Nihilistic Delusion in Contextof Schizophrenia
- 1. Department of Psychiatry, Research center of Addiction and Behavioral Sciences, Shahid Sadoughi University of Medical Sciences, Iran
- 2. Department of Psychology, Psychology Yazd branch, Yazd Islamic Azad University, Yazd, Iran
- 3. Department of Clinical Psychiatry, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
- 4. Department of Health Service Management, Scientifics Research center of Islamic Azad University, Tehran, Iran
Keywords
- Nihilistic delusion
- Cotard’s syndrome
- Schizophrenia
INTRODUCTION
A middle age , single man with diagnosis of Chronic Schizophrenia resistance to treatment more than 15 years ago was admitted in psychiatry unit . He was hopeless, poor hygiene social withdrawn, low socioeconomic family, low social support and low educated from south area of Iran . He believed that he hadn’t glob in one orbit and one of his feet was missed . He expressed that there was a blue hole in supra thyroidal region that passed out fluids and food and it connected with his heart. Eventually, he believed that he is dead or soul and in spite of all odd complaints, he hadn’t problem for see, footslog and ingest. He was resistance to antipsychotics, completely. Delusions were formed, fixed, unshakable belief opposite overt Evidences, non-systematized and persistence as a variant documents and of Cotard’s syndrome: the delusional theme was of the nihilistic [1].
In Cotard’s syndrome, the key feature is the delusional and unshakable belief that parts of the patient’s body are missing or dysfunctional. In a cohort study, the statistical analysis of a hundred-patient cohort indicates that the denial of self-existence is a symptom present in 69 percent of the cases of Cotard’s syndrome; yet, paradoxically, 55 percent of the patients might present delusions of immortality [2]. Successful pharmacological treatments (mono-therapeutic and multi-therapeutic) using antidepressant, antipsychotic, and mood stabilizing drugs; likewise, with the depressed patient, electroconvulsive therapy (ECT) is more effective than pharmacotherapy [3].
REFERENCES
Citation
Bidaki R, Shurbalaghi EF, Sohrabpour S, Seraj SA, Yazdian P (2015) Nihilistic Delusion in Contextof Schizophrenia. Ann Psychiatry Ment Health 3(4): 1037.