It's important to distinguish between two different scenarios that you've mentioned:
Talking to yourself in your head: This is commonly known as "inner speech" or "self-talk." It's a natural and common process where people engage in an internal dialogue with themselves. Many individuals use inner speech to organize thoughts, make decisions, plan, and reflect. It can be a helpful way to process information and emotions. In most cases, this is a normal and healthy aspect of human cognition.
Hearing voices that call you insane: If you are experiencing auditory hallucinations or hearing voices that are critical, threatening, or distressing, it could be a sign of a psychological condition known as "auditory verbal hallucinations." These experiences can be associated with mental health disorders, such as schizophrenia, schizoaffective disorder, or other psychotic disorders. It's crucial to note that experiencing hallucinations does not necessarily mean a person is "insane," but it is an indicator that professional help is needed.
It's essential to consult a mental health professional, such as a psychiatrist or psychologist, if you are concerned about your experiences. They can conduct a thorough assessment, provide a proper diagnosis, and offer appropriate treatment options if necessary.
It's worth mentioning that not all cases of hearing voices are linked to mental health disorders. Sometimes, extreme stress, sleep deprivation, substance use, or certain medical conditions can also lead to hallucinatory experiences. A professional evaluation can help identify the underlying cause and provide the right support. Seeking help is not a sign of weakness, but rather a proactive step towards improving your well-being. Remember that mental health issues are treatable, and support is available for those who seek it.