3 well-meaning responses to someone having a hallucination that tend to backfire—and alternatives that may work better, from Newtherapisthub
Hearing voices may seem like a strange phenomenon, but it is a widespread symptom across psychiatric and medical conditions.
Well-intended questions, like "what are they saying?" can be counterproductive; conversations about the experience can reap larger rewards. Having cut my clinical teeth in a jail clinic, I was immediately exposed to a spectrum of hallucinatory presentations. From severely mentally-ill people to substance withdrawal to stress reactions, this was a realm demanding my. I had to quickly learn what did and didn’t work when interacting with people who heard voices because auditory hallucinations were the most prevalent and persistent kind .
When giving trainings, I ask attendees what is important to know about the nature of the voices. Invariably, someone says, “Are they commands to hurt themselves or someone else?” Upon further discussion, this is a seemingly reactive inquiry. It’s well-intended, not only for patient well-being but to cover the evaluator legally.
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