How to handle controlling patients?

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A dying person that chose to live a life of collecting gone hoarding wants everything taken care of before they die. How to say NO.

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What do you mean by things taken care of? Do they want for you to make the funeral arrangements, cleaning their house, giving away assets, etc.?
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You say they are "a dying person", by that do you mean they have a terminal diagnosis and a few months to live? If so I would do a little therapeutic fibbing, assure them that you are making phone calls and arranging for things to be done as soon as possible but these things take time to arrange.
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