Hoarding, occasionally referred to somewhat informally as “clutter” behavior, is newly included (F42) in the DSM-5 (2013) and ICD-10 as a recognized mental illness. One of the more practical facets of a psychopathology receiving diagnostic formality in the DSM is the funding provided to licensed clinicians who may now be reimbursed for treating the “illness,” and the insurance customers who now have a “billable” diagnosis and may receive treatment at reduced/no cost. it is not difficult to see how a strong case could be made that hoarding is best treated under a Cognitive-Behavioral model as it is primarily a compulsive behavior in and of itself, as opposed to a mood disorder, for example. However, the purpose of this paper will be to argue strongly in dissent that such a notion is wholly accurate. In fact, quite the contrary: it is argued that psychoanalysis in particular is best suited to treat the pathological facets of hoarding and is predominantly equipped to do so in part because the manifestation of hoarding behavior is often a deeply symbolic act, and act that the language of psychoanalysis expresses far better than a behavioral lexicon. Two case vignettes are presented and discussed using psychoanalytic literature, primarily Freud's psychosexual theory, particularly on the anal stage of development, as a touchstone to explore the cases in an effort to illustrate the benefits of psychoanalytic intervention amongst patients who may fit diagnostic criteria for hoarding.