What's the typical relationship between a schizophrenic and his / her hallucination?

Complex: They can be very frightening and tormenting for some, especially when their comments are derogatory or abusive. Command hallucinations to hurt self or others can be really scary. I've also known some people for whom hallucinations were a kind of constant companionship in an otherwise solitary life. These were more a running commentary on activities. Each schizophrenic person is unique in this.

Varies: Often, before a person with schizophrenia has treatment or, if a person with schizophrenia has an exacerbation of his or her illness and is actively psychotic-the person may have rather poor insight into his or her condition and the basis for the hallucinations. They think they are real. Then, after a person has treatment and their psychosis lifts, they gain insight into their hallucinations.

There is none : Some schizophrenics dont hallucinate. They merely have extremely disorganized thinking. They may have catatonic behavior or extremely poor speech with little content or meaning. They may be unaware they are so poorly groomed or what is considered acceptable in most circumstances. Ask the person what they beleive about their hallucination, if they can tell its unreal or harmful. dont judge.

Fears: There's a lot of controversy about this. My colleagues may disagree with me, but I have found that hallucinations often say something about a patient's deepest fears. If you can get them to elaborate about the hallucinations and the circumstances under which they occur, you can come to understand the patient's fears, which are often agonizing.