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Awareness of hallucinations in Schizophrenia?

Is it possible for someone to be suffering from Schizophrenia and be aware that the visual and auditory hallucinations they are experiencing aren't actually real?.


Specializes in Mental Health. Has 30+ years experience.

Yes, of course. It is not uncommon.

Some of them are quite happy with their voices and actually 'miss' them if they are removed by medication.(or whatever means)

Remember that in Psychi we tend to deal with people who are unhappy with their 'voices' and want them to go OR that they are a danger with the voices intact.

It is not common for psychi nurses to deal with the 'Happy' ones esp in a hospital setting.


many of these pts are afraid of their voices and know that the med keep them away

however some schizo pts really use this to hallicinations to handle stress like living a vicarious exsistence they know that their spouse is a royal pain, that their children are following in their footsteps, that they have a deadend job but they can always excape into their own exsistance

these pts, like chronic daydreamers, have poor sleeping dreams which probably leads to a c/o of fatigue

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