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What is Paracusia?

Tricia Christensen
Tricia Christensen
Tricia Christensen
Tricia Christensen

Paracusia (plural: paracusiae) is medical term that can be alternately defined as auditory hallucinations. This can include things like hearing voices, hearing distortion of voices, or hearing things like music. Symptoms of paracusia are most noted in conditions like schizophrenia and the manic phase of bipolar disorder, though they can occur for reasons not connected to mental illness.

Experiencing paracusia is often thought of as very negative and a sign of extreme mental illness. This is not always the case. There are a number of people who have suffered hearing loss who continue to hear voices or sounds. Brain lesions that result in hearing loss may have a connection to the condition. At other times brain tumors or brain injury can cause paracusia to emerge, even when a person is mentally stable.

Experiencing paracusia is not necessarily a sign of mental illness.
Experiencing paracusia is not necessarily a sign of mental illness.

Some people have very mild paracusia, and voices or sounds heard are easily ignored and don’t provide too much distraction from daily living. For others having to cope with sounds and voices that seem very real, and yet aren’t, can create numerous problems. They may cause significant difficulty in concentrating and often a mistaken belief that a person is clearly “mentally ill” because he or she hears voices.

Paracusia may include hearing voices.
Paracusia may include hearing voices.

One organization that has taken an interesting approach to paracusia is the Hearing Voices Network, founded in England in 1988. Though this group clearly understands that auditory hallucinations may be the result of mental illness, they also have taken the approach that many people with auditory hallucinations never manifest other symptoms of mental illnesses. As a result, people may learn through methods like cognitive behavioral therapy to adapt to paracusia and find coping mechanisms for it, especially when stigma associated with the condition is not present.

Auditory hallucinations may be experienced during periods of high fever.
Auditory hallucinations may be experienced during periods of high fever.

Auditory hallucinations can be temporary too. If you’ve ever had a high fever you may remember hearing distorted voices or sounds that didn’t truly exist. These extra sounds that you can’t account for can be frightening especially when they are unfamiliar. Moreover, in some cases, it matters what is said as much as the fact that anything being said doesn’t exist. Some people hear consistently negative voices that recommend very dangerous courses of action, like hurting others or hurting one’s self. These hallucinations may be particularly dangerous and may be most associated as manifesting from psychotic conditions.

Someone dealing with paracusia may find it difficult to concentrate.
Someone dealing with paracusia may find it difficult to concentrate.

On the other hand, things heard might be relatively harmless, somewhat annoying, or simply startling. Fortunately, organizations like the Hearing Voices Network have become strong advocates for understanding the many potential causes of paracusia. Nevertheless, if you are experiencing this condition, you shouldn’t dismiss it as wholly benign. Finding out what is causing auditory hallucinations may be tantamount to ending this condition or learning to cope with it.

Tricia Christensen
Tricia Christensen

Tricia has a Literature degree from Sonoma State University and has been a frequent WiseGEEK contributor for many years. She is especially passionate about reading and writing, although her other interests include medicine, art, film, history, politics, ethics, and religion. Tricia lives in Northern California and is currently working on her first novel.

Learn more...
Tricia Christensen
Tricia Christensen

Tricia has a Literature degree from Sonoma State University and has been a frequent WiseGEEK contributor for many years. She is especially passionate about reading and writing, although her other interests include medicine, art, film, history, politics, ethics, and religion. Tricia lives in Northern California and is currently working on her first novel.

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    • Experiencing paracusia is not necessarily a sign of mental illness.
      By: Monkey Business
      Experiencing paracusia is not necessarily a sign of mental illness.
    • Paracusia may include hearing voices.
      By: Štěpán Kápl
      Paracusia may include hearing voices.
    • Auditory hallucinations may be experienced during periods of high fever.
      By: kmiragaya
      Auditory hallucinations may be experienced during periods of high fever.
    • Someone dealing with paracusia may find it difficult to concentrate.
      By: Petro Feketa
      Someone dealing with paracusia may find it difficult to concentrate.
    • People suffering from paracusia may benefit from cognitive behavioral therapy.
      By: Photographee.eu
      People suffering from paracusia may benefit from cognitive behavioral therapy.
    • Individuals suffering with schizophrenia may experience paracusia and inappropriate emotional responses.
      By: Scott Griessel
      Individuals suffering with schizophrenia may experience paracusia and inappropriate emotional responses.
    • There may be a connection between paracusia and brain lesions that cause hearing loss.
      By: slasnyi
      There may be a connection between paracusia and brain lesions that cause hearing loss.