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Fear of the unknown

Question

I've been afraid of having a psychotic experience. I've never actually had one, but the more I worry, the more "vivid" my thoughts become. When I'm reading something I can almost hear a voice different from my own and separate from me reading the material aloud. What could this mean?

Answer

As mental health charity Mind explains, psychosis is a psychiatric term, and describes experiences, such as hearing or seeing things or holding unusual beliefs, which other people don't see or share. Hearing voices and seeing images which other people can't are known as hallucinations.

A sign of psychosis, as defined under a psychiatric assessment, is lacking insight into your own state of mind. A doctor or psychiatrist would want to know how you see and understand what is happening, and whether you are aware of being different from usual. It sounds like you are aware of what you are experiencing, which may be an indication to your state of mind. The only way to put your mind at rest is to speak to your doctor about it.

The fear you describe of having a psychotic experience sounds very upsetting, but it's impossible to make a diagnosis over the internet. It may be best to discuss your concerns with your doctor (GP) who will be to assess and monitor the symptoms you are experiencing. From there, they will be able to suggest any appropriate medical treatments and/or talking treatments to help you. If the thought of talking to your doctor  worries you, take a look at this advice on preparing for your appointment, which should help to put your mind at rest.

Just to let you know, SANEline is a national mental health helpline offering confidential emotional support and information to anyone experiencing mental health problems. Advisors will be able to give you the time and space to talk about any concerns you may have, or simply offer further information. If you feel this could help, you could call them on 0845 767 8000.


Question answered by SANE


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