Hallucinations, sensory
experiences that occur without external stimuli. Hallucinations might
be present in several mental and neurological disorders. Most common
are auditory hallucinations-hearing voices or sounds that no one else
hears. A visual hallucination is seeing someone or something that isn't
there. Other hallucinations relate to touch (tactile), taste
(gustatory), and smell (olfactory), but these are less common.
Hallucinations
are usually unpleasant for the patient. Although he/she may not mention
them, he/she may huddle under the covers, appear to be listening to
someone, or talk to someone who isn't there. Confront such behavior:
"Mr. Jones, you appear to be talking to somebody, but I don't see
anyone."
The patient's reply might surprise you. Mr. Jones may tell
you he's listening to the devil. Remain non-judgmental, empathize, and
point out what's real: "I don't see anyone in the room, but this must
be very frightening for you." Listen quietly to his response and try to
make a connection. "You talk about devils, death, and hell. It sounds
as though you're afraid of what might happen in the afterlife." He may
be grateful that you're trying to understand.
A terrifying
hallucination that can endanger you, your patient, and others is a
command hallucination, which is usually auditory. If the patient
reports, for example, that God is telling him to jump out the window,
don't leave him. Summon help; he may need confinement for protection.
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