I hear several voices and get paranoid thoughts. Please help.

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

Answered by
Mehwish Mursaleen
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Sep 07, 2016 and last reviewed on: Jun 19, 2023

Hi doctor,

I am an 18-year-old female. In the past year, I had been hearing several voices telling me to do certain things. Sometimes, I hear things that are not really present. Often, I feel like I am observing my own life as an outsider and this has been happening for two years. I also have trouble sleeping. I do not fall asleep until around 1 AM and I wake up at around 6.30 AM. This has been happening for several years. Also, I just feel scared and paranoid that people are plotting against me. Please help.



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.

The Probable causes:

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.

Investigations to be done:

Consultation with a psychiatrist to suggest appropriate antipsychotic medicines.

Differential diagnosis:

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

Probable diagnosis:

Schizophrenia spectrum disorder.

Treatment plan:

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.

Preventive measures:

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

Was this answer helpful?


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

Related Questions:
Am I suffering from schizophrenia?

Having said this, the symptoms are more indicative of anxiety disorder with added obsessive and compulsive behavior ... This is more likely as you are already suffering with hypochondriasis, which is again a   Read full

Suffering from schizophrenia.Doubt regarding Sulpitac dosage.

I haven't slept very well in a few months and my anxiety is making my life unmanageable.   Read full

I am hearing sound and voices. Is it auditory hallucinations?

I haven't slept very well in a few months and my anxiety is making my life unmanageable.   Read full

Also Read Answers From:

Also Read

Improving the Health and Wellbeing of People Living With Neglected Tropical Diseases
Neglected tropical diseases can be efficiently treated with various cross-sectoral public health interventions to improve people's well-being. Read to know more.  Read more»
Holi Colors - Are They Safe?
Holi is known as the festival of colors. But are the colors worth playing with? Let us find out.  Read more»
Methods to Increase Breast Milk Production
Several measures can help mothers in increasing their breast milk production. Find out the correct way to breastfeed through this article.  Read more»

Ask your health query to a Wellness Expert online?

Ask a Psychologist Counselor Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.