Featured are organization coach Sarah Kiefer and podcast host Oliver Schmidt
Psyche

#53: When You Just Can't Bring Yourself to Clean Up: An Organization Coach on the Reasons Why

Many people simply can’t bring themselves to clean up. The reason is usually not laziness, but chronic exhaustion, ADHD, or ingrained habits. In Episode 53, organization coach Sarah Kiefer explains why “Messi” is often misunderstood and which small, practical methods (mini-steps, time boxes, body doubling) lead to real success in everyday life.

“I just can’t seem to clean up.” Organizing coach Sarah Kiefer from Ordnungswelt hears this phrase almost every day. People who can’t clean up aren’t necessarily lazy, and conversely, many of the reasons for “not being able to clean up” are hidden. Exhaustion after a long day at work, ADHD symptoms, long COVID, or depression can make it difficult to make decisions, plan, and stick to routines.

Find out in this podcast: 

  • Why "I just can't seem to clean up" is often not a personality trait, but a symptom
  • What Distinguishes Chronic Disorganization from “Messy/Hoarding” Behavior
  • Such as exhaustion, ADHD, long COVID, or depression can make tidying up more difficult
  • How Shame and Social Media Comparisons Exacerbate the Problem
  • Typical patterns: all-or-nothing thinking, planning and decision-making paralysis
  • Prioritizing: Where Does Tidying Up Really Help in Everyday Life?
  • Methods: Bodydoubling, club sessions, short time slots, and prompts
  • Prioritizing: Where Does Tidying Up Really Help in Everyday Life?
  • When Therapeutic Support Is Needed and How Coaches Can Help

Excerpt from the podcast interview with organization coach Sarah Kiefer: 

"Tips or individual auctions rarely provide a lasting solution" 

Oliver Schmidt: Sarah, what is meant by “chronic disorganization”—and how does that differ from the usual mess that everyone experiences from time to time?

Sarah Kiefer:Chronic disorganization means that people don’t know where to start over long periods of time. It’s not just occasional chaos after a stressful day, but a persistent pattern: nothing in the home has a designated place, those affected feel overwhelmed, and they can’t figure out how to tackle a project.

Often, these issues stem from neurodivergent conditions (e.g., ADHD), health limitations such as long COVID, or mental health conditions such as depression. That’s why simple tips or one-time cleanup efforts rarely provide a lasting solution. The underlying causes run deeper and often require complementary strategies.

How does the so-called “Messi Syndrome” differ from this? Or is that just an extreme example of disorganization?

Sarah Kiefer:What is often referred to in German as “Messi syndrome” corresponds more closely to the term “hoarding disorder” in English. It is a form of chronic disorganization in which the problem lies primarily in an inability to let go: People develop very close, emotional attachments to objects, are unable to part with them, and hoard excessively.

In these cases, simply tidying up often doesn’t help and can even be harmful if the person affected isn’t receiving psychotherapeutic support. It’s also important to note that similar living conditions can arise for entirely different reasons—such as depression or exhaustion—and each requires a different approach.

The media tends to take a blanket approach to the issue and label everything as “Messi,” even though the causes vary widely.

What typical behavioral patterns do you see in people with ADHD or similar challenges? Why does this so often lead to persistent disorganization?

Sarah Kiefer:Among people with ADHD and related challenges, certain patterns are particularly common: problems with prioritization and planning, “all-or-nothing thinking,” and a lack of routines. Many think, “If I can’t do it right, I’d rather not even start.”

Added to this is the difficulty of realistically estimating a project’s complexity, effort, and duration; making decisions; and sticking with it when the first obstacle arises. Perfectionism sometimes plays a role: if the closet can’t be organized perfectly, the laundry just sits there.

A lack of energy and exhaustion make this worse. Anyone who has barely any cognitive resources left at the end of the day can't handle the extra decisions.

You say, “Order means knowing where things are.” Can you elaborate on that? How should we think about order so that it really helps us in our daily lives?

Sarah Kiefer:Yes, for me, organization is primarily about knowing where things are so I can find them quickly. Aesthetics come second. In practical terms, this means: designated spots for everyday items ( keys, wallets, important papers), making routines clear (e.g., where does the mail go, what’s the process for a bill from the mailbox to payment), and incorporating small, practical solutions (a shelf for sweatpants next to the door, a labeled basket).

It’s important to pay attention to your own habits: When and how do you use certain things? This will help you figure out where it makes sense to store them. The goal is to simplify your daily life, not to create the perfect Instagram photo.

