Educational orientation — not a diagnosis

Hearing or seeing things, strong suspiciousness

Changes in perception, fixed unusual beliefs, severe confusion or loss of contact with reality need prompt professional and often medical assessment.

Important safety note

Immediate danger, suicidal intent, violence, severe confusion, sudden loss of function or loss of contact with reality require urgent local emergency or medical support.

Open crisis guidance →

Common signs

What people may notice

Hearing voices others do not hear
Seeing things others do not see
Strong belief that others intend harm without clear evidence
Disorganized speech or behaviour
Rapid decline in self-care or functioning

Several possibilities

This pattern may be associated with

Psychosis-spectrum condition

Severe mood condition with psychotic features

Substance or medication effect

Neurological, infectious, metabolic or other medical cause

This list is not exhaustive and does not establish a diagnosis.

When support may be useful

Look at persistence and impact

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Physical health and safety

What should not be overlooked

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Prepare for a useful consultation

Information worth noting

When it began and what was happening at the time.
Frequency, duration, triggers and what reduces or worsens it.
Sleep, appetite, energy, medicines, substances and medical conditions.
Effect on work, study, relationships and daily safety.

Clinical content principles

PRJI educational pages distinguish orientation from diagnosis, include physical-health cautions and direct urgent situations to local services. Content is informed by public mental-health information from WHO, NHS and NIMH and must be clinically reviewed before commercial launch.