but now I ' m just worried I ' ll get thrown into a mental institution and loose control . You watch too many movies . Hallucinations and delusions are like the big HEY SOMETHING ' S UP signals that most therapists psychiatrists look out for , and ask about . I assume this is because , for many people , this activity increases with stress , and can be a precursor or predictor of a psychotic episode . It ' s not a sign of losing control , though it can be so distracting and overwhelming that it feels that way . Hallucinations , in particular , are not all that uncommon . I ' d advise telling your psych , because if they don ' t know your symptoms then they aren ' t treating you for them . right ? Consider if this was a physical problem rather than a mental one . If you had a broken arm , but never told your doctor you experienced arm pain , they wouldn ' t be able to treat it , and you ' d suffer more in the long run . But speaking up allows them to test the extent of the damage , and treat it . Anecdotal evidence says hallucinations , especially persistent ones , aren ' t likely to diminish much with medication but meds can help with focus , depression , and motivation , which in turn makes coping with hallucinations easier . Admitting it . is hard . I ' ve been trying to be open and honest about my issues over the past year or two , and it ' s still hard . Saying it ' s hard is fine ! Telling your therapist this is going to sound stupid crazy weird is fine . Be glad that you recognize it ' s not an accepted part of consensual reality . Be glad you ' re selfaware enough to go hey , that ' s not quite right , is it ? but be flexible and forgiving enough that the experience doesn ' t label you as a person . Hope this helps .