Clark, Mankikar, and Gray coined the term Diogenes syndrome, replacing the earlier term senile squalor syndrome. Extant case studies identify and describe the condition as “severe domestic squalor,” with some arguing that this is a better descriptor of the syndrome ( C.R. The etiopathogenesis of Diogenes syndrome remains unclear, with little consensus regarding the diagnostic criteria.
DIOGENES SYNDROME. MANUAL
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. 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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