When people with schizophrenia say they hear voices, they are typically referring to auditory hallucinations. These auditory hallucinations are very real to them, and they perceive them as external sounds or voices, similar to how they would hear someone talking to them in the physical world.
Auditory hallucinations in schizophrenia can take various forms, such as hearing voices speaking directly to the person (first-person auditory hallucinations), hearing voices talking about them (third-person auditory hallucinations), or even experiencing multiple voices conversing with each other. These hallucinations can be distressing and challenging for the individual, as they may hear insulting, critical, or threatening voices.
It is essential to differentiate between auditory hallucinations and intrusive thoughts. Intrusive thoughts are unwanted thoughts that come to mind but are not perceived as external auditory experiences. They are internal and can be distressing, but they do not involve hearing voices as if from outside the person's mind.
Schizophrenia is a complex mental health condition that can present with various symptoms, including hallucinations, delusions, disorganized thinking, and social withdrawal. Treatment typically involves a combination of antipsychotic medications, psychotherapy, and support to manage symptoms and improve the person's overall well-being. If you or someone you know is experiencing symptoms like auditory hallucinations, it is crucial to seek help from a qualified mental health professional.