Clinical Symptoms of Hallucinations in Accordance with The Stages

Patients with hallucinations tend to withdraw, often found sitting with eyes fixated on one particular direction, smile or speak for themselves, suddenly angry or attacking others, anxiety, motion like he was enjoying something. Also a description of the patient's own hallucinations she experienced (what is seen, heard or felt). The following is based on clinical symptoms of hallucinations (Budi Anna Keliat, 1999):

Stages of Hallucinations

There are four stages of hallucinations, namely (Stuart and Laraia, 2001):

1. Comforting
Clients experiencing deep feelings as moderate anxiety, loneliness, guilt and fear and try to focus on pleasant thoughts to relieve anxiety. Here clients smile or a laugh that does not fit, move the tongue without sound, rapid eye movement, silent and absorbed.

2. Condemning
At severe anxiety, sensory experience disgusting and frightening. Clients started regardless of control and may try to distance himself with the source of the perceived. Here increased signs of autonomic nervous system as a result of anxiety such as an increase in vital signs (heart rate, respiration and blood pressure), cool with sensory experiences and lost the ability to distinguish hallucinations with reality.

3. Controlling
At severe anxiety, the client stops to stop the resistance against hallucinations and give in to the hallucinations. Here the client is difficult to relate to others, sweating, tremor, unable to obey the orders of others and are in a very stressful, especially if it will relate to other people.

4. Consquering
Panic occurs in sensory experience be threatened if the client follows the command hallucinations. Here occurred violent behavior, agitation, withdrawal, are not able to respond to complex command and not able to respond more than one person. The client's condition is very dangerous.


Signs and symptoms

Stage 1: hallucinations are unpleasant
Clinical symptoms:

• Laugh are not appropriate.
• Moving his lips without speaking.
• Rapid eye movement.
• Talk slow.
• Shut up and mind filled with something exciting.

Stage 2: hallucinations are disgusting

• Clinical symptoms:
• Anxious.
• Decreased concentration.
• Inability to distinguish real and unreal.

Stage 3: hallucinations are controlling

• Clinical symptoms:
• Tend to follow hallucinations.
• Difficulty relating to others.
• Attention or concentration decreases and rapidly changing.
• Severe anxiety (sweating, trembling, unable to follow the instructions).

Stage 4: hallucinations are conquering

• Clinical symptoms:
• Patients follow hallucinations.
• Not being able to control themselves.
• Not being able to follow the real command.
• At risk of injuring themselves, others and the environment.