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Yes, it is possible for individuals with schizophrenia to recognize that the voices they hear are not real and have no basis in reality. This ability is known as insight or awareness of illness.

Schizophrenia is a complex mental disorder that can involve a range of symptoms, including hallucinations (such as hearing voices), delusions (false beliefs), disorganized thinking, and other cognitive and emotional difficulties. While some individuals with schizophrenia may have impaired insight and firmly believe that their hallucinations and delusions are real, others can maintain a level of insight and recognize that their experiences are products of their own mind and not based in reality.

The level of insight can vary among individuals with schizophrenia and may change over time or in response to treatment. Some people may have periods of good insight, during which they understand the nature of their symptoms, while at other times, their insight may be reduced or absent, leading to a stronger belief in the reality of their experiences.

Treatment, including medications, therapy, and support, can play a crucial role in managing schizophrenia symptoms and improving insight. With appropriate treatment, many individuals with schizophrenia can achieve better insight and have a better understanding of their condition, which can lead to improved overall functioning and quality of life.

If you or someone you know is experiencing symptoms of schizophrenia or any mental health concerns, it is essential to seek help from a qualified mental health professional for an accurate diagnosis and appropriate treatment plan. Early intervention and ongoing support are essential for managing schizophrenia effectively.

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