The term ecstasy is used to describe various substances that share similar chemical structures and effects, often referring to 3,4-methylenedioxy-N-methylamphetamine (3,4-MDMA). MDMA psychic effects are mainly hallucinatory and stimulatory. Current trends consider Cotard’s delusion as a delusional belief of being dead or having paralyzed or rotten organs, independent of the diagnosis the patient has received. This case report is about a psychotic episode where the patient presented with hypochondriac delusion and olfactory hallucinations resembling Cotard’s syndrome and associated with ecstasy abuse. He was given olanzapine and achieved total remission from symptoms.
Ecstasy; psychosis; Cotard’s syndrome