@M0nica
4) Many of those with terrible homes are actually mentally ill. Either depressed or suffering from Hoarding syndrome, a recognised mental health problem that often arrises after personal trauma.
As someone with 'hoarding tendencies' I can assure you that there is no such medical term as 'Hoarding Syndrome'. Hoarding is a recognised condition but its definitely NOT a 'syndrome'. We're also not all 'mentally ill' and for your education, 'depression' is a mental health condition.
ANYONE can have 'hoarding tendencies', with or without mental health issues. I know a number of people whose 'collections' have got out of hand, they're not depressed or in any other way mentally ill, just overwhelmed with the amount of 'stuff' they've collected and aren't sure where to start when they realise they have too much and need to do something about it.
Some of us, me included, are physically disabled and find it difficult to do the actual sorting/removal of the now no longer needed 'stuff'.
SOME will have experienced some form of trauma in their lives which has caused them to retain 'stuff ' for any of a variety of reasons but for many it can be because these things might give them a feeling of safety or security.
A little like (and I say little because there are so very few similarities) being an addict of some (common) sort, one has to admit they have an issue (not necessarily a problem) and then there's the embarrassment of whether or not to ask for help. UNLIKE AA, NA, GA etc, finding help for a hoarding issue is like finding rocking horse poo, there is so little help out there, there's no consistency from one part of a city to the next, never mind different cities, counties, etc, it's no wonder that SOME people are so desperate for help that they'll see these types of TV programmes advertised and will feel that that is their only chance of help.
So, your point 3, where you said "They really do want a solution to a problem that is really overwhelming them so much they cannot cope with it and apply to these programmes as a last resort", is actually the most likely of anything anyone has suggested.
For those who look at the homes on those programmes down your noses, those are the LUCKY ones (yes, lucky), because getting onto these programmes is not only a last resort but for the person with the problem, it's like winning the lottery!
Also, as my final point to everyone, don't assume everyone who hoards is mentally ill, we're not!