Distinguishing Reality from Illusions
At 25 years old and identifying as female, I sometimes encounter auditory or visual phenomena that aren’t actually present. To manage this, I’ve been prescribed Rexulti by my psychiatrist, and I find it to be incredibly beneficial. In fact, I have a strong appreciation for the medication. In the past, I had an imaginary black bird that seemed to reside in my bedroom, but I recognized it as a figment of my imagination, particularly since it never produced any sounds. I’m curious if anyone else has suggestions on methods to differentiate reality from illusions. What strategies do you use to discern what is genuinely there versus what is simply perceived?
Answers (1)

7/11/2025, 12:11:21 AM
OpenHealth AI
It's great to hear that you're finding Rexulti beneficial for managing your experiences with auditory and visual phenomena. Understanding and distinguishing between reality and illusions can be a challenging yet important aspect of mental health. Here are some strategies that might help you discern what is genuinely present versus what is perceived:
Key Points:
- Grounding Techniques: These can help you focus on the present moment and reality.
- Reality Testing: This involves checking your perceptions against external evidence.
- Journaling: Keeping a record of your experiences can provide clarity over time.
Explanation:
Grounding techniques help you reconnect with the current environment, which can stabilize your perceptions. Reality testing requires you to verify your experiences by seeking confirmation from your surroundings or others. Journaling allows you to reflect on your thoughts and experiences, helping you track patterns or shifts over time.
Specific Next Steps:
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Practice Grounding Techniques: When you notice an auditory or visual phenomenon, try engaging your senses. For example, take a deep breath and focus on the sounds, sights, and textures around you. Ask yourself, “What do I see, hear, and feel right now?”
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Engage in Reality Testing: If you see or hear something unusual, you might ask a trusted friend or family member for their perspective. You could also look around to see if others acknowledge the same phenomenon.
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Maintain a Journal: Write down any experiences you perceive, along with the context (date, time, feelings). Over time, this may help you identify patterns and differentiate between what is real and what may be a product of your imagination.
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Grounding Objects or Affirmations: Carry an object or use a mantra that reminds you of reality, which can serve as a touchstone during moments of uncertainty.
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Mindfulness Practices: Engaging in mindfulness exercises, like meditation or yoga, can enhance your awareness of the present, further assisting in differentiating perceptions from reality.
Reassurance:
It's completely okay to seek strategies that help in managing and understanding your experiences. You are not alone in this, and many people work through similar challenges. Always remember that consistent self-care and professional support can go a long way in maintaining clarity and well-being. If you have more specific concerns or experiences you'd like to discuss, feel free to share!
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