I've seen worse

Within minutes, maybe seconds, of entering the doctor's office, the OCHD diagnosis was confirmed.

Curse ADD.  My spouse had merely not paid attention during the previous visit.

I handed the doctor the stack of picture cards, showing the state of affairs.  The doctor flipped through them and stated, "I've seen worse."

The important thing about the visit, though, was that my spouse finally accepted he had a problem.  I had not been making this up.

However, we still faced the challenge of what to do to overcome the challenge.

I no longer faced hostility when I talked about the OCHD.  But my spouse was essentially passive.  He neither attempted to face the mass of clutter, not did he significantly curb his accumulation of items.