Psychosis & Hallucinations

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Psychosis & Hallucinations

Psychosis is a mental state where one loses a clear sense of reality, often marked by hallucinations or delusions. Dr. Aftab treats conditions like schizophrenia, bipolar disorder with psychotic features, and severe depression where these symptoms occur. He approaches these cases with sensitivity, knowing that patients may be frightened or ashamed of their experiences. His goal is to provide early intervention so that patients and families regain stability and understanding.

What are psychosis and hallucinations? Psychosis means trouble distinguishing real from unreal. Hallucinations are perceptions without external stimuli for example, hearing voices when no one is speaking or seeing people or lights that others don’t see. Delusions are strongly held false beliefs (e.g., believing someone is trying to harm you, or that you have special powers), even when evidence contradicts them. According to Cleveland Clinic, schizophrenia (a common psychotic disorder) often causes such symptoms. Patients might describe bizarre experiences or hear insulting voices, which can be terrifying.

Step-by-step Treatment

Managing psychosis usually requires a combination of medication and therapy:

Urgent evaluation: If someone is actively psychotic (danger to self/others), immediate intervention may be required. Dr. Aftab can coordinate hospital admission if necessary. Otherwise, he completes a thorough psychiatric assessment when the patient is stabilized.
Medication: Antipsychotic drugs are the cornerstone. These medications help realign brain chemicals. Common ones include Risperidone, Olanzapine, etc. Dr. Aftab starts at the lowest effective dose and closely monitors side effects. He explains that these drugs often control hallucinations and delusions within weeks.
Therapy: Alongside meds, psychotherapy helps patients cope with symptoms. For psychosis, Cognitive Behavioral Therapy for psychosis (CBTp) can be used. It helps patients understand and manage their symptoms for example, distinguishing a hallucination from reality, or learning stress reduction to prevent relapse.
Rehabilitation and support: Dr. Aftab often recommends psychosocial support: family psychoeducation, social skills training, and support groups. He may connect patients to vocational rehab or social services. These resources help patients function in society, as Cleveland Clinic notes that rehabilitation (resilience training, family therapy) improves coping and long-term success.
Follow-up and crisis plan: Regular follow-ups ensure symptoms are controlled. Dr. Aftab also creates safety plans: checking in on early warning signs (e.g., beginning insomnia or agitation) and having a plan (like contacting him, adjusting meds, or hospitalization) to prevent full relapse. He ensures families know emergency numbers.

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Dr. Aftab’s Methodology

He starts by validating the patient’s experience (without reinforcing delusions). For example, if someone is convinced they’re being persecuted, Dr. Aftab listens calmly and then gently offers alternative explanations based on facts. He maintains a steady, calm presence important since patients may perceive tension as threatening. His treatment style is systematic: medication first to reduce symptoms, then gradually introducing therapies. He ensures communication is clear and compassionate, often asking patients to repeat in their own words what treatment they will do, to confirm understanding. Patience is key; he adjusts pace to the patient’s comfort.

FAQs

Frequently Asked Questions

Is hearing voices a sign of being “mad” or evil?

No. Auditory hallucinations are a symptom of an illness (like schizophrenia) and not a moral failing. Many people hear benign voices too, and Dr. Aftab can help distinguish harmless thoughts from symptoms needing treatment.

Can someone with schizophrenia ever recover?

Yes. Many patients respond well to treatment. Symptoms often diminish, and patients can learn strategies to cope. Ongoing support is needed, but stability and even full-time work are possible.

What if my relative refuses medication?

This is common when patients feel better or don’t understand the illness. Dr. Aftab works slowly to build insight. Sometimes, he meets with family members first to plan how to encourage medication adherence gently.

Will this patient always be like this?

Not necessarily. Some people have one episode and never have psychosis again (especially if triggered by drugs or stress). Others have chronic conditions that are managed with treatment. Early and consistent care greatly improves outcomes.

Are there local support groups for families of psychotic patients?

Yes, organizations like Rozan or mental health NGOs offer family support workshops. Dr. Aftab can refer you to them. Connecting with others in similar situations often provides emotional relief and practical tips.

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Appointment & Contact

Scheduling an appointment with Dr. Naeem Aftab is easy and confidential. Use the contact information below or our online portal (calendar integration coming soon) to secure a session.