We are slowly, slowly working on this, beginning with our home environment. Despite the fact that the ground is still snow covered and any chance of garage sale is a couple months off, I'm starting a gentle purge around the house. A big garbage bag and box of toys left the play room last week. (And still there is too much in there!) I was feeling well enough two days ago to clear paths in our basement where stuff has piled while I've been sick. The laundry area got a mop and purge also. The upstairs hall closet got a first go over, but still needs a bigger sweep. The garage is just scary, and will have to wait until better weather when I can haul things out onto the driveway to try and make some sense out of it.
But there is promise. The first step truly is a change in mentality, and I really think I've turned that corner.