“…Hoarders are not necessarily eager to keep everything they possess, but rather “the disorder is characterized by a marked avoidance of decision-making about possessions.” And the extra activity in the anterior cingulate cortex and insula while evaluating what to do with their own items “may hamper the decision-making process by leading to a greater sense of outcome uncertainty,” the researchers noted. In other words, hoarders might often feel that they are at risk of making a wrong decision—and that that decision could bring with it greater risk than it actually would. “The slower decision-making may be a central feature of impaired decision making in hoarding,” the researchers noted.
Hoarders is one of those shows I can’t seem to look away from. Though I’m not one of them, I sometimes identify with their inability to make decisions without feeling stress and doubt. Their avoidance mechanisms also remind me of someone I know. It’s infuriating!