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Recognizing Diogenes syndrome: a case report.

Jeffrey D C Irvine1, Kingsley Nwachukwu

  • 1Department of Academic Family Medicine, College of Medicine, University of Saskatchewan, La Ronge, Saskatchewan, Canada. jdi974@mail.usask.ca.

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Summary
This summary is machine-generated.

Diogenes syndrome is a challenging behavioral disorder marked by severe self-neglect and hoarding. Early recognition of its characteristics is crucial for timely intervention and improved patient outcomes.

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Area of Science:

  • Geriatric Medicine
  • Psychiatry
  • Behavioral Science

Background:

  • Diogenes syndrome is a complex behavioral disorder.
  • It is characterized by domestic squalor, extreme self-neglect, and hoarding.
  • Lack of shame regarding living conditions is a key feature.

Observation:

  • A case of a 61-year-old female with bipolar 1 disorder presenting with manic symptoms.
  • The patient exhibited severe self-neglect, poor hygiene, and hoarding behavior.
  • Her home was found in a state of extreme disarray with garbage and animal feces.

Findings:

  • Diogenes syndrome can be difficult to identify, even in patients with known psychiatric conditions.
  • The patient demonstrated a lack of insight into her personal hygiene and public health issues.
  • Hoarding and self-neglect were prominent features, alongside manic symptoms.

Implications:

  • Early identification of Diogenes syndrome is vital for effective management.
  • Recognizing the syndrome can help reduce morbidity and mortality rates.
  • Intervention can improve public health by addressing severe domestic squalor and neglect.