Cotard`s Syndrome

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By: Timmy Douglass
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A French Neurologist named Jules Cotard
was the first to describe this condition. He
called it “le delire de negation” (negation
delirium) in a lecture in Paris. Later he
named the delirium after himself; Cotard’s
syndrome.
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http://en.wikipedia.org/wiki/Cotard_delusion
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During Jule Cotard's lecture, he described a
patient that didn’t believe in god or the devil.
She also denied the existence of many parts
of her body and her need to eat. While
suffering from this delirium she later believed
that she eternally damaged and could not die
a natural death. Mademoiselle X died of
starvation.
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http://en.wikipedia.org/wiki/Cotard_delusion
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Primary symptom: the delusion that you are
dead.
Depression
Difficulty recognizing faces
Unusual beliefs about the body. (“my insides
are stone”, “I have no internal organs”)
Paranoia
http://sites.google.com/site/autismhome/Ho
me/miscellaneous/cotard-syndrome
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Cotard Type 1- Anti-psychotic therapy, Antidepressants
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Cotard Type 2- Anti-psychotic therapy
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Cotard Type psychotic depression- electroconvulsive
therapy
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Anti depressant show little to no effect on patients
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC383346/
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Joseph Capgras was a French psychiatrist that first
described this syndrome. Him and his colleague
Reboul-Lauchaux called it l’illusion des sosias,
meaning the “illusion of doubles.”
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http://en.wikipedia.org/wiki/Capgras_delusion
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Mrs. D was a 74 year old patient recently discharged
from her local hospital. During her assessment she
believed her husband had been replaced with another
man. She refused to sleep with her husband who she
called an “imposter.” She locked her bedroom door at
night, asked her son for a gun, and fought with police
when the tried hospilatizing her. Sometimes Mrs. D
thought that her husband was dead and she was able to
recognize other family members.
http://en.wikipedia.org/wiki/Capgras_delusion
Belief that a relative has been replaced by an
imposter.
 Person sees doubles of people
 Suffers from other delusions
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http://www.rightdiagnosis.com/c/capgras_syndrom
e/symptoms.htm
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Mood Stabilizers
Electro conclusive therapy
Anti Depressants
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http://en.wikipedia.org/wiki/Cotard_delusion
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