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I have a combination of OCD & GAD and my you tube playlists are thousands and thousands of songs . About once a month I make myself scale the lists down and consolidate downwards. I feel for me the long , long lists do have at least a touch of hoarding and anxiety disorders of sorts mixed in .

I’ve wondered this myself cause I tend to like save a A LOT of pins on Pinterest & get frustrated when I can’t make the perfect board lol But hoarding specifically idk for sure but I could see it as some kind of unhealthy coping mechanism