The first signs are build-up of clutter and refusal to throw away things that are not needed.

Other symptoms include:

• Acquiring a lot of items that are not needed despite lacking space
• Persistent difficulty throwing out things
• A need to keep items
• Filling up the rooms with clutter rendering some things unusable
• Indecisiveness
• Procrastination
• Avoidance personalities

If untreated the complications may include

• Family conflicts
• Trapping by the clutter
• Isolation from others
• Health hazards due to unhygienic conditions
• Fire hazards
• Legal issues, like eviction
• Increased risk of falls
• Poor work performance