At least once in your lifetime, you must have wondered how living like a ghost feels. What if I told you that there is a rare health condition that makes you believe that you are already dead and your organs are rotting inside? Cotard delusion, commonly known as walking corpse syndrome, is a rare and complex mental health condition in which individuals believe they are dead, do not exist, or are decaying. This condition is often associated with severe depression and certain psychotic disorders like schizophrenia. This disease is categorised under rare diseases as it has been reported in less than 1% of the global population.Cotard delusion can lead to serious health risks. People with this condition may stop bathing or taking care of themselves, resulting in social isolation and further mental health deterioration. Some individuals also refuse to eat or drink, believing their body no longer requires nourishment, which can lead to malnutrition and starvation. Suicidal tendencies are a significant concern in people with Cotard delusion. Some individuals attempt suicide under the belief that they are already dead and cannot die again. Others feel trapped in a non-existent or meaningless state and see suicide as an escape. How To Identify Cotard's Delusion?One of the hallmark symptoms of Cotard delusion is nihilism, which refers to a belief that life lacks meaning or that nothing truly exists. People with this condition often feel as though they are dead or rotting. In some cases, they may believe that a particular part of their body, organ, or even their soul has ceased to exist. Depression is closely linked to Cotard delusion. Previously conducted research indicates that nearly 89% of documented cases involve depressive symptoms. Other common symptoms include:AnxietyHallucinationsHypochondriaIntense guiltObsession with death or self-harmCauses And Risk FactorsThe exact cause of Cotard delusion remains unclear, but researchers have identified several risk factors. Previously conducted research on this illness suggests that depression is a major risk factor. It is more prevalent among individuals around the age of 50, although younger individuals—especially those under 25—may also develop it, often alongside bipolar depression. Women are more likely to be affected than men.Additionally, individuals with Cotard delusion often exhibit personality traits that attribute behavior to internal characteristics rather than environmental factors. This condition is sometimes seen in conjunction with Capgras syndrome, a disorder in which people believe their loved ones have been replaced by impostors. Certain mental health conditions may also increase the likelihood of developing Cotard delusion. The list includes: Bipolar disorderPostpartum depressionCatatoniaDepersonalization disorderPsychotic depressionSchizophreniaBesides psychological illnesses, damage to the brain and neural network could also trigger the development of this illness. Neurological conditions linked to Cotard delusion include brain infections, brain tumors, dementia, epilepsy, migraines, multiple sclerosis, Parkinson's and stroke. Traumatic brain injury or damage can also lead to Cotard's delusion.Cotard Delusion Is Not Common In SchizphrenicsA case study published in the journal Frontiers described a 58-year-old man with schizophrenia and a history of traumatic brain injury (TBI) who developed religiously influenced Cortad delusion, believing he was possessed. While it is uncommon in schizophrenia, it can occur alongside monothematic delusions. The condition is linked to cognitive impairments, particularly in the right frontal lobe, affecting belief evaluation. Cultural and life events, such as the patient’s TBI, may play a role in its development. Despite no visible brain abnormalities, patients with CD often exhibit mood disturbances, depressive symptoms, and impaired facial recognition. Diagnosing CD in schizophrenia is challenging due to overlapping symptoms, making it rare in psychiatric cases. Intrestingly, cultural influences, such as folklore, may further shape the delusion's content.Diagnosis ChallengesDiagnosing Cotard delusion is difficult because it is not formally classified as a distinct disease in major psychiatric manuals. As a result, there are no standardized diagnostic criteria. Typically, doctors diagnose the condition after ruling out other possible causes.Keeping a journal of symptoms, including their frequency and intensity, can help doctors assess whether Cotard delusion is present. Since this condition often coexists with other mental health disorders, patients may receive multiple diagnoses.Are There Any Treatment OptionsCotard delusion is generally treated as part of the underlying mental health condition. A 2009 study found electroconvulsive therapy (ECT) to be the most commonly used treatment, particularly for cases linked to severe depression. ECT involves passing small electrical currents through the brain to induce controlled seizures while the patient is under anesthesia. However, this treatment method has potential side effects such as memory loss, confusion, and muscle aches.Other treatment options include:AntidepressantsAntipsychotic medicationsMood stabilizersPsychotherapyBehavioral therapy