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Hallucinosis

 
, medical expert
Last reviewed: 07.06.2024
 
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Hallucinosis (hallucinosis) is a mental disorder in which a person experiences hallucinations, which are false perceptions that have no real physical source. Hallucinations may involve one or more of the senses, including vision, hearing, smell, taste, and touch.

Hallucinosis can occur as a symptom of various psychiatric and neurological conditions such as schizophrenia, mood disorders (e.g., bipolar disorder), sleep disorders, alcohol or drug poisoning, neurological diseases, and others. Hallucinosis can also be caused by ingestion of certain psychoactive substances such as hallucinogens (e.g., LSD or psychedelics).

Symptoms of hallucinosis can include visions, sounds, smells, sensations, or perceptions that seem real to the person but are not present in reality. Hallucinations can be frightening and have a serious impact on a person's mental state.

Treatment of hallucinosis depends on the underlying disorder or cause of the hallucinations. If the hallucinations are caused by mental illness, psychotherapy, antipsychotic medications and support may be included in the treatment plan. It is important to see a physician or psychiatrist for evaluation and diagnosis if you or someone you love is experiencing hallucinations.

Causes of the hallucinosis

Hallucinations can be caused by a variety of reasons, and it is important to realize that they can be a symptom of a variety of medical, psychiatric, and neurological conditions. Here are some of the possible causes of hallucinosis:

  1. Mental disorders:

    • Schizophrenia: This is a serious mental disorder that is often accompanied by auditory and visual hallucinations.
    • Bipolar disorder: During manic or depressive episodes, some people may experience hallucinations.
  2. Psychoses:

    • Subacute and acute psychosis: Some medical conditions or drug use can cause temporary hallucinations.
  3. Drugs and alcohol:

    • Drug or alcohol use: Psychoactive substances can change brain chemistry and cause hallucinations.
  4. Medical Conditions:

    • Parkinsonism and Parkinson's disease: These neurodegenerative diseases can cause visual hallucinations.
    • Dementia: Some patients with dementia such as Alzheimer's disease may experience hallucinations.
    • Epilepsy: Epileptic seizures may be accompanied by auric hallucinations.
    • Alcohol dependence and withdrawal syndrome: Some people who have consumed alcohol may experience alcoholic hallucinosis when they stop drinking.
  5. Eye and hearing diseases:

    • Eye diseases such as cataracts or glaucoma: These can alter the perception of the world around you and cause optical illusions.
    • Hearing diseases: Lesions of the ears may cause acoustic hallucinations.
  6. Stress and anxiety:

    • Severe stress and anxiety can lead to temporary hallucinations.

Symptoms of the hallucinosis

Symptoms of hallucinosis may include:

  1. Visual hallucinations:

    • Seeing objects, scenes, beings, or phenomena that are not actually there.
    • For example, a person can see invisible people or animals.
  2. Acoustic hallucinations:

    • Perception of sounds or voices that are not present in the world around us.
    • This may include hearing conversations, comments, or commands from imaginary voices.
  3. Tactile hallucinations:

    • A sense of touch or touching when nothing is actually touching the body.
    • This may include a crawling sensation on the skin, burning or even pain.
  4. Olfactory and gustatory hallucinations:

    • Perception of smells or tastes that do not exist in reality.
    • The person may experience unpleasant or strange odors or tastes.
  5. Combined hallucinations:

    • Experiencing more than one type of hallucination at the same time.

Forms

Hallucinosis syndrome is a condition in which a person experiences hallucinations, that is, false perceptions that have no real physical source. Hallucinosis syndrome can be temporary or chronic, and can have different causes. Here are some of its variants:

