Q. Why am I hearing several voices and getting paranoid thoughts?

Hi,

Welcome to icliniq.com.

I have read and completely understand that you have been facing a disturbed state of mind. The symptoms you have mentioned here are indications of a psychotic phenomenon called hallucinations. It is a kind of phenomenon in which a person sees unusual things such as a person, object, or anything having physical qualities that others do not see. Also, you are suffering from delusions that are false beliefs, which does not exist in reality, such as paranoid thoughts that someone is plotting against me. These two conditions feel so real for the person who suffers from the psychotic disorder that he or she cannot differentiate that the experiences are not happening in reality, but the byproduct of his or her own mind. People around him or her do not believe in what he or she is saying or hearing. This is the major cause of conflict with people around. A person may experience other difficulties such as sleep, appetite, and hygiene problems.

Thank you.

1. Often there is a genetic factor involved in the disorder such as if someone in your family is suffering from similar kind of psychological problems.

2. Environmental factors such as negative life experiences during the past, family background, family communication, and the role of a mother figure have been found to be associated with the development of this disorder.

Consultation with a psychiatrist to suggest appropriate antipsychotic medicines.

Observing one's own life as an outsider may be a part of the dissociation. It needs to be differentiated from psychosis.

Schizophrenia spectrum disorder.

Generally, a biopsychosocial approach is found to be the best treatment for a psychotic disorder. You need to observe the following with your specialist concern.

1. Medications are generally suggested after confirmation of the diagnosis. The medication is to balance the brain chemicals, which are released in excessive amounts such as dopamine. A psychiatrist will prescribe the medicines to you.

2. Further, psychotherapy is a must for such patients as a supportive treatment to get them back in life. Because they might have left socializing, lack self-esteem, and need support and guidance related to what has happened to them, to reduce the hygiene problem and develop coping skills such as checking the reality of their thoughts, personal dialogues, problem-solving, and communication skills. This is done through cognitive behavior therapy (CBT) provided by a psychologist or psychiatrist.

3. Support from family members is necessary to get the patient to recover and complete the treatment. Family members can take counseling sessions as well, so as to get an idea about how to deal with the client at home and in social spheres.

Do not delay the treatment for psychotic disorders. It may get worse if remain untreated.

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Mehwish Mursaleen

Experience: 12 + Yrs

Psychologist/ Counselor

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