This page contains some basic information about visual and auditory hallucinations and other unusual sensory perceptions. If you feel you know little about the experience of hearing voices or seeing visions, it’s a good place to start.
What Are Voices and Visions?
When we talk about voices and visions, we simply mean someone is hearing, seeing or sensing something that others around them aren’t. These experiences can include all five senses, hearing, sight, smell, taste and touch. These experiences can occur in one sense at a time (hearing a voice, for example, or smelling something), but they can also happen in combination.
For some, these experiences can be comforting. For example, someone who is lonely may really value a voice that becomes a trusted confidant. A person who has recently lost someone they care about may benefit from talking to them at the end of the day, or smelling their perfume/aftershave. Others find these experiences to be a source of inspiration. Authors, for example, sometimes talk about how the characters can come to life and write the story for them. However, for some people these voices and visions can be extremely distressing – criticising, threatening or causing confusion.
How Common Is It?
Statistics vary, but it’s generally accepted that between 3 and 10% of the population hear voices that other people don’t. If you include one off experiences (like hearing someone call your name when you’re out shopping, or feeling your phone vibrate in your pocket) this figure goes up to 75%. So, having at least one experience of hearing or seeing something that others around you don’t is incredibly common. Those that have never had this experience are in the minority.
A number of famous and important people (past and present) have experience of hearing or seeing things that other people don’t. Without these people, the world would be a very different place. This list of famous people who have talked or written about hearing voices includes: Gandhi, Socrates, Joan of Arc, Freud, Anthony Hopkins, Philip K Dick, John Frusciante, Carlos Santana, Robert Schumann, John Forbes Nash, Zoe Wannamaker and Charles Dickens.
What’s It Like?
We’re all unique, so it’s unsurprising that voices and visions can be equally individual in terms of their identity, content, interpretation and impact. The following gives a brief overview. If you don’t recognise your experience here, that doesn’t mean you’re ‘weird’ or ‘unusual’.
Some people hear voices talking when no-one is around. These could be like the voices of people they know, or complete strangers. They might hear many voices, or just one. Voices can shout, whisper, be clear or muffled. They can speak in sentences or say single words. These voices can be male, female, genderless, old or young. Sometimes they have names, but not always. Voices can speak constantly (24/7), but they can also utter occasional words or phrases. People can hear other types of sounds too, including knocking, rustling, crying, screaming or music.
Some voices can be positive – providing the support and encouragement someone needs to get through the day. Other voices can be confusing, perhaps echoing thoughts or repeating strange phrases. Some voices can be very frightening, saying things that are critical, threatening or commanding. Voices can claim to have great power and knowledge, which can sometimes leave the voice-hearer feeling scared and powerless. Some voices can leave a person feeling very vulnerable and exposed (e.g. hearing a crowd of people jeering at you, or discussing intimate details of your life).
Some people see things that others don’t. These visions can be very clear and realistic, but they can also include fuzzy shapes, shadows and beams of light. Some people see the voices that they hear, others see insects or spiders. For some, the visions are very complex (like entering into another world). For others, the visions sit alongside their everyday world (an added box, person or animal for example). Sometimes, it can seem as if people or objects are changing shape. Their faces may turn to stone, they may be surrounded by a coloured aura or, for example, their eyes may change colour. As with voices, these visions can be reassuring, funny, frightening or distracting.
Some people smell things that remind them of their past. This could be something nice, like a loved one’s perfume/aftershave or a favourite food.
Sometimes people smell things that remind them of a particularly traumatic experience. For example, someone who survived a house fire may smell smoke when they feel anxious. Someone who was hurt by someone wearing a particular scent may, sometimes, smell this when there is no-one there to account for it. This can be extremely frightening, especially if they don’t recognise that this sensory experience comes from the past.
For others, the smell isn’t linked to a particular memory or traumatic event. For example, some people smell gas, burning or rotting food. These smells can feel very real and leave them fearing for their safety.
It can be difficult for someone to know that they’re tasting something that others can’t – unless they get someone else to try it too. This can make taste experiences particularly difficult to deal with. Some people get a strong bitter taste in their food or drink and, understandably, start to worry that there is something wrong with it. This can lead people to worry that they are being poisoned, or that someone is tampering with their food. Others have taste sensations when they are not eating. This might be when they are hearing a voice, watching a TV programme or thinking about something. These taste sensations can be pleasant (e.g. chocolate or a favourite food), but they can also be unnerving or unpleasant (e.g. something bitter or metallic).
Some people can feel things on their skin when there doesn’t seem to be anything there. They might feel something crawling over their skin, tickling them or pushing them. Sometimes people feel something underneath their skin, and this can lead them to feel really worried about what is happening to their body.
Understandably these experiences can be very confusing and frightening. It’s not as simple as this, though. For others, these experiences can be reassuring. Someone who feels lonely and hears a reassuring voice may feel comforted if they feel a hand on their shoulder. They might interpret it as a sign that the voice is trying to support them.
Why Do People Hear Voices?
There are lots of different theories and ideas to explain why people hear voices or see visions. These include:
A special gift or sensitivity
Trauma or adverse life experiences
Biochemical (e.g. excess dopamine)
Physical health problems
Cognitive error (misattribution of ‘internal speech’)
The truth is that we do not know why people hear voices or see visions. As the experience is so diverse, it’s likely that there are a number of different explanations. Whilst this can be frustrating for those who feel confused and would like a simple answer or some certainty, it means that the most important explanation is the one that the voice-hearer themselves finds useful. It is important not to impose your own belief on someone else’s experience – this is fundamental to the Hearing Voices Network approach. Rather than providing a dogmatic view of voice-hearing, we recognise and celebrate a festival of explanations.
Whatever someone believes about their experiences, the most important thing is to find ways of dealing with that belief and finding some sense of power, control and hope within it.
Is Recovery Possible?
At the Hearing Voices Network we use the word recovery to mean ‘living the life you choose, not the life others choose for you’ (whether those others are family, friends, workers or voices). Many people who hear voices simply don’t need to recover – they are already living lives that they love. The voices might enhance their wellbeing, or their experiences may simply not detract from it.
For those who have particularly overwhelming experiences that lead them into the mental health services, recovery can feel like a distant dream. The good news is that people can, and do, find ways to deal with (and recover from) distressing voices. Perhaps more importantly, people can also recover from the situations that can make voices and visions so hard to deal with. Many people who recover continue to hear voices. Sometimes these voices change during the recovery process (being an ally, rather than an attacker). Other times these voices become quieter, less intrusive or even disappear altogether. Others find that the voices stay the same, but that they are no longer ruled by them. They feel stronger and more able to choose whether to listen to the voices or not.
We have witnessed many amazing journeys of recovery in the Hearing Voices Network. These journeys are, by their very nature, very individual. However, these journeys have led us to believe that no matter how overwhelmed or distressed the person is by their experiences (or whatever labels they have collected throughout their time in the mental health system) – recovery IS possible.
All above is from the Hearing Voices Network, who have allowed us to re-publish it on our website. You can discuss these issues on the Hearing Voices forum.