Has anyone heard of OCD with auditory hallucinations? I have a sibling who has long been treated for OCD, Tourette and epilepsy. He is taking Tegretol, Anafranil and Frisum. Since beginning Frisum (about 2 years ago) he is increasingly claiming that he hears people (e.g. neighbors, family members) talking about him when no one is doing so. This is becoming a bigger and bigger problem, as he is increasingly aggressive, confrontational and even threatening at times. His psychiatrist has apparently said that it could be due to his epilepsy or OCD. Any ideas or suggestions would be really appreciated.
OCD is not classified as a psychotic disorder so it would not generally cause auditory hallucinations which are a form of psychosis. There are many other psychiatric disabilities that can cause psychosis however and they are treatable. Auditory hallucinations that come from epilepsy are not psychotic. They are from seizures such as temporal lobe epilepsy that affect the part of the brain that processes thoughts. A neurologist would have to do a further evaluation with an MRI and EEG to see where the auditory hallucinations are coming from because if they are from any form of seizure the medications need to be adjusted. And on occassion some anti-seizure medications can personality changes. There's a lot that could be going on but you would need to speak to the neurologist first and if the auditory hallucinations are classified as psychiatric ask the psychiatrist what specifically is causing them as ocd generally does not cause this but there are other things going on as well.
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