Honestly? I think it’s exploitative and sensationalist and I sort of have a problem with most TV shows that rely on humiliating people who have serious issues to deal with. Hoarding isn’t a joke, or entertainment, and since the reaction to the show is usually people feeling disgusted or superior to the people on the show, I can’t really support it.
I think that there is some value in providing some of the participants with resources that they might not have otherwise had access to, but the whole concept kind of skeeves me out.
I do, however, love How Clean is Your House? from the BBC. It has a far more light-hearted tone, it treats the participants less horribly, and, to me, it doesn’t feel like it’s trying to make mental illness a sideshow.