Hallucinations- Clinical Depression

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Hallucinations involve sensing things while awake that appear to be real, but instead have been created by the mind.
Common hallucinations include:
  • Feeling bodily sensations, such as a crawling feeling on the skin or the movement of internal organs.
  • Hearing sounds, such as music, footsteps, windows or doors banging.
  • Hearing voices when no one has spoken (the most common type of hallucination). These voices may be critical, complimentary, neutral, or may command someone to do something that may cause harm to themselves or to others.
  • Seeing patterns, lights, beings, or objects that aren't there.
  • Smelling a foul or pleasant odor
In some cases, hallucinations may be normal. For example, hearing the voice of, or briefly seeing, a loved one who has recently died can be a part of the grieving process. ----National Institute of Health

allucinations, sensory experiences that occur without external stimuli. Hallucinations might be present in several mental and neurological disorders. Most common are auditory hallucinations-hearing voices or sounds that no one else hears. A visual hallucination is seeing someone or something that isn't there. Other hallucinations relate to touch (tactile), taste (gustatory), and smell (olfactory), but these are less common.

Hallucinations are usually unpleasant for the patient. Although he/she may not mention them, he/she may huddle under the covers, appear to be listening to someone, or talk to someone who isn't there. Confront such behavior: "Mr. Jones, you appear to be talking to somebody, but I don't see anyone."
The patient's reply might surprise you. Mr. Jones may tell you he's listening to the devil. Remain non-judgmental, empathize, and point out what's real: "I don't see anyone in the room, but this must be very frightening for you." Listen quietly to his response and try to make a connection. "You talk about devils, death, and hell. It sounds as though you're afraid of what might happen in the afterlife." He may be grateful that you're trying to understand.

A terrifying hallucination that can endanger you, your patient, and others is a command hallucination, which is usually auditory. If the patient reports, for example, that God is telling him to jump out the window, don't leave him. Summon help; he may need confinement for protection.

*Dr Smita Pandey Bhat is a Counselor and Clinical Psychologist. She has completed her M.Phil and PhD in Clinical Psychology, from Central Institute of Psychiatry (C.I.P), Ranchi. She has seven years of experience in this field at different places. She provides psychological counseling, psychotherapies like, Supportive Therapy, Cognitive Behavior Therapy, Interpersonal Therapy, Social Skills Training, Assertiveness Training etc. as per the requirement of the people. She also provides assessments like Intelligence Tests and Personality Assessments for Children as well as Adults.

The areas of problems that require her services is ranging from mild emotional problems to severe mental problems. She provides counseling to children for the problems like, lying, stealing, truancy, identity problems, low self esteem or self confidence, poor performance in school, learning disabilities, autism, attention deficit and hyperactivity problems, emotional outbursts, anger outbursts, crying spells, sadness and depression, problems regarding the choice of career, problems in sleeping etc. She also provides counseling to parents called as Parental Management Training and counsel them for good parenting strategies.

For Adults she provide services for work related stress, stress within the family, tension, anxiety, depression, low self esteem or self confidence, problems in dealing with stress or coping or making adjustments, problems in married life, problems related with sleep, boredom and stress burnouts. She also provides management for obsessive and compulsive behaviors. She teaches them techniques so that they are able to cope better in their lives and have a good quality of life. She also provides cognitive rehabilitation to the patients of chronic schizophrenia , dementia and brain injury patients helping them to learn self help skills and help them refine their cognitive abilities like attention , memory, organization and planning etc. through cognitive retraining and other behavioral techniques.

Dr. Smita Pandey Bhat has given lectures on clinical psychology for nursing students and staff, as well as M.Phil students. She is a clinical psychologist of repute and has made appearances on several live television shows and appeared as Celebrity Guest on indiatimes.com

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