Auditory Hallucinations: When Can They Be Recorded? - Psychiatry

Schizophrenia

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Hello Dr.
Hsueh, I would like to ask under what circumstances can auditory hallucinations be recorded? Previously, I consulted Dr.
Lin Mianzhang, who confirmed that I indeed experience auditory hallucinations and delusions of reference (suspected hallucinations).
There are three types of auditory hallucinations: the first type occurs spontaneously, the second type happens when someone speaks (affecting 98% of people), and the third type is heard from the television (similar to the first type).
I can hear what my inner thoughts are saying (including those of my father).
They believe they are omnipotent and fear no one (including the president, police, gangsters, and internet celebrities), each claiming to have a perfect appearance and more wealth than the world's richest person (with extreme wealth, the 2024 richest person has only $233 billion), claiming to have had countless girlfriends and infinite daughters, stating they are zero years old, their daughters are zero years old, and their grandmother is 25 years old.
They also claim that neither they nor their father have any attractiveness, and that they are zero centimeters tall.
They feel they can command others, speak incoherently, and even fly with a "whoosh," especially during the Mid-Autumn Festival and New Year (since 2021, this has not occurred).
The mocking has been particularly severe and loud, and everything everyone says is identical to what they say, sometimes claiming they are gods, and at other times saying they have no mother or aunts (despite having four aunts).
A month ago, they said that my cousins and my former godbrother Ad were a family of five, while I have always been an only child, and now they claim that I am the same person as my former godbrother Ad (despite the significant differences; Ad is 193 cm tall, while I am 172 cm).
They constantly feel that they know what I am thinking and that others can see them (everyone looks in the direction of those voices), even though there is clearly no one there.
I am unsure if this is a hallucination.
On January 19 of this year and a few days ago, I recorded the sounds of auditory hallucinations, and at that time, I truly felt fear, worry, anger, helplessness, and annoyance.
However, since receiving the injection of Anlifu Medata on February 1, although my condition has not improved, it has at least given me insight into my illness, and I have begun to realize that these experiences are not real.
The voices cause headaches and heart palpitations, and they speak at an incredibly fast pace, at frequencies that humans cannot produce.
The sensations feel very real; they can see what I see, hear what I hear, smell what I smell, and feel what I feel, possessing all my memories, which has caused me significant distress.
The voices have been present for about 13 years, and over the years, I have constantly felt monitored and extremely insecure.
I now understand that they are auditory hallucinations, and the voices persist 24/7, changing approximately every half day—one group during the day and another at night.
There can be up to 5-6 voices at once, which mock and insult me, calling me ugly and saying no one wants to marry their daughter to me.
I also know that they do not necessarily know everything I know, and if they don't know something, they say they won't tell me (but there are exceptions, such as when I momentarily forgot that the pronunciation of "AIR" is "er"; honestly, my English skills are not good, and I always fail tests.
I remember checking the pronunciation of "AIR" in April, suspecting that the injection of Anlifu Medata may have caused memory decline, but I still have a subconscious impression; these voices can quickly say it is "er").
So, I would like to ask Dr.
Hsueh, under what circumstances can auditory hallucinations be recorded? Can various types of auditory hallucinations, such as the first and second types and the "whoosh" sounds, be recorded? However, it is not always recorded; once I recorded for an hour, and another time for eight minutes without hearing anything.
Additionally, today my mother accompanied me to my appointment at National Taiwan University, and even though she was right beside me, they kept saying they did not see my mother.
Lastly, I want to express my deep gratitude to Dr.
Hsueh for guiding me; this issue has troubled me for over a decade.
I am immensely grateful! Thank you!

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Niming, 30~39 year old female. Ask Date: 2024/07/19