Do Deaf People Experience "voices" As Flashing Images Or Flashbacks Instead?

A MySchizophreniaTeam Subscriber asked a question 💭

Have any studies been done among the Deaf population?! We keep reading that people hear "voices," but, in our case, we have a deaf family member describing "flashing images" or flashbacks that feel VERY real to them. They have, in fact, weaved these images into a tapestry and created a destructive narrative of abuse, with the help of their therapist, that frankly just didn't happen... Yet, in their mind's eye, it did and they're holding the entire family hostage... What we're getting at is, if a deaf person can't hear these "voices," does their brain then compensate by altering how this inner dialog & messaging occurs? They are absolutely convinced that these "flashing images" are fragments of some suppressed trauma. Their therapist has asked us to try and validate this family member's feelings, but how can we when their narrative has so many holes in it? Don't get me wrong, we all love, care & support this family member more than they'll admit but how do we "validate" their feelings without hurting our own? We've spoken with the therapist, and mentioned family history, but it seems like the therapist refuses to heed any of our input... Our family member is doing better, but we're afraid they're not getting ALL the help they need... Any advice would be greatly appreciated...🤔

February 3
MySchizophreniaTeam2

How might deaf people with schizophrenia experience hallucinations differently?

This is a really challenging situation for your family. While the search results don't specifically address hallucinations in deaf people with schizophrenia, it's worth understanding that hallucinations in schizophrenia can take different forms Show Full Answer

How might deaf people with schizophrenia experience hallucinations differently?

This is a really challenging situation for your family. While the search results don't specifically address hallucinations in deaf people with schizophrenia, it's worth understanding that hallucinations in schizophrenia can take different forms beyond just hearing voices.

Hallucinations in schizophrenia aren't limited to auditory experiences. While hearing voices is the most common type, people can also experience visual hallucinations or other sensory experiences that feel completely real to them. The brain can create these experiences in ways that feel indistinguishable from reality.

What's particularly important here is that hallucinations and delusions (false beliefs that feel absolutely true) often work together in schizophrenia. Someone might experience something unusual and then create an explanation for it that doesn't match reality. This isn't intentional—their brain is genuinely interpreting these experiences as real. What can families do in this situation?

This situation requires professional guidance beyond what a therapist alone might provide. If your family member has schizophrenia, they should be working with a psychiatrist who specializes in mental health conditions, not just a therapist. A psychiatrist can assess whether symptoms are well-controlled and adjust treatment if needed.

Validating feelings doesn't mean agreeing that false memories are true. You can acknowledge that their experiences feel real to them and that they're struggling, without confirming details that didn't happen. Something like "I can see this is really distressing for you" validates their emotional experience without endorsing a false narrative.

If the current treatment isn't addressing potential psychotic symptoms like delusions or hallucinations, the treatment plan may need adjustment. Antipsychotic medications and specialized therapy like cognitive behavioral therapy (CBT) can help people manage these symptoms more effectively.

Consider seeking a second opinion from a psychiatrist who has experience with schizophrenia. Family input about symptom changes and concerning behaviors is valuable medical information that should be considered as part of comprehensive care.

February 3
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