Nihilistic delusions

Nihilistic delusions are monothematic delusions and beliefs that the self doesn't exist, or in other words that you are dead. In addition, numerous patients encountering these mind-set compatible fancies can refuse the presence of inner organs, like heart, cerebrum or digestive tracts and have convictions of being obliterated or deteriorated (Caraceno and Emmi, 2017). In some cases they also do not believe that their own parents or children exist, even refusing to believe that the world is real and exists. Sometimes they may specify their own condemnation or other abnormal states, for example, believing that they can not die.

Nihilistic delusions can sometimes come up in patients with severe mental health problems, or in patients that are suffering from tumors or serious injuries to the brain. To analyze for brain damage, a MRI assessment would be important to see where the harm is located, later connect this with its impact on the conclusion of the patient. Leading clinical meetings with the patient would be one more huge piece of the cycle when the chance of cerebrum harm has been ruled out.

Nihilistic delusion could also be a byproduct or result of severe depression with psychotic tendencies. As one can assume, delusions like this affect the patient to a great extent, and treatment methods are crucial for improvement when the patient's mental health is at a low like this. In order to diagnose a patient with a type of delusion like the nihilistic one, the symptoms for delusions must be persistent for at least a month. (According to DSM-5)


Caraceno, C., & Emmi, A. (2017). Nihilistic delusions (Cotard Type I) in a patient with paranoid schizophrenia. Unit of Psychiatric Diagnosis and Care.

Deja una respuesta

Tu dirección de correo electrónico no será publicada. Los campos obligatorios están marcados con *