Hearing Voices

Disclaimer:

This publication is based on a Mind UK publication and the original version may be found here: https://www.mind.org.uk/information-support/a-z-mental-health/

Thank you to Mind UK for sharing their valuable content with us. Content included in Mental Health A-Z is made available free of charge and does not form part of any commercial activity. The adaptation has been done independently by Mind HK and is intended for general information purposes only.

What are voices? 

We might say someone is ‘hearing voices’ if you hear a voice when no-one is present with you, or which other people with you cannot hear. 

People have many different experiences of hearing voices. Some people don’t mind their voices or simply find them irritating or distracting, while others find them frightening or intrusive. 

It’s common to think that if you hear voices you must have a mental health problem. 

But research shows that lots of people hear voices and many of them are not mentally unwell. It’s a relatively common human experience. 

“I hear hundreds of voices. Partly relatives, friends and people in the media.”

What kind of voices do people hear? 

There are lots of different ways we all hear voices. For example, you might:

  • hear your name called when there is no one with you
  • hear or see things as you are falling asleep
  • experience the voices as being in your head 
  • feel voices are coming from outside and heard through your ears like other sounds
  • feel as if you are hearing other people’s thoughts or as if other people can hear your thoughts
  • experience nasty or threatening voices that tell you to do dangerous and unacceptable things or try to control you
  • hear a voice that feels friendly but encourages you to do things that might not be good for you
  • hear a kind supportive voice that helps you 
  • hear more than one voice and they may talk or argue with each other

“I remember hearing this malicious whispering which I assumed was coming from other passengers on the train…it was like being able to hear people’s thoughts and in my paranoid state these were always malevolent and critical.”

Why do I hear voices?

There are lots of reasons why you might hear voices. Here are some of them: 

  • Voices as you fall asleep or wake up – these are to do with your brain being partly in a dreaming state. The voice might call your name or say something brief. You might also see strange things or misinterpret things you can see. These experiences usually stop as soon as you are fully awake. 
  • Lack of sleepsleep problems cause you to hear voices or have other sensory experiences that you can’t explain in everyday ways. 
  • Hunger – you may hear voices if you are very hungry or if you haven’t eaten much recently. 
  • Physical illness – if you have a high temperature and are delirious you may hear voices or see and say strange things. 
  • Drugs – you may hear or see things after taking recreational drugs or as a side effect of some prescribed drugs. You might also have these experiences when you are coming off drugs. 
  • Stress or worry – you may hear voices while feeling very stressed, anxious or worried. 
  • Bereavement – if you have recently lost someone very close you may hear them talking to you or feel that they are with you. This experience is very common and some people find it comforting. 
  • Abuse or bullying – you may start hearing voices after being abused or bullied. This can include hearing the voice of someone who abused you being unkind or threatening or ordering you to harm yourself or do things that you know are wrong. 
  • Other traumatic experiences – you may hear voices as a result of other traumas, which can be associated with post-traumatic stress disorder and with dissociative disorders
  • Spiritual experiences – some people hear a voice as part of a spiritual experience. This may be a very special experience and one that you feel helps you make sense of your life. Or you may feel as though you are hearing the voice of an evil spirit. 
  • Mental health problems – you may hear voices as a symptom of some mental health problems, including psychosis, schizophrenia, bipolar disorder, schizoaffective disorder or severe depression.

“I started hearing voices when I was 16. It resulted from a traumatic event in my life that led to weeks of a manic period.”

What is iACT Service?

Improving Access to Community Therapies (iACT®) is one of the services from Mind HK. Trained Wellbeing Practitioners will offer initial assessment and early intervention for people dealing with mild to moderate symptoms of depression, anxiety, or other emotional difficulties.

 

The service includes 6-8 sessions of low-intensity psychological support, the flexibility of the service allows individuals to receive free and timely support when needed.

If you’re aged between 18 – 65 and are facing some emotional challenges, we would like to invite you to take an online assessment for us to gain a better understanding of your current emotional struggle.

 

If you’re eligible, we’ll get you connected with a Wellbeing Practitioner within two weeks to sort out the next steps.

The service runs for about 3 months and includes 6-8 support sessions, tailored to your needs.

 

We encourage you to attend all sessions and actively practice the tips and exercises provided by your Wellbeing Practitioner.

We take your privacy seriously. Your chats with the Wellbeing Practitioner are confidential.

 

We won’t share any of your info unless you’ve provided consent or if there are risks detected.

This programme isn’t suitable for people facing emergencies, major setbacks, or those diagnosed with serious or complex mental health conditions.

 

If you’re having thoughts of suicide or self-harm, this programme might not meet your needs, so please seek help right away. You can check out Mind HK’s “Find Help Now” page for immediate information and services.

Most of our Wellbeing Practitioners have backgrounds in psychology or counselling and are passionate about mental health. They’ve gone through about 140 hours of intensive training and completed at least 120 hours of supervised clinical practice over 9 months to ensure the quality of service.

 

They’re trained by accredited local experts in the mental health field, including clinical psychologists, counselling psychologists, counsellors, and psychiatrists. Plus, we regularly check how effective our services are. All service outputs and performances are subject to consistent monitoring.

Who is suitable for participating in this programme?

This programme welcomes anyone between the ages of 18 and 65 who may be feeling lost or facing emotional difficulties. Please note that this programme is not suitable for individuals diagnosed with severe or complex mental health conditions.

This programme is not suitable for individuals diagnosed with severe or complex mental health conditions, but suitable for those who experience mild to severe moderate anxiety, mild to moderate depression, or other emotional challenges. If you are currently experiencing a major setback or even having thoughts of suicide or self-harm, please visit the “Find Help Now” page on our Mind HK’s website for immediate information and services.

