15. Severe depression
Depression will cause significant difficulties in daily activities for someone to accomplish. Even the simplest things like getting out of the bed, brushing teeth, washing face, etc. Therefore, cleaning and keeping the house neat and clean is impossible for them. It is one of the biggest reasons why they become a hoarder. Just like that, the house will gradually become messier and worse. Then, they'll be uncomfortable when strangers enter their homes. It makes their situation worse.
Isolating yourself from the community will make your situation worse. Don't be like that! Look to the experts. They will give you the best advice. Do not be ashamed to share your problems with other people. Face to face with your issues early before it gets serious