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Her son, Jason, has already been removed from her home. Augustine was never able to actually have him return to the house. Augustine now lives without water, gas, heat, or appliances and the courts have become involved forcing her to clean up.

Time is running out for Judi, whose cluttered home has been condemned; Gail was once a disciplined ballerina, but now her house is full of possessions and critters.

After her newborn son dies, Chris tries to fill the void with possessions that jeopardize custody of her daughters; Dale is at risk of eviction from his city-subsidized apartment filled with found objects for art projects.

The parents of four children must clean out their entire house or risk losing everything; a retired veterinarian's dozens of costly collections have come at the expense of his marriage and lifestyle.

A series of tragedies triggers hoarding that leads to a woman losing custody of her son to her ex-husband; Child Protective Services arrives with police at a couple's squalid home to remove their four children.

Deborah is a 49 year old mother of two who fears that her hoarding may cause her two children to be taken away. Her husband Ron claims that Deborah's hoarding triggered his depression and alcoholism and Deborah claims that Ron's alcoholism fueled her hoarding. The situation went from bad to worse when Ron attempted suicide seven years ago. Now Deborah must either change or risk losing her family. Jim is living a double life. He manages a successful honey business as a bee keeper but at home he lives as a compulsive hoarder. His 37 year old daughter Heather has threatened to call Adult Protective Services on him if he doesn't change for the sake of himself and his eight month old granddaughter.

Linda's family has been torn apart by her hoarding. She wants a relationship with her grown children but they refuse to visit her because Linda's house is piled up with belongings. Despite Linda's threat to commit suicide her family has given her an ultimatum to either clean up or her husband Shelton will divorce her and her children will choose not to remain in touch her any longer. 29 year old Todd has been collecting models, kits and several other hobby items ever since her was a kid. His girlfriend of five years Robyn wants to get married and to start a family but she has threatened to leave Todd if doesn't control his behaviors. Todd wants to create a life with her as well but he doesn't know where to begin.

Janet's life took a tragic turn for the worse when her husband of 32 years died while waiting for a heart transplant and since then her hoarding has spun out of control. She shops compulsively and has filled her home with home decorating supplies in hopes of redecorating the house she and her husband were planning on doing before he died. Christina is a former psychologist who is literally suffocating beneath her things. She is now breathing at about 80% due to chronic asthma and times she has be rendered blue due to exhaustion. She has filled her home with clothes for twelve year old daughter Hanna but even though most of the clothing has been unworn for years, Christina refuses to part with it. She now must clean up before her asthma gets any worse

Gail's house is literally falling apart. She is living without heat, the walls in her house are cracking, the ceiling is leaking and the floor boards are bowing. She has to make repairs but she needs to clean out her house in order to do so. Complicating the issue is that Gail is scheduled to have major surgery in two weeks and unless she cleans up she will have no where to go to recover from her surgery. Warren is a self-employed heating and refridgeration specialist who ends up taking his work home with him. Old refridgerators, tools and supplies clutter his house creating an unsafe environment for his three year old son Josh and his wife Leanne worries about her son's development. She has now given Warren an ultimatum to either clean up or move out.

A firefighter's co-workers worry his hoarding is affecting his job performance; a woman's two sons suffer due to her unkempt home.

A woman faces the loss of her mobile home and her daughter if she doesn't get help for her hoarding; a single father must clean up his home if he hopes to keep his two special-needs children.

A married couple blame each other for their hoarding compulsion. Two sisters whose parents were hoarders try and combat their own hoarding but find the process difficult.

A woman's hoarding threatens to tear apart a very large family unless she changes her ways.

The small paths in Michelle's house are the only way she can get to her collection of more than 60 birds. Her husband of 30 years has been chased from the home by the animals and the hoarded piles that in some places reach five feet high. Michelle must now put her family's needs ahead of her birds and clean the house so that her husband can come home. Kim is a beautiful 34-year-old pharmaceutical sales rep who risks unemployment if she can't get her hoarding under control. Her job requires meticulous records of her legal drug sales, but she can't keep anything organized or find anything in all of her clutter.

In this special follow-up episode we check in on the progress of Jill, Jake, Betty, Bill and Paul from our first season.