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Hallucinations

Definition

Hallucinations are abnormal sensory perceptions that occur while a person is awake and conscious and are unrelated to outside events; in other words, seeing or hearing things that aren't there.


Alternative Names

Sensory hallucinations


Considerations

Common hallucinations include:

  • Hearing voices when no one has spoken
  • Seeing patterns, lights, beings or objects that aren't there
  • Feeling a crawling sensation on the skin

Hallucinations related to smell or taste are rare.

Many recreational drugs, including psychedelic drugs such as LSD and certain potent types of marijuana, may cause hallucinations. Hallucinations related to these drugs tend to be visual and may include geometric patterns or haloes around lights. People who have such visual hallucinations after taking drugs usually recognize that their perception is distorted.

Auditory hallucinations are more common in psychotic conditions such as schizophrenia, although they may sometimes be associated with high doses of cocaine, amphetamine, or other stimulant. High doses of stimulant drugs frequently cause a sensation of bugs crawling on or immediately under the skin.

In some cases, hallucinations, may be normal. For example, hearing the voice of, or briefly seeing, a loved one who has recently died can be a part of the grieving process.


Common Causes

There are numerous medical and psychiatric causes of hallucinations. Common causes include:

  • Fever , particularly in children and the elderly
  • Intoxication or withdrawal from such drugs as marijuana, LSD, cocaine or crack, heroin, and alcohol
  • Delirium or dementia
  • Sensory deprivation, such as blindness or deafness
  • Severe medical illness, including liver failure, kidney failure, and brain cancer
  • Some psychiatric disorders, particularly schizophrenia, psychotic depression, and post-traumatic stress disorder


Review Date: 11/15/2006
Reviewed By: Paul Ballas, D.O., Department of Psychiatry, Thomas Jefferson University Hospital, Philadelphia, PA. Review provided by VeriMed Healthcare Network.

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