[19M] Experiencing intense anger, loss of control, and auditory hallucinations

Patient Description

A 19-year-old male reports feelings of intense anger and a sensation of not being in control of his body. He also experiences auditory hallucinations, describing it as hearing voices. The patient did not provide further details on the onset, duration, or any additional symptoms that may accompany these experiences. There is no mention of previous psychiatric history, substance use, or any recent events that could have precipitated these symptoms.

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Arora's Assessment

What might be happening

Based on your description, here are some possible explanations for your symptoms:

  • Schizophrenia: This is a serious mental disorder characterized by a range of symptoms, including hallucinations (such as hearing voices), delusions, and intense emotions like anger. People with schizophrenia may also feel like they're not in control of their bodies.

    • Treatment typically involves a combination of medication, psychotherapy, and coordinated specialty care services to manage symptoms and improve quality of life.
  • Bipolar Disorder with Psychotic Features: Bipolar disorder is a mental health condition that causes extreme mood swings that include emotional highs (mania or hypomania) and lows (depression). During manic or depressive episodes, some people may experience symptoms of psychosis, such as hearing voices.

    • Treatment often includes a combination of medication and psychotherapy.
  • Brief Psychotic Disorder: This is a temporary condition where you might experience sudden and short bouts of psychotic behavior, often in response to a very stressful event, such as a death in the family. Symptoms can include hallucinations, such as hearing voices.

    • Treatment typically involves medication to alleviate the immediate symptoms, and psychotherapy to help manage stress.

Please remember that these are only possibilities. Only a healthcare professional can provide a formal diagnosis.

What you can do

Given the severity of your symptoms, it's crucial that you seek immediate help from a healthcare professional. They can provide a proper assessment and develop a treatment plan tailored to your needs.

In the meantime, here are some general suggestions:

  1. Reach out to a trusted friend, family member, or mental health crisis line. Let them know what you're experiencing so they can provide support and help you access the care you need.
  2. Try to stay in a calm, safe environment. If you're feeling particularly agitated or distressed, it might help to go to a place where you feel safe and comfortable.
  3. Avoid alcohol and recreational drugs, as these can exacerbate psychotic symptoms.

What you should look out for

If you feel that you're in immediate danger or are having thoughts of harming yourself or others, please call emergency services right away. Other reasons to seek immediate help include:

  • Your symptoms are getting worse or are too difficult to manage on your own.
  • You're feeling extremely distressed or agitated.
  • You're experiencing severe side effects from medication (if you're currently taking any).
  • You're having difficulty taking care of your basic needs, such as eating, sleeping, or maintaining personal hygiene.

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11 mo ago

People Also Ask


What are the common symptoms of schizophrenia?

Common symptoms of schizophrenia include hallucinations (such as hearing voices), delusions, disorganized thinking, and abnormal motor behavior. People may also experience negative symptoms like reduced emotional expression and lack of motivation.


How is bipolar disorder with psychotic features different from schizophrenia?

Bipolar disorder with psychotic features involves mood swings that include emotional highs (mania) and lows (depression), with psychotic symptoms occurring during these episodes. Schizophrenia, on the other hand, is primarily characterized by persistent psychotic symptoms like hallucinations and delusions, without the mood swings seen in bipolar disorder.


What is a brief psychotic disorder and how long does it typically last?

A brief psychotic disorder is a short-term condition where a person experiences sudden psychotic symptoms, such as hallucinations or delusions, often triggered by a stressful event. These symptoms typically last less than a month, after which the person usually returns to their normal level of functioning.


What should I do if I experience auditory hallucinations?

If you experience auditory hallucinations, it's important to seek help from a healthcare professional for a proper assessment and treatment plan. In the meantime, try to stay in a calm environment, avoid alcohol and drugs, and reach out to someone you trust for support.


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