Psychotropic treatment prescription may be necessary, depending on clinical features and the possible underlying psychiatric disease.
Hospitalisation has to be avoided whenever possible and ambulatory treatment and social measures should be favoured. Moreover, 46% of patients have a 5 year mortality rate. Management of the syndrome is difficult and ethically challenging, as the patient does not seek help. Patients suffering from Diogenes syndrome are usually discovered by chance, either because of a somatic illness, or as a result of social intervention related to their behavioural problems. The Diogenes syndrome is a fascinating object of study for the clinician who takes care of patients living in uncommon conditions, on the edge of society and unaware of the particularity of their lifestyles. Its rare occurrence contrasts with the fact that it is well-known, partly due to it being named after the Greek philosopher "Diogene de Sinope", who taught cynicism philosophy and a return to a natural way of life, and partly because of its rare characteristics. This particular geriatric syndrome has been described for the first time only quite recently, as the 2 primary descriptions by geriatricians and psychiatrists date from 19 respectively. This is accompanied by a self-imposed isolation, the refusal of external help and a tendency to accumulate heteroclite objects. Symptoms include living in extreme squalor, a neglected physical state and unhygienic conditions.
#Diogenes disorder full
Users should refer to the original published version of the material for the full abstract.Diogenes syndrome is a behavioural disorder of the elderly. No warranty is given about the accuracy of the copy. However, users may print, download, or email articles for individual use.
#Diogenes disorder 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.
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