My 84-year-old dad was always sloppy, but now that my mother has Alzheimer's his bedroom is a nightmare. There are piles of dirty clothes mixed with office papers everywhere. I can see visible dust on the floor. He was always sloppy, but this is a new level. It drives me crazy and I wonder if it is contributing to his depression, but he refuses to clean it up. Should I just clean it up myself behind his back or hire a maid and risk angering him? I don't want to over-rule, be intrusive or counterproductive, but it's really not normal. Even if he says it's not bothering him -- and that may be true -- it bothers me having to see it and we've got a lot of issues I have to deal with as sole caregiver to both my parents. Thank you for your help in how to deal with this. (P.S. He is on anti-depression meds for a few weeks, but has absolutely refused psychotherapy. Please don't tell me to get him to a doctor, which won't happen. I need concrete strategies that I can implement without having to move a mountain.)