Conflicts often arise in relationships because of differing needs for order. How can this be resolved in practice?

Sarah Kiefer:It starts with communication and clarifying roles: openly discussing who takes on which role in the household and how both partners feel about it. It often helps to map out processes together and label different areas—this takes some of the burden off the person who has been keeping everything in their head up until now.

Leading by example works better than lecturing: if you start by implementing small rules for yourself, you’re more likely to get your partner on board. Specific rules (e.g., who does what in the kitchen) and lighthearted agreements (in our household, the second person isn’t allowed in the kitchen if the first one is already cooking) can help defuse conflicts.

"We work in small, measurable steps"

Among other things, you offer “body doubling”—what exactly is that, and how does it help people clean up?

Sarah Kiefer:Body-doubling means that people work on their own tasks at the same time—either in person or digitally via video. Everyone starts at the same time, works quietly, and then briefly shares their experiences.

This fosters a sense of commitment and provides a social framework: the presence of others motivates us and reduces procrastination. In our “Ordnungswelt” Club, we combine this with brief prompts (e.g., a method or music for tidying up), followed by a quiet implementation phase of 45–60 minutes and a brief wrap-up feedback session. This helps us set realistic goals and actually stick to them.

For many people, paperwork and managing their finances are particularly stressful issues. How do you handle them?

Sarah Kiefer:Paperwork is often emotionally taxing because it’s associated with tasks, worries, and feelings of shame (e.g., unpaid bills, missing forms). We start by clarifying the process: How does mail come in, and how is it reviewed, paid, and filed?

Then we work in small, measurable steps: for example, working through a specific number of centimeters of the stack per session. This gives those affected a sense of accomplishment. When it comes to actual financial planning, we bring in specialized colleagues or recommend financial coaching, because expert knowledge is often required.

In what situations do you refer patients to psychotherapists or medical specialists?

Sarah Kiefer: We follow a code of conduct and recognize when coaching is no longer sufficient. Examples include pronounced compulsive behaviors (e.g., constantly washing one’s hands after touching something), deep grief, severe anxiety disorders, or other mental health conditions that significantly slow down or prevent the tidying process.

In such cases, we refer clients to therapists or psychosocial services. At the same time, however, organizing coaching can spark the desire to “address this issue through therapy as well.” In that case, we help them find appropriate support.

Can you give a specific example of a situation where organizing has significantly changed everyday life?

Sarah Kiefer:Yes. I remember a client whose living room looked “just like it did 20 years ago” and who was embarrassed by it. Over the course of several sessions, we created clearly defined zones, donated a lot of items, and implemented practical solutions (e.g., new hooks, organized storage).

After nine hours, many things had been sorted out to the point where she could get involved in the community again and spend more time with her son. For her, it wasn’t just a clean space—it was a huge relief in her daily life and a way to let go of the weight she’d been carrying.

"Gather methods and celebrate progress"

What's your first, practical piece of advice for listeners who can relate to this?

Sarah Kiefer:Keep it simple: Set aside 30–60 minutes and choose a specific, measurable goal (e.g., reducing the height of a pile by five centimeters, or clearing out your inbox). Gather methods that have worked for you in the past and compile them into your own personal toolbox.

Celebrate small steps of progress—accept that your performance will fluctuate and that it’s normal not to function the same way every day. If you’d like some support, you can check out a structured program like our club or seek professional guidance.

Protect your home. Design it in a way that makes you feel good: cozy, colorful, or minimalist—whatever suits you best. You set the rules for your home.

Cheerful to stormy - the everyday podcast with Olli Schmidt

Welcome to “Sunny to Stormy”—the everyday podcast. Whether you’re on cloud nine or feeling utterly down, life has its ups and downs. That’s exactly what we’re all about: the everyday crises like arguments with your partner, parenting issues, work-related stress, insecurities, and anxiety. We talk to experts and give you practical tips so you can better handle crises and challenges.

You can listen to our podcast on all known podcast platforms (Spotify, Apple Music, Audible etc.)! Questions, suggestions, criticism, wishes? Feel free to write to us at: podcast@familienservice.de

pme Familienservice – EAP Counseling with Family Services & Academy

The pme Familienservice Group is one of the largest providers of EAP (Employee Assistance Programs) consulting and family services in the German-speaking world.

For over 30 years, we have been helping employees and executives balance their professional and personal lives—in complete confidence and 365 days a year.

