cotard-tm

The Cotard Delusion is a rare psychiatric disorder in which a person holds a delusional belief that he or she is dead, does not exist, is putrefying or has lost their blood or internal organs. Rarely, it can include delusions of immortality.

In 1788, Charles Bonnet reported one of the earliest recorded cases of Cotardโ€™s Delusion. An elderly woman was preparing a meal when she felt a draft and then became paralyzed on one side of her body. When feeling, movement, and the ability to speak came back to her, she told her daughters to dress her in a shroud and place her in a coffin. For days she continued to demand that her daughters, friends, and maid treat her like she was dead. They finally gave in, putting her in a shroud and laying her out so they could โ€œmournโ€ her. Even at the โ€œwake,โ€ย the lady continued to fuss with her shroud and complain about its color. When she finally fell asleep, her family undressed her and put her to bed. After she was treated with a โ€œpowder of precious stones and opium,โ€ her delusions went away, only to return every few months.

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