Cotard’s Syndrome: Two Cases of Self-Starvation
DOI:
https://doi.org/10.25752/psi.6296Keywords:
Cotard Syndrome, Depression, Nihilistic Delusion.Abstract
Background: Cotard´s syndrome is a relatively rare condition characterized by various degrees of nihilist delusions, often in the form of self-negation.Aims: To report two cases of Cotard’s syndrome associated with self-starvation and to review the concept and clinical features of the condition.
Methods: Two clinical cases of the syndrome were obtained and a literature review of the theme was shortly surveyed.
Results and Conclusions: The first case is about a woman who believed that her esophagus and stomach were glued. She was treated with sertraline, mirtazapine and risperidone with good results. The second case describes a man who believed his throat was burnt and he had no internal organs. He was treated with clomipramine and risperidone showing great improvement. This syndrome is a nosological and clinical entity that should not be forgotten. It is essential to provide an urgent and adequate therapeutic approach to these patients.
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