Tuesday, July 7, 2009

DD & Cotard's/Capgras'

One of my readers, Tim from Wisconsin, emailed me with some great questions after reading one of my Ezine articles on DD. I want to share them, along with my answers...

Can people with anxiety dp/dr develop Capgras Delusion or Cotrad's Syndrome?
First of all, these are very rare disorders. I mentioned them only because Ramachandran related their workings to d/d, in that they all seem to involve a disruption of communication between areas in the brain responsible for emotion/perception/cognition. And it makes sense to me. That said, Capgras' presentation is most typically associated wtih schizophrenia, brain injury, and dementia. Cotard's is a bit more of a mystery. Now, though it's associated with depression and derealization, be careful with that. My interpretation is the association is all three may coexist. That doesn't mean those that suffer from depression and derealization are a cinch for Cotard's. Here - obesity, diabetes, and hypertension may be associated. However, that doesn't mean all those who suffer from, say, diabetes are, or will become, obese or hypertensive. Make sense? I'm going to go out on a limb here. YOU WILL NOT DEVELOP CAPGRAS' OR COTARD'S!

Is there ever really a meltdown of an overloaded mind? Or is it just an anticipation caused by anxiety?
Well, sure a "meltdown" can occur as a result of an "overloaded" mind. Just kind of depends on genetic predisposition and developing pathology. One of my heroes, Brian Wilson of the Beach Boys, had a psychotic break many years ago (he's doing concerts these days, by the way). But one has to take into account his genetic predisposition, abusive childhood, writing and studio overload, and the fact that he was ultimately diagnosed schizoaffectve. Oh, and he was ingesting enough cocaine, LSD, and who knows what else to sink a ship. That said, if an anxiety sufferer is worried about experiencing a meltdown, my money says it's an obsessive/intrusive/disturbing thought, catastrophizing, and that ever-famous anticipatory goofiness we so often experience.


I love receiving questions such as these - and love resonding to them even more. Don't hesitate! Bill

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