Hi, thank you for sharing this, it takes courage to describe these symptoms. Your symptoms together suggest a serious mental health condition, most commonly something in the spectrum of Psychotic disorders or Severe depression with psychotic features or Less commonly, bipolar disorder with psychotic symptoms. It is not possible to make a final diagnosis online, but this is not just stress or simple depression, it needs proper psychiatric evaluation. This needs urgent evaluation because Symptoms have been present for more than 6 months, You are experiencing loss of touch with reality, It is affecting your daily functioning, studies, and social life, Family history increases vulnerability. These conditions are treatable, but early and consistent treatment is very important. The increased or intrusive sexual thoughts can happen in such conditions. This is a symptom of the illness, not something you are choosing. Please consult a psychiatrist as soon as possible (preferably within a few days). Since you mentioned you are already on prescription medications, Your current treatment may need dose adjustment or change & It is very important not to stop medications on your own. Go to an emergency facility if you experience Voices telling you to harm yourself or others, Severe confusion or loss of control Inability to sleep for several days or Strong urge to act on intrusive thoughts. Practical steps for now- Stay around trusted family members or friends. Avoid isolation as much as possible. Maintain a regular sleep schedule. Avoid alcohol or substances (can worsen symptoms). Keep a note of symptoms to share with your doctor. Your symptoms strongly suggest a treatable psychiatric condition involving psychosis and depression. With the right treatment, many people improve significantly and regain normal functioning. Please prioritize an in-person psychiatric consultation, this is the most important next step.
Feel free to reach out again.
Regards, Dr. Nirav Jain MBBS, D.Fam.Medicine
Hello I’m really sorry to hear that you’re feeling this way. It sounds like you’re going through a very difficult time, and it’s important to talk to someone who can help you, like a mental health professional.
The experiences you’re describing, such as hearing voices and having unusual thoughts, can be very distressing. It’s good that you’ve reached out for help and have been prescribed medication. However, if you’re feeling overwhelmed or if the medications aren’t helping, it’s crucial to communicate this to your doctor.
Please consider discussing your feelings and experiences with your healthcare provider. They can help adjust your treatment plan to better support you. You deserve to feel better and to have the right support.
If you’re ever feeling like you might harm yourself or if you’re in crisis, please reach out for immediate help. You are not alone, and there are people who care and want to help you through this.
Thank you
The symptoms you describe—hearing voices for several years, believing a famous person loves you or controls your thoughts and emotions, and having these experiences interfere with daily life—are most commonly caused by a psychotic disorder, most often Schizophrenia or a closely related condition. These conditions affect how the brain processes reality, leading to auditory hallucinations (hearing voices) and delusions (strong beliefs that feel real but are not based in actual events).
Your current medicines—Olanzapine, Haloperidol, and Fludac—are standard treatments for psychotic symptoms and mood changes. The fact that your sleep is good and you trust your treatment is a positive sign, but continuing to hear voices several times a day after more than six months on medication suggests that the illness is partially controlled but not fully controlled yet, which is common and manageable. Sometimes doctors need to adjust doses, change medications, add psychotherapy, or consider long-acting injections or other options to better control persistent symptoms.
The feeling of being controlled by a famous person using machines or medicine is a known type of delusion in psychotic disorders. It happens because the brain misattributes thoughts and emotions, making them feel as if they come from an outside source. It does not mean you are doing anything wrong, and it does not mean the treatment has failed—many people require ongoing adjustments over time to reach stable control.
Since you have already been in treatment for years and recently spoke with your doctor, the most important next step is to continue regular follow-up and clearly report that the voices are still occurring several times daily and interfering with activities. If symptoms suddenly worsen, if the voices start commanding you to do things, or if you feel unsafe or unable to function, that should be treated as urgent and you should seek immediate medical help.
Overall, the cause is most likely a chronic psychotic condition that requires long-term management, and with continued medical care many people achieve significant improvement and stability.
Your symptoms are complex and may be indicative of several possible conditions. What you’re describing, such as hearing voices that aren’t there, intense sexual thoughts, withdrawal from activities you used to enjoy, and believing a famous person is controlling your thoughts, can suggest a psychiatric condition such as schizophrenia, schizoaffective disorder, or a severe mood disorder with psychotic features. It’s crucial to get a thorough evaluation from a psychiatrist or a mental health professional. They can provide a proper diagnosis through interviews, psychological assessments, and potentially lab tests to rule out other causes like substance use or neurological problems. Given how these symptoms are affecting your life, this is something to address sooner rather than later. In terms of managing symptoms before you can see a professional, try to keep a journal of these experiences, noting any triggers or patterns you observe. Avoid illicit drugs and excessive alcohol use, as these can exacerbate symptoms. If you ever have thoughts of self-harm or feel unsafe, it’s essential to seek immediate help by contacting emergency services or going to a hospital; this isn’t something to manage alone. Treatment might include medications like antipsychotics or mood stabilizers, and therapy to help you cope with thoughts and feelings. The first step is reaching out for professional help to start the process of identifying and managing your condition effectively.
Here’s what’s causing your symptoms – explained simply and clearly.
Main cause: A psychotic disorder (most likely schizophrenia or schizoaffective disorder)
Your brain’s dopamine and glutamate systems are misfiring. This leads to:
· Auditory hallucinations – Hearing sounds/voices that aren’t there (brain misinterprets internal thoughts as external speech).
· Delusions – Firmly believing a famous person loves you, controls your thinking with a machine, and your thoughts “talk to you” as that person.
· Hypersexual thoughts – Part of psychosis or a mixed mood state; touch triggering sexual urges is a form of disinhibition (loss of normal brakes on impulses).
· Depression when idle – Common in schizoaffective disorder (psychosis + depression).
· Anhedonia – No pleasure in learning/studying (negative symptom of schizophrenia).
· Social fear & avoidance – Common in psychosis.
Why sexual thoughts increased?
· Disinhibition from psychosis – brain’s frontal lobe (impulse control) is affected.
· Possible medication side effect – some antipsychotics or antidepressants can increase libido or intrusive sexual thoughts (uncommon but possible).
· Mood episode – Hypomania/mania can cause hypersexuality, even alongside psychosis.
What you should do:
· Continue your prescribed medications – don’t stop or change dose.
· Tell your psychiatrist specifically about the sexual thoughts and the delusion of control by machine. They need to know this to adjust treatment.
· Ask about increasing or changing antipsychotic – your current regimen may not be fully controlling positive symptoms.
· Consider adding a mood stabilizer if schizoaffective disorder is suspected.
This is treatable. The right medication combination can stop the voices, clear the delusions, and reduce abnormal sexual thoughts. See your doctor soon.
— Dr. Nikhil Chauhan
Your symptoms—hearing voices that are not actually present, believing someone is controlling your thoughts, intrusive sexual thoughts, loss of interest in studies, social withdrawal, and feeling depressed when inactive—indicate an ongoing psychotic condition most consistent with Schizophrenia or a related disorder. These experiences (hallucinations and delusions) can feel very real, but they are part of the illness and can be treated. Since you are already on medications, the fact that these symptoms are still frequent means your current treatment likely needs adjustment by your psychiatrist—this may include changing doses, switching medicines, or trying more advanced options. It is very important that you do not stop your medications on your own, and that you clearly tell your doctor that voices, beliefs, and intrusive thoughts are still present daily. Also, your fear of social interaction and loss of interest are important symptoms that need attention through therapy along with medication. With proper follow-up, consistent treatment, and support, these symptoms can improve significantly and your quality of life can get better.
