Our objective is to report a clinical case of a patient with auditory verbal hallucinations without other psychotic symptoms.
Verbal auditory hallucinations are more frequent than one would expect in the non-psychiatric population. Some of these individuals, given the frequency and the content of the hallucinations, may develop psychiatric comorbidities or even evolve into a full blown psychosis.
Materials and Methods:
Description of the case. We also performed a non-systematic review of the literature.
Results and Conclusions:
A 45-year-old man describes a 15-year-old history of frequent auditory verbal hallucinations. More recently, he describes a voice of a man, that insults him and asks for money. Most of the time the insight towards the phenomena was preserved, although one time he developed erroneous beliefs about the voices, which reverted with logic confrontation and medication. In the assessment, organic and toxic causes were excluded. There was no history of affective symptoms prior and during the first years after the onset of the symptoms. This phenomenon increased recently in frequency causing great distress and agitation, ultimately impeding him to go to work for the last eight months. Already treated with several antipsychotics, Clozapine has been started recently.
According to the literature, these individuals are more likely to need health care than the general population. Normally, when the content of the voices is unpleasant or negative, they often present depressive symptoms and anxiety. These individuals are also more likely to develop other psychotic symptoms than the general population. These symptoms rarely remit and often appear later than in schizophrenia.