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Absolutely. Although hallucination is and delusion are not specific criteria of PTSD, However, it is not uncommon for people with severe PTSD to either suffer psychotic symptoms or have co-morbid diagnoses such as psychotic disorders. There is a growing discussion that PTSD with psychosis should be a potential specifier in future DSM revisions and rewrites.

It's understandable when you consider the severity of symptoms that are involved in a diagnosis of PTSD. Cognitively trauma halts several processes and distorts them. Over time, if untreated or unrecognized, there are clear pathways for distortion to become delusion and hallucination. There is also the possibility that one of two other events occurred. First, if someone had a predisposition towards psychosis, trauma could bring it out. Second, if the trauma were in the formative years and repetitive (in the case of complex PTSD), a psychotic disorder could be formed over time.

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7y ago
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12y ago

Never hesitate to let your doctor know about this or any symptoms that seem unusual or that cause you discomfort. You won't say anything to your doctor that she/he has not heard and dealt with before. Many mental health symptoms can be paired with any other symptoms, given all the differences among people. Usually, voices are part of other kinds of disorder other than PTSD.

Extreme depression can sometimes be accompanied by symptoms like voices. If the stress is extreme, possibly you could deal with the same kind of thing. One way to start teasing out what is happening would be to ask yourself: Are the voices inside my head, or outside my head? Voices inside the head are like really amplified thoughts that are so strong that they may come across as a 'voice inside my head'. A voice outside of your head would be just about the same as hearing someone in the room speak, maybe even causing you to turn to watch the person speak, only there is no person there. The 'outside the head' version is the more intense, and it would be important to let your physician know.

Regarding PTSD, there are some effective therapies like EMDR, and your doctor may be able to refer you to a counselor who practices them. Maybe you can find a counselor on your own.

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Q: Can post traumatic stress disorder cause you to hear voices?
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