Thanks for this great article. I’d like to suggest that — if it’s at all possible — you continue meeting at her house. I remember hearing some social workers talk about hoarding, and they agreed that what often tips people over from “barely managing” to a point of no return is having these social checks — family or friends coming by and making it difficult for them to simply hide the extent of their growing problem. Often friends feel frustrated (most commonly when they offer cleaning help or advice and get rebuffed), but your visits are probably making a small but significant difference in her life.