@o8T8o
I've heard that some dentists specialise in patients whom are particularly nervous or fearful...thinking along those lines I wonder if if there are fire departments which have sidelines in dealing sensitively with hoarders?
They do, but it doesn't matter how sensitively it is approached, it's productive and necessary from a fire safety point of view but rarely has an impact on getting the house cleared as a result.
It's a bit like the GP pointing out that you are hugely overweight and need to lose some weight. They are doing the right thing professionally, it's their job to look after your health and they usually aren't telling you something you don't know already.
But just like hoarding, being overweight doesn't just happen overnight, it's a gradual process often with some roots in depression/self esteem/ emotional attachment or other physical health issue.
Someone telling you that you are obesely fat and it's unhealthy for you isn't magically going to change that, it needs to be backed up with proper professional support, understanding of how you got to where you are now and what will motivate you to engage in change, IF you want to change.
If you just leave the GP surgery having been told you are fat and need to change without any of that support in place then the chances are you are just going to go home feeling upset and miserable, make a small attempt at a diet for a while and then revert to old habits, or worse.
Then you probably also avoid seeing the GP or other health professionals again because they just pointed out the obvious, didn't help and made you feel worse. So you start neglect other parts of your life /health too.
It's perhaps a convoluted analogy, but for hoarding the Fire Service is a small part of the picture and needs to be backed up with proper practical and emotional support too if there is going to be an impact.