I would never seek help. I am totally against institutionalizing anyone. As long as what people do is not harmful to other people they should be left alone.
I agree to a point but it does seem like on this case he is starting to hurt himself with it too. Although that said, institutionalizong against his will might just make it worse.
His home is a health hazard, and he's about to get evicted. I'm so afraid he's going to end up on the street and dead in a couple of years. He won't take his meds.
I understand both sides, though, so that's why I don't push too hard. It's his life, but he's incapable of understanding anything more than immediate consequence. I just don't want to see him go so young. He's almost 30.
I think in your case you do have a right to be concerned, especially since he’s at the point where he’s harming himself with it, but at the same time, institutionalizing him against his own will may make it worse.
A lot of hoarders start because of some traumatic experience or to fill some emotional void so being thrown into an institution would almost certainly be traumatic and he may just start hoarding again as soon as he gets out.
It may also destroy trust which would be essential in helping him.
I do think you may be able to reach a compromise though.
There are therapists and such that specialize in this sort of thing. Perhaps you could talk to him and convince him to see a therapist? He could get help but not have to be institutionalized.
Did he start after his dad died or was he doing it before that? I think figuring out what the trigger is and addressing the real issue will be the key to making actual, lasting change and helping.
Though, of course, it does no good if he doesn’t want it for himself.
I do hope you can get through to him though.