Hallucinations

Simple auditory hallucinations are very common and may take the form of a hum from persecuting machinery in an upstairs flat or the indistinct hubbub of voices from next-door. About 50 per cent of patients hear distinct voices, which make obscene or derogatory remarks about them and may comment on their actions. Visual hallucinations are common too, particularly in patients with visual difficulties, and may be fantastic and bizarre. Often these experiences resemble those of the Charles Bonnet syndrome (recurrent complex visual hallucinations, often but not always associated with reduced acuity, in the absence of neuropsychiatric disorder and accompanied by full insight), but the patients have a psychosis and are generally insightless. (6) Olfactory, gustatory, and tactile hallucinations may also be present.

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