What is causing my hallucinations and unusual sexual thoughts after changing medications?

Question #29626

19 days ago

What is causing my hallucinations and unusual sexual thoughts after changing medications? - #29626

Client_e6e093

I here voices that people doesn't found surround me ,I have unnormal sxual thought like if one person touch me I think that person to have sex,I depressed when I am not doing any thing,l think famous person love me and that person control my emotions by giving medicine and thinking for me by using machine,and for the first time my doctor prescribed for merisperidone and haloperidol and after taking those medicine for 2 years I take overdose and i change my doctor and has prescribed for me 15mg of olanzapine ,5mg of haloperidol and fludac 20 mg

How long have you been experiencing these hallucinations and thoughts?:

- More than 6 months

How often do you hear voices or have unusual thoughts?:

- Constantly

Have you noticed any changes in your mood or behavior since starting the new medication?:

- Improved mood

Do you have any other symptoms like anxiety, paranoia, or changes in sleep?:

- Yes, anxiety

Have you had any major life changes or stressors recently?:

- Yes, ongoing stress

How are you managing your daily activities and responsibilities?:

- I struggle but manage

Have you discussed your overdose and current symptoms with your new doctor?:

- Yes, in detail

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Doctors' responses

Dr. Aarav Deshmukh

I am a general physician with 8 years of practice, mostly in urban clinics and semi-rural setups. I began working right after MBBS in a govt hospital in Kerala, and wow — first few months were chaotic, not gonna lie. Since then, I’ve seen 1000s of patients with all kinds of cases — fevers, uncontrolled diabetes, asthma, infections, you name it. I usually work with working-class patients, and that changed how I treat — people don’t always have time or money for fancy tests, so I focus on smart clinical diagnosis and practical treatment. Over time, I’ve developed an interest in preventive care — like helping young adults with early metabolic issues. I also counsel a lot on diet, sleep, and stress — more than half the problems start there anyway. I did a certification in evidence-based practice last year, and I keep learning stuff online. I’m not perfect (nobody is), but I care. I show up, I listen, I adjust when I’m wrong. Every patient needs something slightly different. That’s what keeps this work alive for me.

17 days ago

The symptoms you’re describing, including hearing voices (auditory hallucinations), unusual sexual thoughts, and grandiose delusions (like believing a famous person controls your thoughts), seem closely related to a psychiatric condition such as schizophrenia or schizoaffective disorder. It’s important to acknowledge that these can be complex conditions needing careful, ongoing management by mental health professionals who can closely monitor your progress. The changes in medication you’re experiencing — firstly with risperidone and haloperidol, now with olanzapine, along with haloperidol and fluoxetine (Fludac) — suggest an effort to manage these symptoms through antipsychotic and antidepressant therapy. Olanzapine is an atypical antipsychotic typically used for treating schizophrenia and bipolar disorder, often preferred for fewer extrapyramidal side effects compared to typical antipsychotics like haloperidol. However, each individual’s response can vary, and it may take some time to find the right balance of medications. Taking medications exactly as prescribed is crucial. Overdosing or inconsistent administration can not only impact their effectiveness but also pose significant health risks. If you’ve experienced new or worsening symptoms since the change in medication, it’s important to alert your current psychiatrist or physician immediately. They may need to reassess the treatment plan or dosage. Also, combining olanzapine and fluoxetine is a strategy often used to treat depressive phases in bipolar disorder, given fluoxetine’s role in managing depressive symptoms. Consider engaging in regular therapy sessions, as psychotherapy can complement medication and offer strategies to cope with your symptoms. If your symptoms continue unchanged or worsen, a more extensive evaluation by a mental health specialist may be necessary. Immediate assistance from your healthcare provider is critical, especially given the complex nature of your symptoms.

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Dr. Nikhil Chauhan

I am currently working as a urologist and kidney transplant surgeon at Graphic Era Medical College & Hospital, Dehradun. It's a role that keeps me on my toes, honestly. I handle a pretty wide range of urology cases—stones, prostate issues, urinary tract obstructions, infections, you name it. Some are straightforward, others way more complex than you expect at first glance. Every patient walks in with a different story and that’s what keeps the work real for me. Kidney transplant surgery, though, that’s a whole different zone. You’re not just working on anatomy—you’re dealing with timelines, matching, medications, family dynamics, emotional pressure... and yeah, very precise coordination. I’m part of a team that manages the entire transplant process—from evaluation to surgery to post-op care. Not gonna lie, it’s intense. But seeing someone who’s been on dialysis for years finally get a new shot at life—there’s nothing really like that feeling. In the OR, I’m detail-focused. Outside of it, I try to stay accessible—patients don’t always need answers right away, sometimes they just need to feel heard. I believe in walking them through what’s going on rather than just giving reports and instructions. Especially in transplant cases, trust matters. And clear, honest conversation helps build that. Urology itself is such a misunderstood field sometimes. People ignore symptoms for years because it feels “awkward” or they think it’s not serious until it becomes unmanageable. I’ve had patients who came in late just because they were embarassed to talk about urine flow or testicular pain. That’s why I also try to make the space judgment-free—like whatever it is, we’ll figure it out. At the end of the day, whether I’m scrubbing in for surgery or doing OPD rounds, I just want to make sure what I do *actually* helps. That the effort’s not wasted. And yeah, some days are frustrating—some procedures don’t go clean, some recoveries take longer than they should—but I keep showing up, cause the work’s worth doing. Always is.

