I am not sure where in MA you are located, but we work in SE MA and will travel up to about 75 miles. We are currently working in Framingham and Newton, as well as in several communities in RI. We are listed here in the state of RI. We are the exclusive referral company for Butler Hospital in RI, and have nearly a decade of experience working with hoarders and acquirers. We use no logos on our clothing or vehicles, either. Feel free to check our website for more information on our confidentiality guarantee.
Best regards-
Nicole

Hi Discouraged,
First of all don't be discouraged. The good thing about hoarding is it is completely up to you when you want it to stop. My advice is to start with therapy. Not just any kind of therapy but Cognitive Behavioral Therapy. Here you will learn a lot about why you have kept things and how to work through the emotions that deictate why items are kept that shouldn't be. As far as the cleanup goes, there are companies, like mine, that have all unmarked vehicles. Cleaning companies work for you and nobody else. They do not have to report their findings to anybody, so that is not even an issue. Our company policy is we don't talk to anyone, including neighbors. You shouldn't be embarassed to let a cleaning company in, as that is what they do for a living and trust me, they have seen worse than your house. They make a living from doing this, so without houses that look like yours, they wouldn't have a business. Most of us are genuinely kind, and very compassionate people that just want to get you back on your feet and make your house a home again. If you ever want to talk through some of your concerns, feel free to call me at any time. My office number is 888-577-7206 ext. 111.
Cory Chalmers
HoardingCleanup.com
Steri-Clean.com

Hopefully someone professional, who would know with certainty, will chime in at some point, because I do not know. Certainly medical professionals can be faced with reporting requirements, if they encounter potentially harmful/dangerous situations, but I seriously doubt clean up people do.

Do you have a company in mind who is might help? You might get information from websites of local companies. The only one listed on this site for Massachusetts seems to work with bio and hazardous waste. A social services type department may be able to tell you about any local regulation in place. They also may be able to suggest some cleaning companies.

Have you watched the show Hoarders? I have always wondered about the line of 1-800-GOT-JUNK trucks driving down the street to clean up the hoard. That would be enough to rule them out for me!!!

Good luck!