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Having self-awareness about hallucinations and delusions does not necessarily negate the possibility of experiencing psychosis. Psychosis is a mental state characterized by a loss of contact with reality, which can manifest as hallucinations, delusions, disorganized thinking, or abnormal behaviors. However, the level of insight or self-awareness during psychosis can vary among individuals.

Some people experiencing psychosis may have what is called "impaired insight" or "lack of insight." This means they might not recognize that their hallucinations or delusions are not real and firmly believe in their validity despite evidence to the contrary. On the other hand, some individuals with psychosis can retain some level of insight, acknowledging that their experiences are not based in reality, yet they may still find it challenging to control or stop these hallucinations and delusions.

The presence of self-awareness during psychosis can be a complex and fluctuating phenomenon. It is possible for someone to have periods of insight or awareness where they recognize the irrationality of their experiences, followed by periods of strong belief in their hallucinations and delusions.

The degree of insight a person has during psychosis can influence their ability to seek help, engage in treatment, and manage their symptoms. Individuals with better insight might be more willing to seek professional assistance and adhere to treatment recommendations. In contrast, those with impaired insight may require additional support from loved ones and mental health professionals to access appropriate care.

If you or someone you know is experiencing hallucinations, delusions, or other symptoms that may indicate psychosis, it is crucial to seek help from a mental health professional. Early intervention and appropriate treatment can lead to improved outcomes and better management of symptoms.

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