Lycanthropy with cotard#039;s Syndrome in an older adult female patient: An unusual co-existence of Rarest Psychopathologies

Abstract

We present a case of a severe depressive episode with psychotic symptoms presenting with co-existence of two rare psychopathologies i.e., lycanthropy (being transformed into a horse) and Cotard syndrome. The patient was treated with electroconvulsive therapy, along with psychotropics. A 53-year-old female patient developed severe depressive episode with psychotic symptoms after a stressor (her son married against her wish). As her illness worsened, she developed a delusional belief of self-being metamorphosed to a horse (wrath of the Goddess kali). Later on, she also developed a delusion belief that her body parts were rotting away and going to die. She was treated with electroconvulsive therapy along with venlafaxine and Risperidone, with which she improved completely.