Senile breakdown in standards of personal and environmental cleanliness. The syndrome was named for Diogenes, a Greek philosopher of the fourth century B.C., who advanced the principles of self-sufficiency and contentment unrelated to material possessions - a misnomer - given the nature of the disorder, which causes people to hoard animals and belongings. Diogenes syndrome: a clinical study of gross neglect in old age. International Journal of Geriatric Psychiatry. Hoarding severity predicts functional disability in late-life hoarding disorder patients. Psychiatric disorders (schizophrenia, affective disorder or dementia) and preexisting physical illness may be comorbid but are not universal. R., Princeton L., Howard I., Mayes T., Porter B., Iqbal J. KEYWORDS: Diogenes syndrome, case report, cocaine dependence, personality disorder, diag-nosis, treatment. doi: 10.1176/appi.ajp-rj.2017.120804.Īyers C. a Diogenes syndrome, which is particularly in-teresting given due to the extreme conditions of self-neglect of this syndrome in a young person who has a cocaine addiction on a character pa-thology compatible with Joint Disorder Perso-nality. Diogenes syndrome: a special manifestation of hoarding disorder. Diogenes syndrome and pathological hoarding behaviour: a case report. Severe domestic squalor or Diogenes syndrome is characterised by extreme self-neglect of environment, health, and hygiene, excessive hoarding, squalor, social withdrawal, and a distinct lack of concern or shame regarding one's living condition. Furthermore, creating an agreed-upon constellation of symptoms representative of Diogenes is essential to creating a formal Diagnostic and Statistical Manual of Mental Disorders (DSM) entry, which would facilitate the much-needed development of assessment measures to enable accurate diagnosis and treatment.Ĭopyright © 2021 Carmel Proctor and Sakib Rahman.Ĭastro L. This case report provides a rare opportunity to better understand the distinction of Diogenes syndrome from the closely related condition hoarding disorder. Diogenes syndrome is highly comorbid with psychiatric and somatic disorders, including depression, obsessive-compulsive disorder, personality disorder, and stress. He was found lying nude on top of garbage with a rug over him. His home was covered in several feet of rubbish, rotting food, and debris and smelled intensely of rotting mould, urine, and faeces. Police officers attended the man's home following the alarm being raised by his stepfather that he had not been seen or heard from in 3 weeks. This report presents a case of a 51-year-old male admitted to the hospital psychiatric ward following the police removing him from his home. "Severe domestic squalor" or Diogenes syndrome is characterised by extreme self-neglect of environment, health, and hygiene, excessive hoarding, squalor, social withdrawal, and a distinct lack of concern or shame regarding one's living condition.
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