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Hallucinations and hearing voices

Hallucinations are where you hear, see, smell, taste or feel things that appear to be real but only exist in your mind. Get medical help if you or someone else have hallucinations.

Types of hallucinations

You may have hallucinations if you:

  • hear sounds or voices that nobody else hears
  • see things that are not there like objects, shapes, people or lights
  • feel touch or movement in or on your body that is not real, for example, bugs crawling on your skin or your internal organs moving around
  • smell or taste things that have no obvious cause
  • think that your body is moving when it is not, such as flying or floating

Causes of hallucinations

Hallucinations can be caused by many different health conditions that affect the senses.

Common causes of hallucinations include:

Sometimes hallucinations can be temporary. They can happen if you have migraines, a high temperature, if you're very hungry or sleep deprived, or just as you wake up or fall asleep.

They can also be caused by an infection, brain tumour or confusion (delirium), especially in older people.

Urgent advice: Ask for an urgent GP appointment or get help from NHS 111 if:

  • you or someone else have hallucinations

You can call 111 or get help from 111 online.

Immediate action required: Call 999 or go to A&E now if:

You or someone else:

  • want to harm yourself or someone else
  • hear voices telling you to harm yourself or someone else
  • are very agitated or aggressive
  • have hallucinations that are quickly getting worse
  • suddenly become confused
  • are not making sense when you speak
Information:

Do not drive to A&E. Ask someone to drive you or call 999 and ask for an ambulance.

Bring any medicines you take with you.

Treatment for hallucinations

Treatment for hallucinations will depend on what's causing it.

For example, if you have a mental health condition like schizophrenia, you may be given therapy or medicine to help reduce your hallucinations.

A GP may recommend lifestyle changes like drinking less alcohol, not taking drugs and getting more sleep to reduce your hallucinations.

Page last reviewed: 28 July 2025
Next review due: 28 July 2028