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Hearing voices before falling asleep is a relatively common experience and is not necessarily a cause for concern on its own. It can be a part of what is known as "hypnagogic hallucinations" or "hypnagogic imagery." These are sensory experiences that occur as someone is transitioning from wakefulness to sleep, during the hypnagogic state.

During this transitional phase, the brain may generate various sensory perceptions, including auditory ones, which can sometimes manifest as hearing voices or other sounds. These hallucinations can be vivid, realistic, and may even feel like external voices. They often occur in a half-awake, half-asleep state, making them seem more intense and memorable.

Hypnagogic hallucinations are generally harmless and tend to occur occasionally. Many people experience them at some point in their lives. They can be triggered by factors like stress, sleep deprivation, irregular sleep schedules, or changes in sleep patterns.

However, in some cases, hypnagogic hallucinations can be more frequent, distressing, or disruptive to sleep. If this is the case and the voices or hallucinations are causing significant distress, impacting sleep quality, or leading to other sleep disturbances, it may be worth discussing the issue with a healthcare professional, such as a sleep specialist or a mental health provider.

Additionally, if these hallucinations persist outside of the sleep transition period and occur at other times of the day, they may be a sign of an underlying sleep disorder or a mental health condition, such as schizophrenia or other psychotic disorders. In such cases, seeking a professional evaluation and appropriate treatment is important.

Overall, experiencing occasional voices or sounds before falling asleep is generally considered normal and not a cause for concern. However, if you have ongoing concerns or the experiences become distressing or disruptive, it is best to consult a healthcare professional for a proper evaluation and guidance.

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