[27M] Experiencing head numbness and auditory hallucinations

Patient Description

A 27-year-old male has been experiencing a numb feeling in his head since the age of 20. The numbness varies in intensity and is often accompanied by hearing voices, which the patient associates with alternate personas he created online. These episodes occur once or twice a month and last for about 3 to 5 seconds. The patient describes different levels of numbness: small episodes indicate someone in his head needs something, constant numbness suggests someone is spectating, medium numbness involves feeling effects like drunkenness without consuming alcohol, and intense numbness occurs when he tries to deny or allow these experiences, sometimes resulting in headaches. The patient is currently taking Depakote and Risperdal, which are medications often used for mood stabilization and managing psychotic symptoms. There are no other reported symptoms or known drug allergies.

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Arora's Assessment

What might be happening

Based on the information you've provided, your experiences of numbness, hearing voices, and interactions with alternate personas could be related to:

  • Dissociative Disorders: These involve a disconnection between thoughts, identity, consciousness, and memory. The feeling of having alternate personas and experiencing numbness could be related to this. Dissociative disorders can sometimes be linked to past trauma or stress.

  • Psychotic Disorders: Conditions like schizophrenia can involve hearing voices and experiencing sensations that aren't based in reality. The medications you're taking, Depakote and Risperidone, are often used to manage symptoms related to mood stabilization and psychosis.

These conditions can be complex and require a comprehensive evaluation by a mental health professional to determine the best course of action. Treatment often involves a combination of medication, therapy, and support.

What you can do

  1. Consult a Mental Health Professional: It's important to work with a psychiatrist or psychologist who can provide a formal assessment and tailor a treatment plan to your needs. They can help you understand your experiences and manage your symptoms effectively.

  2. Medication Management: Continue taking your prescribed medications as directed. If you have concerns about their effects or side effects, discuss them with your healthcare provider.

  3. Therapy: Consider engaging in therapy, such as cognitive-behavioral therapy (CBT) or other forms of counseling, to explore your experiences and develop coping strategies.

  4. Journaling: Use MDandMe to journal your symptoms, track progress, and gain insights. This can help you and your healthcare provider understand patterns and triggers.

  5. Support Network: Reach out to support groups or communities where you can connect with others who have similar experiences. Sharing your story and hearing others' can be comforting and informative.

What you should look out for

  • Seek Immediate Help: If you ever feel overwhelmed, in distress, or have thoughts of harming yourself or others, seek immediate help from a healthcare provider or emergency services.

  • Monitor Changes: Keep track of any changes in your symptoms or new experiences. Share these with your healthcare provider to ensure your treatment plan remains effective.

  • Stay Informed: Educate yourself about your condition and treatment options. Understanding your experiences can empower you to make informed decisions about your care.

Remember, you're not alone, and there are resources and professionals available to support you on your journey.

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1 mo ago

Top picked over-the-counter products for Tingling or Cold Sensations at the Back of Your Head

People Also Ask


What are dissociative disorders and how do they relate to numbness and hearing voices?

Dissociative disorders involve a disconnection between thoughts, identity, consciousness, and memory. They can manifest as feeling detached from oneself or reality, which might explain the numbness and hearing voices. These disorders can sometimes be linked to past trauma or stress.


How do medications like Depakote and Risperdal help with symptoms of psychotic disorders?

Depakote and Risperdal are medications used to stabilize mood and manage psychotic symptoms. Depakote helps control mood swings, while Risperdal can reduce symptoms like hallucinations and delusions by affecting neurotransmitters in the brain.


What are some effective therapy options for managing symptoms like hearing voices and feeling numb?

Effective therapy options include cognitive-behavioral therapy (CBT), which helps change negative thought patterns, and other forms of counseling that focus on understanding and managing symptoms. Therapy can provide coping strategies and support.


What should I do if I experience an increase in the intensity or frequency of these symptoms?

If you notice an increase in the intensity or frequency of symptoms, it's important to consult with your healthcare provider. They can reassess your treatment plan and make necessary adjustments to ensure your symptoms are managed effectively.


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