It sounds like the person you are describing may be exhibiting signs of significant psychological distress and possible disengagement from reality. Let's break down the different aspects of their behavior:
Distracting themselves to the point of hearing hallucinations: Intense distraction to the point of experiencing hallucinations can indicate a high level of psychological distress. Hallucinations involve perceiving things that are not actually present in the external environment. In this context, the person's mind may be overwhelmed with thoughts, worries, or emotions, leading to sensory experiences that are not real.
Terrible concentration: Poor concentration is a common symptom of various mental health issues, such as anxiety, depression, or attention disorders. When someone's mind is preoccupied with distressing thoughts or emotions, it can be challenging for them to focus on tasks or stay present in the moment.
Emotional and facial flatness to hide true intent: Emotionally and facially flat behavior suggests a lack of emotional expression. People may display emotional blunting or emotional numbing as a defense mechanism to cope with overwhelming feelings. They might be hiding their true intent or emotions to protect themselves from perceived threats or vulnerability.
When someone is experiencing this combination of symptoms, it could indicate a more serious underlying mental health issue, such as:
a. Psychosis: The hallucinations and poor concentration might be signs of a psychotic episode, which could be related to conditions like schizophrenia or bipolar disorder with psychotic features.
b. Depression: Emotional flatness, social withdrawal, and poor concentration are common in depression. Hallucinations can also occur in severe cases.
c. Anxiety: Excessive distraction, poor concentration, and emotional numbing might be linked to high levels of anxiety.
d. Post-Traumatic Stress Disorder (PTSD): Emotional flatness and dissociation are possible coping mechanisms in individuals dealing with trauma and PTSD.
It's crucial for the person in question to seek professional help from a mental health specialist, such as a psychiatrist or psychologist, to assess their condition accurately and receive appropriate support and treatment. Early intervention and treatment can significantly improve their well-being and quality of life. If you know someone who is exhibiting these behaviors, encouraging them to seek professional help and being supportive can make a positive difference.