You are already dead: Case report of nihilistic delusions regarding others as one representation of Cotard's syndrome

Background While the symptom of “I am already dead” is a hallmark Cotard's syndrome, also known as nihilistic delusions, “you are has been neglected. Case presentation A woman aged in her 60s diagnosed with schizophrenia was admitted to our hospital for psychotic symptoms, including delusions reference, guilt, auditory hallucinations, cenesthetic agitation, depression, suicidal ideation, and catatonia. During hospitalization, hallucinations progressed include delusions. She described along various delusional descriptions, belief that objects, such spoons, irons, nails, rulers, bins, coins, were inside body being burned or danger exploding. claimed an altered sense own body, larger than normal reversed. Moreover, she reported face did not exist, heart functioning, going die soon dead. occasionally refused eat because feeling Notably, during severe episode, doctor front Clozapine effective improving symptoms. Ultimately, patient regained alive acknowledged alive. Conclusion We report case presenting regarding both self others, prior hallucinations. Aberrant interoceptive processing could be potential link between these two forms