New Onset Capgras and Cotard Delusions in Schizoaffective Disorder

Abstract Background Cotard is a syndrome characterized by ideas of damnation or rejection, anxious melancholia, and nihilistic delusions concerning one’s own body existence. Capgras in which the patient believes that identities close relatives friends are replaced others. delusion rarely reported one individual simultaneously, we will describe this poster. Case Report DD 38-year-old female with history schizoaffective disorder, bipolar type, PTSD, TBI who presented to ED exhibiting paranoia setting medication non-adherence increased psychosocial stressors. She endorsed her organs were rotting, she was stolen imposters claim be family from birth. Chart review revealed previous hospitalizations involving mania paranoid delusions; however, these new. also had injury domestic abuse, as well emotional sexual trauma. Her resolved risperidone 6 mg daily valproic acid 500 BID. However, maintained after 22 days inpatient hospitalization. On discharge, continued refuse reconnecting subsequently set up an intensive outpatient program. Discussion considered reflect different interpretations similar anomalous experiences. The persecutory suspiciousness often noted contribute patient’s mistaking change themselves for others, whereas people depressed exaggerate negative effects same whilst attributing it themselves. Although two phenomenally distinct, they may therefore represent attempts make sense fundamentally anatomical origin disorders have been disconnection between temporal cortex limbic system described ischemic stroke. DD’s PTSD possible damage left tempoparietal lobe predisposed comorbid delusions. abated antipsychotic treatment, maintained. Recently losing custody children contributed depression precipitated subtype 1 delusion. response consistent case report highlighted effectiveness antipsychotics absence ECT In regards ongoing delusion, chronic abuse led more persistent psychodynamically meaningful negation relationship family. Conclusion syndromes, though rare, can present together. Additional studies needed understand pathophysiology treatment outcomes. Funding No