I look at this and I see a friend - he's been dead for some years now. Veteran with bad PTSD; he wouldn't let anyone help him. We tried, god knows we tried. The one time he actually let me in the "roach motel" he was living in, it looked a lot like this room. Empty liquor bottles, stuff strewn everywhere ... it was sad. Hell of a thing, you know?
Sorry for the mini-ramble. You did a great job conveying tone with this - at least for me.
That's a good one!
Think a better title would be, "Squalor". Well done.