Auditory Hallucinations: When to Seek Help

Hallucination issues

Hello Doctor: Three days ago in the evening, I suddenly thought I heard the sound of a garbage truck, but since it was a time when no garbage trucks would be passing by, I realized I was probably experiencing auditory hallucinations.
Since that incident, I have started to have these sensations more frequently; the sounds are very, very faint, and I know they only exist in my mind and are not real.
However, whenever I'm not focused on something else, I feel as if I hear them again, which makes me very anxious.
The more anxious I get, the more frequent these occurrences seem to be...
I would like to ask if this is a psychological effect or if I really need to see a doctor? (I tend to be anxious about my physical condition.) Thank you!

C, 20~29 year old female. Ask Date: 2021/05/25

Dr. Lin Mianzhang reply Psychiatry

Hi there! The phenomenon you mentioned is known as "involuntary musical imagery," commonly referred to as an "earworm." This is actually a quite common occurrence, and most people have experienced it at some point.
It is different from auditory hallucinations.
Typically, auditory hallucinations involve hearing voices that feel real and are perceived through the ears, while involuntary musical imagery consists of music that is recognized as being in one's mind rather than being heard through the ears.

If this situation is causing you distress, you might try to redirect your attention and not focus on it intentionally.
Most of the time, this phenomenon is temporary and will resolve on its own.
It often becomes more pronounced during periods of high stress or anxiety, so you might want to consider any recent stressors in your life and whether you are getting enough sleep.
If the issue persists, it may be helpful to consult a psychiatrist to discuss your concerns.
Wishing you peace and well-being!

Reply Date: 2021/05/25

More Info

Auditory hallucinations can be a perplexing and distressing experience, and it's important to approach this issue with care and understanding. Based on your description, it sounds like you are experiencing auditory sensations that you recognize as not being real, which can indeed be a form of auditory hallucination. It’s crucial to differentiate between benign experiences and those that may indicate a more serious underlying condition.

Firstly, it’s worth noting that auditory hallucinations can arise from various causes, including psychological stress, anxiety, sleep deprivation, or even certain medical conditions. Given that you mentioned a tendency to feel anxious about your health, it’s possible that your heightened state of anxiety could be contributing to your experiences. Stress and anxiety can amplify sensory perceptions and lead to misinterpretations of sounds, especially in quiet environments.

However, it’s also essential to consider other factors that could be at play. For instance, if you have been under significant stress or have experienced changes in your mental health, these could manifest as auditory hallucinations. In some cases, they may be linked to conditions such as anxiety disorders, depression, or even more complex psychiatric conditions.
Given that you are aware that these sounds are not real and that they occur primarily when you are not focused on another task, it suggests a level of insight that is often present in individuals experiencing non-psychotic hallucinations. Nonetheless, the increasing frequency of these experiences, especially if they are causing you distress or anxiety, is a valid reason to seek professional help.

I recommend that you consider scheduling an appointment with a mental health professional, such as a psychologist or psychiatrist. They can conduct a thorough assessment of your symptoms, including any potential anxiety or stress-related issues, and help determine the best course of action. This may include therapy, such as cognitive-behavioral therapy (CBT), which can be effective in managing anxiety and reducing the frequency of hallucinations.
In addition to therapy, it may also be beneficial to explore relaxation techniques, mindfulness practices, or stress management strategies that can help you cope with anxiety and potentially reduce the occurrence of these auditory experiences.
If you notice any additional symptoms, such as changes in mood, behavior, or cognitive function, or if the hallucinations become more vivid or distressing, it is crucial to seek help promptly. Early intervention can often lead to better outcomes and help you regain a sense of control over your experiences.

In summary, while your experiences may be linked to anxiety or stress, it is advisable to consult a healthcare professional for a comprehensive evaluation. They can provide you with the support and resources you need to understand and manage your symptoms effectively. Remember, seeking help is a sign of strength, and taking proactive steps towards your mental health is essential for your overall well-being.

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