17 days ago

Here’s what’s likely causing your symptoms – and why they persist despite medication:
Primary cause: Underlying psychotic disorder (schizophrenia/schizoaffective)
Your symptoms – hearing voices, delusions (famous person loves you, controls your thoughts/emotions via machine/medicine), hypersexual thoughts (touch → sexual urge), depression when idle – are classic positive symptoms of psychosis. These are not fully controlled yet.
Why symptoms continue after medication change:
1. Residual active psychosis – Olanzapine 15mg + haloperidol 5mg may still be suboptimal for you. Many patients need higher doses or different combinations.
2. Fluoxetine (Fludac 20mg) – In some people with psychosis, SSRIs can paradoxically worsen hallucinations or trigger sexual thoughts/disinhibition. This is uncommon but possible.
3. Past overdose & medication interruption – May have altered your response or led to partial adherence.
4. Ongoing stress – Worsens all psychotic symptoms.
What to do now:
· Do not stop or change any medication without your doctor – sudden changes can trigger severe relapse.
· Tell your psychiatrist immediately about:
· Persistent voices and delusions (especially the control beliefs)
· Unusual sexual thoughts (they need to know this)
· Depression when idle
· Ask about adjusting your antipsychotic – Options: increase olanzapine (to 20–30mg), switch to clozapine (for treatment-resistant psychosis), or reconsider the SSRI (fluoxetine may be trialed off).
Important:
These sexual thoughts are part of the illness, not your fault. Properly treated psychosis usually reduces them.
You need an urgent psychiatric follow-up – within days. Do not wait.
— Dr. Nikhil Chauhan

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Dr. Shayeque Reza

I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.

16 days ago

Your symptoms—continuous voices that others cannot hear, intrusive sexual thoughts, and strong beliefs that someone is controlling your mind or emotions—are consistent with an ongoing psychotic condition such as Schizophrenia that is only partially controlled right now. Even though your mood has improved on your current medications (Olanzapine, Haloperidol, and Fluoxetine), the persistence of daily hallucinations and fixed beliefs (delusions) means your treatment likely needs further adjustment under your psychiatrist’s supervision. The intrusive sexual thoughts can be part of the illness or related to anxiety and should also be discussed openly. Your past overdose is an important warning sign, so ongoing close monitoring and support are essential. Do not change or stop medications on your own, but make sure to follow up soon and clearly explain that voices and beliefs are still constant. With the right adjustments—such as dose changes, switching medications, or more advanced options—better symptom control is achievable, and your ability to function and feel stable can continue to improve.

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Dr. Arsha K Isac

I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.

19 days ago

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.

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Dr. Bharat Joshi

I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.

19 days ago

Hello dear
See it seems presence of conditions related with psychosis
It usually happens in
Schizophrenia
Depression
Trauma history
Hyperactivity
Reason is
Change of diurnal cycle of sleep
Emotional instability
Lack of Focus
However it can be modified by following precautions
Do meditation
Take good balanced diet for good health
Engage in social media
Indulge in hobbies like reading and writing
Avoid overthinking
Avoid junk food and alcohol/ smoking
Set your goals for every day
In addition please get following tests routinely for confirmation
CBC
Serum ferritin
Serum tsh
Serum dopamine and serotonin
Serum bradykinin
EMR
Regards
Brain USG
Hopefully you recover soon
Regards

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Dr. Nirav Jain

I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.

19 days ago

Hi, thank you for explaining your situation. From what you’ve described, your symptoms are not primarily caused by the medication change. They are more consistent with an ongoing psychotic illness, and the medicines you’re taking are actually meant to control these symptoms. You have typical features of a psychotic disorder. The fact that your mood has improved suggests the treatment is helping partially. There are a few common reasons for you to still have these symptoms-
1. Partial response to treatment- Psychotic symptoms can take time to fully come under control. Sometimes doses need adjustment or medication changes.
2. Chronic course of illness- These conditions often require long-term treatment.
3, Stress and anxiety- Can worsen voices and intrusive thoughts.
Sexual thoughts can occur in psychotic disorders. They are a symptom of the illness, not your intention or character. Your belief that someone is controlling your thoughts with a machine or medicine is a delusion caused by the illness, not something actually happening. With proper treatment, these thoughts can reduce significantly. Since you are already under treatment, Continue medications exactly as prescribed (do not stop or change doses on your own) & Follow up regularly with your psychiatrist, and tell them clearly that Voices are still present, Delusional thoughts continue & Intrusive sexual thoughts are troubling. Your doctor may Adjust doses, Simplify or change medications or Add psychotherapy/support. Please seek immediate care if Voices tell you to harm yourself or others, You feel out of control, You have thoughts of overdose again or Severe anxiety or inability to sleep. Practical steps to help alongside treatment- Stay connected with family or trusted people. Maintain a regular routine (sleep, meals). Avoid alcohol or substances. Try to ignore/avoid engaging with voices as much as possible. Keep yourself occupied with simple structured activities.
Your symptoms are due to a treatable psychotic condition, not caused by the new medicines. The medications are helping but may need further adjustment. You are on the right path by being under psychiatric care, regular follow-up is the key to improvement.
Feel free to reach out again.
Regards,
Dr. Nirav Jain
MBBS, D.Fam.Medicine

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Dr. Prasannajeet Singh Shekhawat

I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.

19 days ago

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

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