I am a hoarder. I don't need to "clean up." My presentation is as an organized hoarder, and I've actually spent a lot of time learning to live with being less excessively clean and tolerating some disorganization better.
I used to be obsessively clean which I think is a result of growing up with a parent who was a disorganized extreme squalor hoarder, before she was forced to choose it over her children, and life got frankly, even worse. My past is a catalogue of how many shitty things can happen to a child and it still live, to the point I don't bother trying to explain because it's too much to be believed.
Normally you wouldn't be able to tell from walking into my home that I was a hoarder. I'm very tidy and went to extreme lengths to have floor space and normality, superficially, for the sake of my children.
I keep most of it elsewhere, as do many. It is kept in good condition, rotated and most, but not all, (the very painful part) is regularly used. If I had a large house to keep it all in you simply wouldn't know there was an issue or that 'stuff' rules me, as I have the acquiring part fairly well controlled these days, after a lot of work on myself.
I would like to be virtually possession free.
Sadly despite so much work on myself it is still easier for me to take my life quietly than just skip everything.
It is a mental health condition and very difficult to overcome and has nothing to do with laziness.
I have helped many people make inroads into what lies behind the condition and clear and or organize their homes. Most were chaotic hoarders, a couple had fallen to squalor hoarders, one like me was an organised hoarder, though lived with warehouse shelving throughout their home.
Some where 'interesting characters' others like me, where painfully 'normal' in all other respects.
I've met an awful lot of people with the condition in varying presentations, the most painful was seven years old, and in deep problems with the hold it had on them.
The shame and stigma around it all needs to be dismantled.