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The need to consider mood disorders, and especially chronic mania, in cases of Diogenes syndrome (squalor syndrome)

Published online by Cambridge University Press:  14 September 2010

G. Fond ,
F. Jollant  and
M. Abbar
G. Fond*
Affiliation:
University of Montpellier, Montpellier, France Inserm, U888, Montpellier, France Department of Emergency Psychiatry, Psychological Medicine and Psychiatry, CHU Montpellier, France
F. Jollant
Affiliation:
University of Montpellier, Montpellier, France Inserm, U888, Montpellier, France Department of Emergency Psychiatry, Psychological Medicine and Psychiatry, CHU Montpellier, France
M. Abbar
Affiliation:
Department of Psychiatry, CHU Nîmes, France
*
Correspondence should be addressed to: Guillaume Fond, Hôpital la Colombière/CHU de Montpellier, Service Universitaire de Psychiatrie Adulte, 39 Avenue Charles Flahault, F-34295-Montpellier, France. Phone: +33 0467339702; Fax: +33 0467339660. Email: guillaume.fond@gmail.com.
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Abstract

We report the case of a 69 year-old female patient who was hospitalized for Diogenes syndrome, defined by marked self-neglect, social withdrawal and excessive hoarding, leading to squalor. Somatic causes were eliminated. Her personal history showed an eight-year depressive episode followed by a 20-year hypomanic episode without remission, followed by a persistent manic episode associated with Diogenes syndrome for four years. The Diogenes syndrome was successfully treated with mood stabilizers. Mood disorders – in particular chronic mania (i.e. a manic episode lasting more than two years) – should be considered in cases of Diogenes syndrome and in current classifications.

Keywords

Diogenessqualor syndromechronic manialithiummood disordersbipolar
Type
Case Report
Information
International Psychogeriatrics , Volume 23 , Issue 3 , April 2011 , pp. 505 - 507
Copyright
Copyright © International Psychogeriatric Association 2010

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References

Clark, A. N., Mankikar, G. D. and Gray, I. (1975). Diogenes syndrome: a clinical study of gross neglect in old age. Lancet, 1, 366–368.CrossRefGoogle ScholarPubMed
Cooney, C. and Hamid, W. (1995). Review: Diogenes syndrome. Age and Ageing, 24, 451–453.CrossRefGoogle ScholarPubMed
Hare, E. (1981). The two manias: a study of the evolution of the modern concept of mania. British Journal of Psychiatry, 138, 89–99.CrossRefGoogle Scholar
Macmillan, D. and Shaw, P. (1966). Senile breakdown in standards of personal and environmental cleanliness. British Medical Journal, 2, 1032–1037.CrossRefGoogle ScholarPubMed
Perugi, G. et al. (1998). Chronic mania. Family history, prior course, clinical picture and social consequences. British Journal of Psychiatry, 173, 514–518.CrossRefGoogle ScholarPubMed