  1. Acute hallucinosis: This is a temporary condition characterized by the sudden and short-term onset of hallucinations. Acute hallucinosis can be caused by a variety of factors such as drug poisoning, fever, fever, or stress.
  2. Chronic hallucinosis: This is a condition in which hallucinations continue for a long time or occur regularly. Chronic hallucinosis may be associated with mental illnesses such as schizophrenia or mood disorders.
  3. Alcohol hallucinosis: This is a condition in which hallucinations occur when alcohol is consumed or as a result of alcohol withdrawal. It is often seen in people with alcohol dependence and can be dangerous.
  4. Organic hallucinosis: This type of hallucinosis is associated with organic or neurological brain disorders, such as dementia or vascular disease of the brain. It can result from brain damage, infections, or other medical conditions.
  5. Verbal hallucinosis: These are hallucinations involving auditory sensations, such as hearing voices or sounds that are not present in reality. Verbal hallucinations can be one of the symptoms of mental disorders such as schizophrenia.
  6. Visceral hallucinosis: These are hallucinations related to internal sensations, such as sensations of the internal organs, stomach or intestines. Visceral hallucinations can be rare and can occur, for example, in some neurological diseases.
  7. Peduncular hallucinosis of Lhermitte: This is a type of hallucination that involves sensations in the lower part of the body, such as the legs. This type of hallucination can be caused by an upper spinal cord lesion and is usually accompanied by electrical or lightning-like sensory sensations.
  8. Tactilehallucinosis: These are hallucinations involving sensations on the skin, such as tingling, burning, itching, or touching. Tactile hallucinations can occur with a variety of medical and psychiatric conditions.
  9. Visual hallucinosis: These are hallucinations related to visual sensations, such as seeing objects, scenes or people that do not exist in reality. Visual hallucinations can occur, for example, in mental disorders, dementia or drug use.
  10. True hallucinosis: This is a condition in which a person experiences hallucinations without any apparent mental or physical cause.
  11. Auditoryhallucinosis: This is a type of hallucination in which a person hears sounds, voices, or conversations that are not present in reality. Auditory hallucinosis can be associated with a variety of mental and medical conditions.
  12. Imperative hallucinosis: This type of hallucination is characterized by commands or instructions that the person hears in their head, but they are not part of reality.
  13. Olfactory hallucinosis: Olfactory hallucinations involve the perception of odors or scents that are not present in the environment.
  14. Vascular hallucinosis: This term may refer to hallucinations resulting from vascular disorders in the brain, such as stroke or vascular dementia. In such cases, treatment is usually aimed at improving blood supply to the brain and managing vascular risk factors.

Diagnostics of the hallucinosis

Diagnosing hallucinosis usually involves several steps and procedures to determine the causes and nature of the hallucinations. Here is a general overview of how a diagnosis of hallucinosis may be made:

  1. Physical examination: The doctor begins the diagnosis by performing a physical examination and gathering the patient's medical and psychological history. This may include discussing symptoms, past medical problems, medications and substance abuse.
  2. Physical Exam: Your doctor may perform a physical exam to rule out physical causes of hallucinations, such as neurologic disease, infections, or brain disorders.
  3. Psychiatric evaluation: A psychiatrist or psychologist may conduct a psychiatric evaluation to assess the patient's condition, including mental health and the presence of psychiatric disorders such as schizophrenia or mood disorders.
  4. Laboratory tests: Sometimes laboratory tests, such as blood and urine tests, may be needed to determine if there are medical problems that may be causing the hallucinations.
  5. Educational information: The physician may contact the patient's family or significant others to learn more about symptoms and behavioral changes.
  6. Psychological and psychometric tests: If necessary, special tests may be performed to assess the psychological state of the patient.
  7. Talking to the patient: An important part of diagnosing hallucinosis is talking to the patient to get as detailed a description as possible of their hallucinations and other symptoms.

Treatment of the hallucinosis

Treatment of hallucinosis depends on its cause and the underlying diagnosis. Hallucinosis can be a symptom of various psychiatric, neurological or medical conditions. Therefore, it is important to diagnose and identify the underlying condition that led to the hallucinations.

Here are some treatments that may be used depending on the situation:

  1. Treatment of the underlying condition: If hallucinosis is caused by another medical or psychiatric condition (e.g., schizophrenia, bipolar disorder, depression, alcohol or drug poisoning), treatment should be directed at the underlying condition. This may include the use of antipsychotics, antidepressants, anxiolytics, or other medications.
  2. Psychotherapy: Psychotherapy, such as cognitive behavioral therapy (CBT) or psychoeducation, can be helpful in treating hallucinosis, especially if it is associated with psychiatric disorders.
  3. Withdrawal Syndrome Treatment: If hallucinosis is related to withdrawal from drugs, alcohol, or other substances, treatment may include patient support, withdrawal management, and rehabilitation.
  4. Medication: In some cases, antipsychotic medications may be used to alleviate hallucinations and reduce the patient's distress. However, their use requires careful supervision and prescription by a physician.
  5. Support and care: It is important to provide the patient with support and a safe environment, especially during hallucinosis. Relatives and loved ones can play an important role in supporting the patient.

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