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

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.

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

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

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