Visual & Auditory Hallucinations

Behavioral Concerns

Seeing or hearing things that are not present in dementia, Lewy Body disease, or Delirium.

Hallucinations are false perceptions (seeing visual figures or hearing voices). They require subspecialty evaluation because patients with Lewy Body disease possess severe sensitivity to conventional antipsychotics.

Seeing strangers in bedrooms, small animals, or moving shadows
Hearing voices whispering or footsteps in a silent house
Misinterpreting hanging clothes as intruding people (illusions)

Alpha-synuclein pathology in Lewy Body Dementia & Parkinson's
Acute medical Delirium caused by UTIs or chest infections
Sensory visual deficits (Charles Bonnet Syndrome)

Sudden onset of visual hallucinations over hours (indicates Delirium emergency)
Hallucinations causing intense terror or escape attempts

Delirium & infection medical screening
Ultra-safe, low-dose modern atypical psychotropics
Improving indoor lighting & emotional reassurance