With the Work:Life Academy for executives and employees, as well as the Mindance app, we provide a comprehensive EAP program—for better mental health, a better work-life balance, and more productive teams and leaders.

You can find out more about the pme Familienservice Group here.

zero Vacation for family caregivers: how it works

Old woman in a wheelchair
Age & care

Vacation for family caregivers? This is how it works!

Many family caregivers would like to take a break now and then—perhaps for a vacation, when they’re sick, or simply to recharge. But what happens to the caregiving during that time?

The good news: Long-term care insurance supports family caregivers when they are temporarily unable to provide care. Benefits are available to help arrange substitute care at home or temporary care in a long-term care facility.
Since the 2025 long-term care reform, these benefits canbe used with greater flexibility.

Organizing respite care at home 

If family caregivers are unable to provide care—for example, due to vacation, illness, or other commitments—another person can temporarily take over the caregiving duties. This service is called respite care. Care can continue to be provided in the person’s own home . Various forms of support are available:

  • Care provided by family members (restrictions for close relatives).
  • Support from friends, neighbors, or other people you know well.
  • Use of an outpatient nursing service.
  • A team of several helpers.

Respite care can be arranged on an hourly basis (less than 8 hours per day), on a daily basis, or for several weeks (more than 8 hours per day).

Good to know!

For close relatives up to the second degree of kinship, the long-term care insurance fund reimburses twice the amount of the care allowance, but not the annual respite care budget.

Temporary care in a nursing facility (short-term care)

Sometimes it makes more sense for the person in need of care to be temporarily cared for in a facility. This is the case, for example, when

  • when family caregivers go on longer trips,
  • more extensive care is needed,
  • home care is temporarily not possible.

In such cases, the person in need of care can be placed in a nursing home with short-term care beds for a limited period of time.

In addition to nursing care, short-term care often provides social activities and structure in daily life. Many families also use it as an opportunity to get to know an inpatient facility without any obligation.

Who is eligible for respite care and short-term care?

People in need of care who have been assigned at least care level 2 and who are primarily cared for at home are eligible for respite care and short-term care.

Applications for benefits on behalf of the person in need of care are submitted to the relevant long-term care insurance fund.

Important to know!

There is no longer a specific minimum duration requirement for home care. In principle, these benefits can be accessed as soon as the recipient is classified at care level 2 or higher and the care is primarily organized privately.

How much is the relief budget?

Since July 2025, there has been a single annual respite care budget for respite and short-term care. Those in need of care have up to 3,539 euros per calendar year available for this purpose. This budget can be used flexibly, for example:

  • fully covered for respite care,
  • fully covered for short-term care,
  • combined for both services.

Both respite care and short-term care can be utilized for up to eight weeks per year . However, the actual duration of these services depends on how quickly the shared budget is exhausted.

Important to know!

In the case of daily respite care (8 hours or more per day, e.g., when the caregiver is on vacation), the care allowance is reduced to 50%, except on the first and last days of the absence.

For hourly respite care (less than 8 hours per day, e.g., for an afternoon yoga class), the care allowance continues to be paid in full. In the latter case, the joint respite care budget of €3,539 can be spread out over the entire year.

What should you keep in mind when planning a vacation?

When planning a vacation , it’s a good idea to think counter-cyclically: Most Germans take their vacations during the summer and Christmas breaks. As a result, care services and short-term care facilities have limited capacity during these periods. It’s easier to find alternative care options outside of the vacation seasons.

"I highly recommend that all caregivers take advantage of this budget provided by the long-term care insurance fund to give themselves a break. It allows you to recharge your batteries and step back from the daily routine of caregiving. For those in need of care, respite care or short-term care is often an interesting and enriching experience as well. Short-term care, in particular, is an ideal way to get a feel for living in a care facility for a short time, with no obligation." Jürgen Griesbeck, Product Manager for Homecare and Eldercare, pme Familienservice

pme Familienservice Group - Your EAP provider since 1991

On behalf of more than 900 employers, the pme Familienservice Group supports employees in achieving a successful work-life balance and being able to work with a clear head.
The pme Familienservice Group supports employees in crises, e.g. conflicts at work, addiction or partnership problems. With a homecare eldercare service, it relieves the burden on professionals in organizing and financing care services and offers psychosocial support. The pme Academy offers seminars, workshops and coaching on the topics of personnel management and development.
You can find out more about the pme Familienservice Group here: www.familienservice.de/wer-wir-sind

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