Psychiatry & Psychology--General/What are these voices?

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Question
Firstly, thankyou for taking the time to read my questions and hopefully response with your knowledge.

I'm Jonathan, 22 years old from the United Kingdom. Until recently, I have been a happy, healthy young man. I am in a stable relationship, home-owner, financially stable and in general good health.

Recently, a new employee started within my company at work, lets call him P. Until P joined, I thoroughly enjoyed my work. Gradually, it has become increasingly frustrating, because of P! I cannot complain to management, as P is a close friend of theirs, nor can I personally confront him due to repercussions of losing my job!

Over the past 3 weeks, I have been hearing 3 different voices in my head, all of different tones, different "personas" and different motives. The first voice, is that of my girlfriends Kacy. Kacy and I have been together 3 years, stay together, have a completely healthy and happy relationship. When Kacys voice appears, its a reassuring voice. The second voice is that of someone unknown, possibly non human? They talk exceptionally fast in a low mono-tone voice, what they are saying isn't obvious. The next voice, the last voice is that of an angry demonic sounding man. Who, when I get angry screams inside my head telling me to inflict injury upon this person,in vivid graphic detail. Then, Kacys voice appears, arguing with the 3rd voice, which is uncontrollably painful inside my head. Generally, Kacys wins, however there have been times it hasn't. The aggression of the "voice" is growing stronger and stronger, as is the strength and control of the voice.

What is causing this? Not only is this my only problem, I also had  a full conversation with what I thought was Kacy this morning upon realizing she was still awake and I was having a overcompensation with her voice in my head, for 30 minutes without realizing!

As mentioned, I have been in perfect health including mental capabilities and health with no mental health issues raining in the family. I am of the understanding that it is stress related? However, my concern is growing, as is the voices. Kacys mother is schizophrenic and this sounds extremely similar to her first symptoms.

I cannot take time from work, or resign. Nor can I attend a doctor with my queries as in the UK we will be signed off work for a period of time.

Again, thank you.

Sincerely,
Jonathan.

Answer
Dear Jonathan
I understand your concerns re not being able to visit a doctor considering that you may be signed off work, but isn't there a way out of this? I mean you should be able to visit a health practitioner somehow.
Do you have a family history of any mental illness in your own family?
What you describe appears less stress related & more of auditory hallucinations which could be sign of a mental illness, so my suggestion & request to you would be visit a MHP who can assess you thoroughly & advice accordingly.  

Psychiatry & Psychology--General

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Dr. Gurvinder Kalra, MD

Expertise

I can answer questions related to Psychiatric illnesses, their management, relationship issues etc.

Experience

I have completed my Masters in Psychiatry. Currently I am working as an Assistant Professor in the Department of Psychiatry at L.T.M.Medical College & L.T.M.General Hospital, Mumbai, India.

Publications
1. Kalra G, Bhugra D. Mutual learning and research messages: India, UK and Europe. Indian J Psychiatry 2010;52(7 Suppl 3):S56-63. [doi: 10.4103/0019-5545.69211] 2. Kalra G, Gupta S, Bhugra D. Sexual Variations in India: A view from the west. Indian J Psychiatry 2010;52(7 Suppl 3):S264-8. [doi: 10.4103/0019-5545.69244]

Education/Credentials
MD Psychiatry, Diploma in Psychiatry, M.B.B.S

Awards and Honors
1. A.V. SHAH BEST RESEARCH PAPER AWARD, at the 38th Annual Conference of Indian Psychiatry Society- West Zone Branch, Nagpur, India, 13th Oct 2007. 2. BOMBAY PSYCHIATRIC SOCIETY SILVER JUBILEE NATIONAL AWARD, at the 60th Annual National Conference of Indian Psychiatric Society (ANCIPS), in Kolkata on 4th January, 2008. 3. 2nd prize in the free paper session for presenting the paper “Sexual Attitudes & Behaviours in Individuals above 50” at the 24th National Conference of Sexology held in Jaipur in September, 2008. 4. BHAGWAT NATIONAL AWARD, for Co author of “Study of Emotional Intelligence in Medical Postgraduates”. The Study was presented in the 61st Annual National Conference of Indian Psychiatric Society (ANCIPS), in Agra on 6th January, 2009. 5. 1st prize in the Dr.S.M.Lulla Post Graduate Quiz held in July 2006 at Department of Psychiatry, T.N.M.C. Mumbai, India. 6. Won the Post Graduate Debate on “Involuntary Treatment in Psychiatric Patients is Unjust”, 2nd March 2008, T.N.M.C. Mumbai, India.

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