Piano Guidance
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What do voices in your head sound like?

You might hear someone speaking to you or telling you to do certain things. The voice may be angry, neutral, or warm. Other examples of this type of hallucination include hearing sounds, like someone walking in the attic or repeated clicking or tapping noises.

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Share on Pinterest Maskot/Offset Images Ever heard a voice inside your head that wasn’t your own? You may have experienced an auditory hallucination. The voice might have sounded like someone you knew, making you do a double-take to check they hadn’t come up behind you. Or maybe it sounded like a stranger, striking up a conversation or commenting on your choice of clothing. However the voice sounded, you might have felt a little confused, possibly even concerned about your mental health. You might have kept it to yourself, knowing that people often associate seeing or hearing things that aren’t there with schizophrenia and other serious mental health conditions. Yet auditory hallucinations are more common than many people realize, especially among children and adolescents. Research suggests up to 10 percent of people will experience them at some point in life. What it can sound like Auditory hallucinations don’t sound the same for everyone. For instance, they may: sound like a friend

speak kindly or compliment you

talk about private things you’ve never told anyone

say unkind things or criticize you

comment on your activities

offer guidance, including spiritual guidance

urge you to do potentially dangerous things

sound like music or other sounds, rather than voices These auditory hallucinations can happen with or without other mental health symptoms. In fact, research explains that auditory hallucinations not only have various causes, but they can also occur without any underlying condition. The authors of that report urge mental health professionals to avoid diagnosing schizophrenia, or any psychotic disorder, when someone reports hearing voices without other symptoms. Other research suggests voices that occur with mental health conditions tend too: start slowly and intensify, then end gradually rather than all at once

last longer

seem to come from an external source

accompany or contribute to delusions

get in the way of everyday life Still, voices that happen with schizophrenia and other conditions can vary quite a bit. A small 2015 study suggests cultural background could play a part in the type of voice you hear. In a sample of 20 people who reported hearing voices and met criteria for schizophrenia, the study found: people in California tended to describe the voices as unreal intrusive thoughts people in West Africa tended to say the voices were powerful and morally good or bad people in West India were most likely to hear voices of relatives or voices offering advice Is it the same as intrusive thoughts? Wondering if intrusive thoughts count as auditory hallucinations? Typically, no. Intrusive thoughts tend to show up as distinct thoughts, so you “hear” them in your own mental voice just as you would any other thought. With auditory hallucinations, you hear the voice of someone else or a distinct sound. Should you be concerned? Hearing voices isn’t always a cause for concern. You probably don’t need to worry if: you don’t feel disconnected from reality

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auditory hallucinations don’t affect your everyday life

you don’t have other symptoms

the voices don’t bother you or encourage you to hurt anyone

you hear voices very rarely Hearing voices that say cruel or unkind things, however, can affect your sense of self-worth and emotional well-being. Even if you don’t have other symptoms, a trained therapist can offer non-judgmental guidance and support (more on this later). Coping tips Hearing voices can be confusing, distracting, or even upsetting — especially if the voices say critical or unkind things or if they make you feel bad about yourself. Not knowing why the voices happen might add to your distress. These strategies may not always make the voices go away, but they can help you cope with them. Keep a journal Some people find it helpful to keep a log of auditory hallucinations they experience. Recording what the voices say, when you hear them, and how they make you feel can offer more insight into potential causes or triggers of the voices and common themes you notice. For example, you might only hear them at a specific time of day or when you feel a certain way, like tired or angry. If you decide you want to talk to a therapist about the voices, this recorded information could be the key to identifying what’s going on. Talk about them You might hesitate to tell loved ones that you’re hearing voices, but opening up to someone you trust can help. Try talking to someone who has a history of offering non-judgmental support, like a best friend or close sibling. Simply telling someone about your experience can help ease distress, and knowing you have support can help you feel less alone. If you’re hearing voices while under a lot of stress, or after a loss or traumatic event, talking about those underlying triggers may help you get the support you need to cope. In time, this could help the voices go away entirely. Not ready to talk about hearing voices to anyone you know? That’s absolutely OK. You can also try peer support groups for people who hear voices, like: Voice Collective Peer Support Forum

Hearing Voices Network

The International Hearing Voices Network Accept them It often helps to acknowledge that hearing voices isn’t uncommon — plenty of people hear voices from time to time. Accepting these voices as part of your experience can help you feel less distressed, and, over time, you might notice them less and less. While some people find it most helpful to ignore the voices, talking back could help you accept them and regain some control. Some tips: Speak calmly and compassionately, even if the voices say negative things. Try a “Thanks, but no thanks” approach. Acknowledge the voice by letting it know, “I hear what you’re saying, but I’m not going to focus on it right now.” Then return your attention to what you were doing. Becoming more mindful in your day-to-day life can also help. When you’re focused on the present moment, voices and unwanted thoughts might not distract you so easily. Even if you hear a voice occasionally, increased mindfulness can make it easier to acknowledge it and let it go. Relax and practice self-care Taking care of yourself and making time for relaxation can help boost well-being. This can, in turn, ease the effects of stress and mental health symptoms. Self-care might include things like: eating a balanced diet

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getting regular physical activity

sleeping 7–9 hours every night

getting outside

spending time with loved ones

participating in hobbies or social events

taking up creative pursuits, like art and music

reading, journaling, or watching movies Hobbies and other enjoyable activities can also offer a distraction from voices and other sources of stress. Music, another great relaxation strategy, can do more than help ease stress. Some people also find it helps tune voices out. Along with your favorite playlists, you can also try: relaxing sounds, like rain, waterfalls, ocean waves

instrumental or ambient music

audiobooks Get professional support When voices do occur alongside other symptoms, cause distress, or happen frequently enough to affect daily life, it’s important to talk with a healthcare professional to discuss diagnosis and treatment options. If you hear voices that encourage you to hurt yourself or anyone else, get support as soon as possible to stay safe. A therapist or other health professional won’t call you “crazy” or immediately diagnose a specific condition. They will: ask questions about other symptoms to help rule out medical concerns

help you explore the voices and any potential triggers or underlying causes

offer guidance on treatments and coping skills A doctor or other healthcare professional can offer more guidance when you experience physical symptoms rather than mental ones.

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