I think we might want to be ashamed to watch because it is freaking taking place on TV, as exploitive entertainment, not as therapy for the person involved. Do we really think that having her mental illness splattered across a national network is going to help her? These shows are the TV equivalent of people slowing down to look at the crash on the freeway. They might entertain the onlookers, but they don't get much help for the individuals involved.

I enjoy watching the show, however, I sincerely hope it does not go the way of sensationalism, targeting older, ill, and cognative impaired people. It could happen to anyone, and just scanning the debris can sometimes be just for the shock value.
However the real problems are the "closet hoarders" who are often upstanding, well-educated, and well=heeled, who hide their dirty little secrets even from close family members and friends, by limiting it to certain areas of their property. These areas can be just as dirty, dangerous, and absolute horrors for anyone trying to clean up, after the hoader either vacates or dies.
Makes me think twice about that clandestine silverware drawer that I compulsively dump my spoons and forks in, while meticulously cleaning the rest of the house! Kidding aside, please don't target those that honestly cannot help it, and in some cases, don't even seem to understand what is going on around them, with all the cameras, etc. A very good series, all in all.