Feeling suspicious of others, having strange thoughts or feeling like hearing voices or seeing people no one else could see

Hearing voices, seeing things others can’t, and having unusual beliefs can be scary and confusing. You may start to notice things that seem real, but that no one else sees or hears. For you, everything seems incredibly real, and this can cause fear or discomfort. These experiences are part of a condition where someone loses touch with reality, called psychosis. It often starts in late adolescence or early adulthood, but some kids show early signs.

These experiences don’t mean you’re “making it up” or trying to get attention. They show that your brain is processing information differently, making it harder to differentiate between what’s real and what’s imagined. Not everyone with these signs will develop full psychosis, but early help can make a big difference. Simple changes like reducing stress and getting enough sleep can help. It’s important to notice these signs early so that kids can get the support they need to stay healthy and happy.

What is typical?

It’s normal for kids and teens to have active imaginations and sometimes believe in things that aren’t real, like imaginary friends or fantasy stories. As you grow, your understanding of what’s real and what’s not becomes clearer.

• By age 5,most kids know that imaginary things aren’t real and can distinguish between fantasy and reality.
• By age 10,kids usually understand the difference between fantasy and reality. They can tell when something is pretend, like in movies or games.
• As a teen,it’s also typical to question beliefs and explore new ideas.

This is part of growing up and figuring out who you are. However, if these experiences become too intense or start affecting daily life, it might be time to pay closer attention.

When should I be concerned?

Sometimes, hearing or seeing things can be a sign of a bigger problem. If you or a friend starts believing things that aren’t true or acting in ways that seem strange, it might be a concern. These experiences can be confusing and scary, and they might make it hard to focus on school or hang out with friends. Here are some things to look out for:

• Hearing voices: You might hear voices that others don’t hear, as if someone is speaking to you when no one is around. This can be unsettling and make you feel alone.
• Seeing things: You might see things that aren’t there, like shadows or figures that others can’t see. This can be frightening and confusing.
• Strange beliefs: You might believe things that aren’t true, like having special powers, thinking someone is out to get you, or that there are hidden cameras in the house. These beliefs can make you feel different from others.
• Confusing thoughts: Your thoughts might be mixed up or hard to understand, making it difficult to concentrate or communicate with others.
• Feeling controlled: You might feel like someone is controlling your thoughts or actions, which can be scary and make you feel powerless.
• Acting differently: You might act in ways that seem odd to others, like talking to yourself in public or behaving in unusual ways.

If these things happen, it’s important to talk to someone you trust, like a parent, teacher, or counselor. Remember: it’s not “drama” or “imagination.” When these experiences recur or disrupt your life, it’s a sign that it’s worth seeking support.

What can I do if I (or a friend) struggle?

If you or a friend is experiencing these things, there are ways to get help. Here are some things to try:

1. Talk to someone: Share your feelings with a trusted adult or friend. They can offer support and help you understand what you’re going through.
2. Keep a routine: Stick to regular sleep, meals, and exercise. A steady routine can help you feel more in control and balanced.
3. Avoid stress: Find ways to relax, like deep breathing or meditation. These techniques can help calm your mind and reduce anxiety.
4. Stay drug-free: Avoid drugs and alcohol, especially marijuana, as they can worsen your experiences and make thoughts even more confusing and frightening.
5. Stay connected: Spend time with friends and family. Being around people who care about you can provide comfort and support.
6. Do what you love: Engage in activities that make you happy, like hobbies or sports. Doing things you enjoy can lift your mood and keep you focused on positive experiences.
7. Address anxiety: Talk about any worries or fears with someone who can help. Understanding and addressing your feelings can make them less overwhelming.

Remember that no one has to face these experiences alone: asking for help is a sign of self-care, not weakness.

What kind of professional support can I seek out?

If you are having any of these experiences, it’s important to get help quickly. Early intervention can significantly improve outcomes. Do not delay seeking help if you are concerned. It’s okay if you don’t know where to start.

You can talk to your pediatrician, general practitioner, or a professional at your nearest Basic Health Unit (UBS). They can refer you to other specialists, such as mental health professionals. Mental health professionals can help you figure out what’s going on and what to do next. Getting help early can make a big difference in feeling better and staying healthy. Remember, asking for help is a strong and brave thing to do.

What you’re feeling is real to you, and it’s okay to need help dealing with it. The important thing is that you can return to your routine with greater security, well-being, and support.

Public services are also available through the Unified Health System (SUS). You can find support at places like your local Basic Health Unit (UBS), Child and Adolescent Psychosocial Care Centers (CAPS i), and public outpatient clinics.