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Updated: Jun 5, 2026

CO2-Lasertonsillotomy Under Local Anesthesia in Adults

CO₂-Lasertonsillotomy Under Local Anesthesia in Adults

Published on: November 6, 2019

[Severe domestic squalor].

Marianne Holm¹

¹Seksjon for alderspsykiatri, Sykehuset Telemark, 3710 Skien, Norway. marianne.holm@sthf.no

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke

|December 18, 2010

Summary

This summary is machine-generated.

Severe domestic squalor, previously Diogenes syndrome, affects individuals with extreme living conditions and resistance to help. Management is complex, particularly for the elderly, with unknown community prevalence.

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Area of Science:

Gerontology
Psychiatry
Public Health

Background:

Severe domestic squalor, formerly Diogenes syndrome, describes individuals living in extreme unsanitary conditions who refuse assistance.
This condition affects all age groups but is most common in the elderly.

Purpose of the Study:

To review the incidence, etiology, clinical presentation, and management strategies for severe domestic squalor.
To highlight the challenges in assisting affected individuals.

Main Methods:

Literature review via non-systematic PubMed search.
Incorporation of author's clinical experience.

Main Results:

Affected individuals live amidst significant filth and often hoard items.
Annual incidence in those over 60 referred to specialists is ~0.5 per 1000; community prevalence is unknown.
Over 50% have co-occurring dementia, schizophrenia, or substance dependency; frontal dysfunction is increasingly noted.

Conclusions:

Assisting individuals with severe domestic squalor is exceptionally challenging due to their lack of concern and resistance to help.
The true incidence in Norway requires further investigation.