Nothing will cure a hoard better than selling your home, though natural disasters might have a similar effect. We put our home in Kansas on the market in March and it went under contract within three days. A week later we were at our house to clean out what remained after five years of absence. Our tenant and good friend A. called me a tornado, because I whipped through the piles of stuff without mercy sending the bulk towards the trash heap. It is easy to sort unaffected when you have absolutely forgotten the things in the hall closet even existed. We took two car-fulls of useful things to the emergency shelter to donate (some of it belonged to A.) and were grateful for the tax receipts. In spite of this culling, there was still some furniture and exercise equipment lingering. The tenants posted items on craigslist, had a yard sale, sold a few more items of theirs and ours, took a commission, and donated the rest. Today the real estate agent told me that he removed 12 bags of trash from the house (what??!!) after the tenants moved out, and the house is now cleaned and empty. I wish I could see the empty house today, but that would be a long way to fly just to have the satisfaction of knowing our former home is ready for a new owner to love it.