Great question! When someone with schizophrenia appears to be talking to themselves, it's often because they're responding out loud to internal voices — also called auditory hallucinations. Their brain processes these voices as completely real, so responding to them feels natural. When it seems like two different voices are Show Full Answer
Great question! When someone with schizophrenia appears to be talking to themselves, it's often because they're responding out loud to internal voices — also called auditory hallucinations. Their brain processes these voices as completely real, so responding to them feels natural. When it seems like two different voices are having a conversation, there's actually a specific type of hallucination for that. It's called noncommand hallucinations, where voices may:
- Talk to each other rather than directly to the person
- Comment on what the person is doing
- Criticize or mock the person
- Repeat certain words or phrases
So the person isn't really talking to two different people — their brain is generating multiple distinct voices that feel very real and separate. This can be exhausting and distressing. The good news is that antipsychotic medications can help make these voices quieter and more manageable, even if they don't disappear completely. It's always worth talking to a doctor if the voices feel overwhelming or are getting worse.
September 25