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In individuals with schizophrenia or other mental health conditions, distinguishing between auditory hallucinations and real external sounds or voices can be challenging. Here's the key difference between the two:

  1. Auditory Hallucinations: Auditory hallucinations are perceptions of sounds, voices, or noises that are not present in the external environment. They are subjective experiences that are perceived as real by the person experiencing them. These voices can be heard as if they are coming from outside the individual's head or as internal voices. Auditory hallucinations can be highly vivid and may sound distinct and clear to the person experiencing them. They can be perceived as coming from a specific location or source.

  2. Real External Sounds or Voices: Real external sounds or voices are actual auditory stimuli present in the external environment. These sounds are measurable and can be detected by others present in the same environment. For example, if a real person is speaking to you or if you hear a car honking outside, these are external sounds that can be confirmed by others as well.

The distinction between auditory hallucinations and real external sounds can be blurred for individuals experiencing schizophrenia or other mental health conditions that involve psychotic symptoms. This can lead to confusion and distress as the person may struggle to determine whether the voices they hear are real or hallucinations.

It's important to remember that if someone is experiencing auditory hallucinations or any other concerning symptoms, they should seek professional medical help from a qualified healthcare provider. A proper evaluation, diagnosis, and treatment plan can be developed based on the individual's specific experiences and needs.

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