Although it is mostly associated with the blooming stage(the second stage), anxiety is often one of the very first symptoms of Cotard delusion. Patients may feel anxious about nothing in particular, and this feeling may last from days to years before other symptoms fully appear. At the time of diagnosis, about 65 percent of patients have anxiety as a symptom. Anxiety alone cannot lead to a diagnosis of Cotard delusion, as it can have many different causes. However, it is a salient feature of the illness. A psychiatrist or psychologist can determine whether a patient's anxiety is caused by Cotard delusion or something else.Next