To work with someone who hoards an organizer must be – should be - specially trained, otherwise the sessions can cause more harm than good. For those who wish to work with people who hoard, a fascinating source of information and training is the Institute for Challenging Disorganization https://challengingdisorganization.org/.
Rather than working with those who hoard, my passion is working with boomers and seniors who are looking for more peace in their homes, who are coming out of a transitional life phase, or who are downsizing. So my answer to question number one is no.
My family will tell that my house is anything but immaculate! I have the same piles as everyone – in fact, I have more because I often gather items for donation from my jobs at my own home until I have enough to call for pick up. And since I work from home I am constantly using the various rooms in my house, which in turn makes the rooms look “lived in.” The difference between my home and yours is that I probably purge more often, and most items have a home so I can quickly put things away.
So there you have it, my secrets are exposed and you have the answers to your questions!