Hoarding behaviours may be linked to trauma, anxiety, attachment issues, perfectionism, or cognitive distortions. By exploring the root causes with clients, you can develop personalised treatment plans to address these underlying factors. When there is a fractured relationship or complex bereavement, this can create a chasm of a void within the self. The hoarding objects, animals or significant other items, may be a way to fill that chasm to the point of wholeness. Of course, it can never be filled because it is an emotional void that cannot be filled, only processed.