The need to consider mood disorders, and especially chronic mania, in cases of Diogenes syndrome (squalor syndrome).
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.
Fond
G
G
University of Montpellier, Montpellier, France. guillaume.fond@gmail.com
Jollant
F
F
Abbar
M
M
D000368:Aged; D018692:Antimanic Agents / Q000627:therapeutic use; D058633:Antipyretics / Q000627:therapeutic use; D001569:Benzodiazepines / Q000627:therapeutic use; D001714:Bipolar Disorder / Q000188:drug therapy / Q000523:psychology*; D005260:Female; D006801:Humans; D018020:Lithium Compounds / Q000627:therapeutic use; D019964:Mood Disorders / Q000188:drug therapy / Q000523:psychology*; D009770:Obsessive Behavior / Q000188:drug therapy / Q000523:psychology*; D000077152:Olanzapine; D012934:Social Isolation / Q000523:psychology*; D013577:Syndrome
D018692:Antimanic Agents; D058633:Antipyretics; D018020:Lithium Compounds; D001569:Benzodiazepines; D000077152:Olanzapine