Diogenes Syndrome: Identification and Distinction from Hoarding Disorder

“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. This report presents a case of a 51-year-old male adm...

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Main Authors: Carmel Proctor, Sakib Rahman
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Psychiatry
Online Access:http://dx.doi.org/10.1155/2021/2810137
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author Carmel Proctor
Sakib Rahman
author_facet Carmel Proctor
Sakib Rahman
author_sort Carmel Proctor
collection DOAJ
description “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. 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. 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. His home was covered in several feet of rubbish, rotting food, and debris and smelled intensely of rotting mould, urine, and faeces. He was found lying nude on top of garbage with a rug over him. Diogenes syndrome is highly comorbid with psychiatric and somatic disorders, including depression, obsessive-compulsive disorder, personality disorder, and stress. This case report provides a rare opportunity to better understand the distinction of Diogenes syndrome from the closely related condition hoarding disorder. 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.
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spelling doaj-art-c05162845dc042259c165bcf9aa14abc2025-02-03T01:10:53ZengWileyCase Reports in Psychiatry2090-68382021-01-01202110.1155/2021/2810137Diogenes Syndrome: Identification and Distinction from Hoarding DisorderCarmel Proctor0Sakib Rahman1Princess Elizabeth HospitalPrincess Elizabeth Hospital“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. 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. 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. His home was covered in several feet of rubbish, rotting food, and debris and smelled intensely of rotting mould, urine, and faeces. He was found lying nude on top of garbage with a rug over him. Diogenes syndrome is highly comorbid with psychiatric and somatic disorders, including depression, obsessive-compulsive disorder, personality disorder, and stress. This case report provides a rare opportunity to better understand the distinction of Diogenes syndrome from the closely related condition hoarding disorder. 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.http://dx.doi.org/10.1155/2021/2810137
spellingShingle Carmel Proctor
Sakib Rahman
Diogenes Syndrome: Identification and Distinction from Hoarding Disorder
Case Reports in Psychiatry
title Diogenes Syndrome: Identification and Distinction from Hoarding Disorder
title_full Diogenes Syndrome: Identification and Distinction from Hoarding Disorder
title_fullStr Diogenes Syndrome: Identification and Distinction from Hoarding Disorder
title_full_unstemmed Diogenes Syndrome: Identification and Distinction from Hoarding Disorder
title_short Diogenes Syndrome: Identification and Distinction from Hoarding Disorder
title_sort diogenes syndrome identification and distinction from hoarding disorder
url http://dx.doi.org/10.1155/2021/2810137
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