In schizophrenia, auditory hallucinations, including hearing voices, can vary from person to person. For some individuals, the voices they hear may be perceived as if they are coming from an external source, as if someone else is speaking to them. These voices can be loud, clear, and distinct, and the person experiencing them may have difficulty distinguishing them from actual external voices.
On the other hand, some individuals with schizophrenia may experience auditory hallucinations that seem more like their internal thoughts or a running commentary on their actions. In these cases, the voices may sound like their own inner voice or internal monologue, but the content of these hallucinations is often unrelated to the person's own thoughts and can be distressing or disturbing.
It's important to note that the experience of auditory hallucinations can be different for each individual with schizophrenia. Some may have more than one voice, while others may experience other types of hallucinations as well, such as visual hallucinations or delusions.
The perception of these voices as external or internal can be influenced by various factors, including the severity of the illness, the individual's level of insight into their symptoms, and the specific characteristics of the hallucinations themselves.
If you or someone you know is experiencing auditory hallucinations or other symptoms of schizophrenia, it's crucial to seek professional help from a qualified mental health provider. Early intervention and appropriate treatment can make a significant difference in managing the symptoms and improving the person's quality of life.