Abstract
This report presents a rare case of Cotard's syndrome in a middle-aged woman with paranoid schizophrenia. The patient developed symptoms characterized by Cotard's syndrome in the psychiatric ward after several days of treatment. Our patient's presentation was not typical: she had a nihilistic delusion but lacked depressive symptoms. The patient was successfully treated with haloperidol, diazepam, and levomepromazine. This case demonstrates the importance of identifying Cotard's condition in non-depressed, schizophrenic individuals, as prompt management can improve outcomes.