" When cleaning starts, hoarders tend to pick up and clutch items in their hands without putting them down. Pretty soon their arms and pockets start to fill up like they are a squirrel storing for the winter. They talk very fast and won’t look people in the eye. These are sure signs that the anxiety is taking over. Someone having a anxiety attack can’t function. "

― Matt Paxton , The Secret Lives of Hoarders: True Stories of Tackling Extreme Clutter