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I sometimes feel auditory hallucinations and have a constant feeling of panic, anxiety and keep suspecting my husband of 15 years. Please help.

Last Updated - Fri, Mar 16 2018

Detailed Question:

I have a constant feeling of panic or not so good feeling: feeling that my husband is lying, feeling of panic n anxiety if he doesn't pick my phone or doesn't call back, assuming a lot many things. Auditory hallucinations have happened once when I wasn't getting proper sleep for a period of 3 days. 
And has happened today again when I called my husband. On phone, it appeared to me he is munching something and speaking when he had just reached office. And he said the same thing. Why should he munch? When he just had breakfast and reached office? He said he was another call and he would call me later which he forgot. So I assumed he was eating and talking to someone and so he disconnected my phone. Later I was able to calm myself. 
I know something is seriously wrong with me and I need your help before it harms my married life. In fact the harm is already done. I just want to stop it now. But there's constant urge to keep checking things, although till date I haven't found anything conclusive. I have started practising yoga and meditation. And I am also trying to avoid micro-observing his behaviour or talks. As such most of the time I am fine, its only when I see or hear something unusual in him then my thoughts go haywire. Its 15 years of marriage. And it saddens him and I am embarrassed at my own behaviour.

Category: Psychology


Yours is a very genuine mental health issue and you are indeed paranoid about your husband's behaviour. However a very much detailed mental status examination will be required for a diagnosis to be made and surely a Psychiatrist's opinion in this is mandatory. Once a baseline is established and your condition at the beginning of therapy determined, we can then start sessions for treating this. Surely a Psychologist's therapy will benefit you and meanwhile you may require medication for first couple of weeks to rid your mind of delusions, paranoia and open it up for accepting truth and real facts and put you at ease for therapy. I hope you don't ignore this health problem and seek professional help either locally  or online psychiatrist session  as early as possible since it may progress and cause relationship problems later. 


Paranoia 
Paranoia involves intense anxious or fearful feelings and thoughts often related to persecution, threat, or conspiracy. Paranoia occurs in many mental disorders, but is most often present in psychotic disorders. Paranoia can become delusions, when irrational thoughts and beliefs become so fixed that nothing can convince a person that what they think or feel is not true. When a person has paranoia or delusions, but no other symptoms (like seeing or hearing things that aren't there), they might have what is called a delusional disorder.  Because only thoughts are impacted, a person with delusional disorder can usually work and function in everyday life, however, their lives may be limited and isolated.

Symptoms of Paranoia

Symptoms of paranoia and delusional disorders include intense and irrational mistrust or suspicion, which can bring on sense of fear, anger, and betrayal. Some identifiable beliefs and behaviors of individuals with symptoms of paranoia include hypervigilence, mistrust, difficulty with forgiveness, defensive attitude in response to imagined criticism, preoccupation with hidden motives, fear of being deceived or taken advantage of, inability to relax, or are argumentative.

Causes of Paranoia

The cause of paranoia is a breakdown of various mental and emotional functions involving reasoning and assigned meanings. The reasons for these breakdowns are varied and uncertain. Some symptoms of paranoia relate to repressed, denied or projected feelings. Often, paranoid thoughts and feelings are related to events and relationships in a person's life, thereby increasing isolation and difficulty with getting help.


Delusion

A delusion is an odd belief that a person firmly insists is true despite evidence that it is not. Cultural beliefs that may seem odd, but are widely accepted do not fit the criteria for being a delusion. Two of the most common types of delusions are delusions of grandeur or persecutory delusions.
What is Delusional Disorder?

Delusional disorder is characterized by irrational or intense belief(s) or suspicion(s) which a person believes to be true. These beliefs may seem outlandish and impossible (bizarre) or fit within the realm of what is possible (non-bizarre). Symptoms must last for 1 month or longer in order for someone to be diagnosed with delusional disorder.

Treatment of Paranoia and Delusions

Treatment of paranoia is usually via medication and cognitive behavioral therapy. The most important element in treating paranoia and delusional disorder, is building a trusting and collaborative relationship to reduce the impact of irrational fearful thoughts and improving social skills. It can be difficult to treat a person with paranoia since symptoms result in increased irritability, emotionally guardedness, and possible hostility. Often times, progress on paranoid delusions and especially delusional disorder is slow. Regardless of how slow the process, recovery and reconnection is possible.



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Panic, anxiety and Auditory hallucinations causing delusions

I sometimes feel auditory hallucinations. I have a constant feeling of panic, anxiety or not so good feeling and keep suspecting my husband of 15 years. Please help.
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