After signing up, our Wellbeing Practitioner will contact you within two weeks to schedule a convenient time for a 45-minute conversation, either via video or phone call, according to your preference. During the conversation, the Wellbeing Practitioner will understand your current situation and help you gain a better understanding of your emotional state based on the questionnaire you filled out during application. Additionally, they will provide recommendations for appropriate community resources based on your needs, helping you take an important first step in taking care of your mental health.

Although the intervention procedure is mostly standardised, Wellbeing Practitioners will work flexibly with clients to address individual presenting problems and unique characteristics.

Our Wellbeing Practitioners are trained to support people who experience mild to moderate mental health difficulties primarily. This programme is not suitable for the situations mentioned above. If you are currently experiencing a major setback or even having thoughts of suicide or self-harm, please visit the “Find Help Now” page on our Mind HK’s website for immediate information and services.

Your conversations with the Wellbeing Practitioner are absolutely confidential. Any information about you will not be shared with anyone without your consent unless you or others are at immediate risk or the Wellbeing Practitioner has reason to believe that you may be in imminent danger.
Supervisors will monitor trainees’ development throughout the placement to ensure that they are meeting the required level of competency to pass the training course at the end of the placement.

Yes, it is necessary to book an appointment in advance by filling out the form. Additionally, you can select one of the five stores yourself. We will allocate clients to different Wellbeing Practitioners based on their chosen location.

Before having the conversation, we will ask you to fill out a basic questionnaire for preliminary screening assessment. This screening process aims to ensure that the training received by the Wellbeing Practitioners is sufficient to meet the needs of the individuals receiving the service. If it is determined after the screening assessment that the service is not suitable for you, Mind HK will provide alternative recommendations to ensure your safety and support.

For adults who are suitable for this service, all Wellbeing Practitioners have received training on how to identify and respond to safety and risk issues. If you have any concerns about the support process, the Wellbeing Practitioners have appropriate measures in place and will develop response plans based on the urgency of the situation. They can also access support from clinical practitioners from Mind HK or participating organisations.

What private training does Mind HK provide?

Mind HK provides 4 themes of mental health training, including: Supporting Self, Supporting Others, Family Wellbeing and DEI (Diversity, Equity and Inclusion).

 

Check out the brochure here for more information.

Mind HK provides a wide range of standardised mental health training, which can be tailored to different circumstances. Chat with our team to explore more

Our trainers come from a diverse, accredited pool of clinically experienced professionals. Check out our trainers’ biographies here.

Yes, the Mental Health First Aid class of Mind HK is internationally accredited by the MHFA International. The content and certification is delivered by trainers certified from the Mental Health Association of Hong Kong. You can find out our trainers accreditation here.

We are here to support your mental health education journey! Reach out to us and chat with our team.

What are voices?

What are voices? 

We might say someone is ‘hearing voices’ if you hear a voice when no-one is present with you, or which other people with you cannot hear. 

People have many different experiences of hearing voices. Some people don't mind their voices or simply find them irritating or distracting, while others find them frightening or intrusive. 

It's common to think that if you hear voices you must have a mental health problem. 

But research shows that lots of people hear voices and many of them are not mentally unwell. It’s a relatively common human experience. 

“I hear hundreds of voices. Partly relatives, friends and people in the media.”

What kind of voices do people hear? 

There are lots of different ways we all hear voices. For example, you might:

  • hear your name called when there is no one with you
  • hear or see things as you are falling asleep
  • experience the voices as being in your head 
  • feel voices are coming from outside and heard through your ears like other sounds
  • feel as if you are hearing other people’s thoughts or as if other people can hear your thoughts
  • experience nasty or threatening voices that tell you to do dangerous and unacceptable things or try to control you
  • hear a voice that feels friendly but encourages you to do things that might not be good for you
  • hear a kind supportive voice that helps you 
  • hear more than one voice and they may talk or argue with each other

“I remember hearing this malicious whispering which I assumed was coming from other passengers on the train...it was like being able to hear people's thoughts and in my paranoid state these were always malevolent and critical.”

Why do I hear voices?

There are lots of reasons why you might hear voices. Here are some of them: 

  • Voices as you fall asleep or wake up - these are to do with your brain being partly in a dreaming state. The voice might call your name or say something brief. You might also see strange things or misinterpret things you can see. These experiences usually stop as soon as you are fully awake. 
  • Lack of sleep - sleep problems cause you to hear voices or have other sensory experiences that you can't explain in everyday ways. 
  • Hunger - you may hear voices if you are very hungry or if you haven't eaten much recently. 
  • Physical illness - if you have a high temperature and are delirious you may hear voices or see and say strange things. 
  • Drugs - you may hear or see things after taking recreational drugs or as a side effect of some prescribed drugs. You might also have these experiences when you are coming off drugs. 
  • Stress or worry - you may hear voices while feeling very stressed, anxious or worried. 
  • Bereavement - if you have recently lost someone very close you may hear them talking to you or feel that they are with you. This experience is very common and some people find it comforting. 
  • Abuse or bullying - you may start hearing voices after being abused or bullied. This can include hearing the voice of someone who abused you being unkind or threatening or ordering you to harm yourself or do things that you know are wrong. 
  • Other traumatic experiences - you may hear voices as a result of other traumas, which can be associated with post-traumatic stress disorder and with dissociative disorders
  • Spiritual experiences - some people hear a voice as part of a spiritual experience. This may be a very special experience and one that you feel helps you make sense of your life. Or you may feel as though you are hearing the voice of an evil spirit. 
  • Mental health problems - you may hear voices as a symptom of some mental health problems, including psychosis, schizophrenia, bipolar disorder, schizoaffective disorder or severe depression.

“I started hearing voices when I was 16. It resulted from a traumatic event in my life that led to weeks of a manic period.”