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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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