How can I defeat my problem with procrastination and hording?

I am already taking medications that will supposedly help and even have a therapist. But overall, things just seem too hopeless and the job(s) seem too big and not worth the effort of getting started. I can’t seem to let go of anything and I procrastinate about any effort to move forward or accomplish anything.

As crazy as it sounds, the only reason I haven’t committed suicide or committed myself to a mental health facility is because several people depend on me. One more false move (I’ve made several) and everything is lost anyhow.

My parents have gotten old and set in their ways, are extremely negative and critical even of the few positive things that I have going. They cannot get around well and depend on me for transportation. I depend on them to fall back on financially because I haven’t been able to work or find suitable work since I was shot in a robbery several years ago.

About 75% of the stuff in their/my house probably needs to be gotten rid of. My stuff especially—I am wanting to move out and get a life with my girlfriend—whom my parents hate and have never even met (my mother liked her but didn’t know who she was). They do not even seem to realize that she will be the one I will spend the rest of my life with as we have been together over two years now.

Financially I can make it on my/our own even on disability but it will be very tight and uncomfortable financially. I really don’t even want to cut ties with my parents and their home but it may come to that, difficult as it may be. I can’t seem to let go of anything and cannot seem to make the first move to get forward or accomplish anything. A good start would be to throw a lot of things away and let go of so much of my past. That would keep me busy at least and give me a fresh start. But I cannot even begin the process. Its like I am paralyzed with inhibition and it all seems too overwhelming.

The only supportive people I have are the ones who depend on me and some who should be supportive are berating and very negative and thwarting.

I want to mention the element of time as well. Even though I am not working a job, time management seems to be a problem for me and there is very little I can do with the time I have, as everything takes more time than I have to commit to it.