Auditory Hallucinations and Anxiety in Social Situations - Psychiatry

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Mass panic and auditory hallucinations?


Hello Doctor: I have a few questions I would like to ask you.
For the past few years, I have been experiencing auditory hallucinations, where I hear voices calling my name, or sometimes when I am taking a shower, I hear friends or classmates urgently asking me to open the door.
When I finish showering and go to open the door, I find no one there.
This hallucination has been troubling me for a long time, and I don't know what to do about it.
Additionally, I have difficulty concentrating and my thoughts are very disorganized; melodies and lyrics keep replaying in my mind, along with memories of unpleasant events that happened today.
When I am in a crowd, I feel very anxious and my palms sweat when I see a group of boys or people in front of me, and I feel lost.
I would like to ask the doctor if I should see a physician regarding these symptoms? Thank you.

Tina, 20~29 year old female. Ask Date: 2015/01/10

Dr. Zhang Fangrong reply Psychiatry


Hello: Regarding the symptoms you mentioned in your letter, I can clearly sense your discomfort.
I recommend that you visit the outpatient clinic for further examination and evaluation, as well as discussion.
This will also allow for the assessment of certain physiological conditions and prompt medical attention.
We can initially arrange for some tests and discuss future treatment plans in hopes of alleviating your discomfort and concerns.
Wishing you a Happy New Year and good health.

Best regards,
Dr.
Chang Fang-Jung
General Psychiatry, Chianan Psychiatric Hospital

Reply Date: 2015/01/10

More Info


It sounds like you are experiencing a combination of auditory hallucinations and anxiety, particularly in social situations. These symptoms can be quite distressing and may significantly impact your daily life. Let's break down your concerns and discuss the importance of seeking professional help.

Firstly, auditory hallucinations, such as hearing voices or sounds that are not present, can be indicative of various underlying mental health conditions, including schizophrenia, severe anxiety disorders, or even depression. The experience of hearing someone urgently calling you, especially in a context where you expect to see someone (like when you are in the shower), can be particularly unsettling. It's essential to recognize that these hallucinations are not a reflection of your character or intelligence; they are symptoms that can arise from various psychological or neurological issues.

Your second concern about feeling overwhelmed in social situations is also significant. The physical symptoms you describe, such as sweating and feeling at a loss for what to do, suggest that you may be experiencing social anxiety. This condition can lead to avoidance of social interactions, which can further exacerbate feelings of isolation and distress. Social anxiety often manifests as an intense fear of being judged or embarrassed in front of others, which can make it challenging to engage in everyday activities.

Given the complexity of your symptoms, it is crucial to seek professional help. A mental health professional, such as a psychiatrist or psychologist, can provide a comprehensive evaluation to determine the underlying causes of your hallucinations and anxiety. They can also help you develop a tailored treatment plan, which may include therapy, medication, or a combination of both.

Therapy, particularly cognitive-behavioral therapy (CBT), has been shown to be effective for both auditory hallucinations and social anxiety. CBT can help you identify and challenge negative thought patterns and develop coping strategies to manage your symptoms. Additionally, exposure therapy may be beneficial for social anxiety, gradually helping you face social situations in a controlled and supportive environment.

Medication may also be an option to consider. Antipsychotic medications can help manage auditory hallucinations, while antidepressants or anti-anxiety medications may alleviate symptoms of anxiety. It's essential to discuss the potential benefits and side effects of any medication with your healthcare provider, as they can help you make an informed decision based on your specific situation.

In conclusion, your experiences with auditory hallucinations and anxiety are valid and deserve attention. Seeking help from a mental health professional is a crucial step toward understanding and managing your symptoms. Remember, you are not alone in this, and there are effective treatments available that can help you regain control over your thoughts and feelings. Don't hesitate to reach out for support; taking that first step can lead to significant improvements in your quality of life.

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