TL;DR
Visual hallucinations, where you see things that aren’t there, can be unsettling and sometimes deeply confusing.
They range from vivid, detailed images to more subtle, indistinct forms, and they can affect anyone, regardless of age or background.
While these experiences are often misunderstood, understanding their causes and seeking appropriate guidance can help you address them effectively.
What causes visual hallucinations?
Visual hallucinations occur for various reasons, often linked to physical, neurological, or psychological factors.
1. Sleep deprivation
When you don’t get enough sleep, your brain struggles to process sensory information accurately.

This can lead to vivid visual experiences that feel very real, sometimes making ordinary objects appear distorted or creating entirely imaginary scenes.
Prolonged periods without rest significantly increase the likelihood of these episodes, particularly during periods of extreme fatigue.
Ensuring you maintain a consistent sleep schedule and addressing underlying sleep disorders, such as insomnia or sleep apnoea, can help reduce the risk of these unsettling occurrences.
2. Vision loss conditions
Individuals with conditions like macular degeneration, glaucoma, or cataracts may experience Charles Bonnet Syndrome.
This phenomenon causes the brain to “fill in the gaps” left by impaired vision, creating hallucinations that often appear as intricate patterns or even recognisable figures.

These hallucinations, although vivid, are usually not a sign of mental illness. They can vary greatly, ranging from simple geometric shapes to complex scenes involving people or animals.
Understanding that these occurrences are common among individuals with gradual vision loss can provide reassurance and encourage seeking medical advice to manage symptoms effectively.
3. Neurological disorders
Conditions such as Parkinson’s disease, Alzheimer’s disease, and epilepsy are known to trigger visual hallucinations. Changes in brain chemistry and nerve function can cause you to perceive things that aren’t physically present.
These hallucinations might involve vivid colours, patterns, or even recognisable objects and people. For those with Parkinson’s disease, such episodes are often linked to medication side effects, while Alzheimer’s may produce hallucinations as the disease progresses and affects perception.
Recognising these connections and discussing them with healthcare professionals can lead to tailored treatment plans, helping to minimise their impact on daily life.
4. Mental health issues
Schizophrenia and other psychiatric disorders often involve hallucinations, including visual ones. These are typically accompanied by other symptoms, such as delusions or auditory hallucinations.
Visual hallucinations in schizophrenia may manifest as vivid images of people, animals, or even abstract scenes. They can be distressing, influencing behaviour and emotional responses. For individuals with bipolar disorder during manic or depressive episodes, hallucinations may also occur, adding complexity to their experiences.
Early diagnosis and comprehensive treatment, including therapy and medication, are vital for managing these symptoms and improving overall quality of life.
5. Substance use or withdrawal
Alcohol, recreational drugs, or certain medications can affect how your brain processes visual information. Hallucinations may occur during intoxication or withdrawal, particularly with substances like LSD or alcohol.
6. Medical conditions
Hallucinations can arise due to high fever, infections, or conditions like migraines. For instance, migraine auras sometimes manifest as geometric patterns or bright, flashing lights. These episodes can be brief or prolonged, varying in intensity and frequency.
Conditions such as encephalitis or severe dehydration may also contribute to hallucinations, underlining the importance of addressing the root medical issue.
7. Stress and fatigue
Intense stress or extreme physical exhaustion can trick your brain into misinterpreting what you see. This might result in fleeting or persistent hallucinations.

Identifying and understanding the experiences
Recognising visual hallucinations is an important first step. You may wonder if what you’re seeing is real or a product of your mind. It’s helpful to ask yourself a few questions:
- Does the image persist when you blink or look away?
- Can others see what you’re seeing?
- Are there any triggers, such as stress or certain environments, that coincide with these occurrences?
Understanding your experiences and keeping track of patterns can be valuable when discussing them with a medical professional.
How are visual hallucinations diagnosed?
When you experience visual hallucinations, seeking medical advice is crucial. A healthcare professional will evaluate your symptoms, medical history, and lifestyle to pinpoint the underlying cause. Tests may include:
- Eye examinations: To rule out vision-related conditions.
- Neurological assessments: To check for disorders like epilepsy or Parkinson’s disease.
- Mental health evaluations: To identify any psychological factors contributing to the hallucinations.
- Imaging tests: MRI or CT scans can provide insights into brain health and structure.
Guidance for managing visual hallucinations
Once the cause is identified, there are several approaches to managing visual hallucinations effectively:
1. Treat the underlying condition
Addressing the root cause often reduces or eliminates hallucinations. For instance, treating an infection or adjusting medication might resolve the issue.
2. Seek support
Discussing your experiences with trusted friends, family, or support groups can reduce feelings of isolation. Sharing can help you feel understood and supported.
3. Engage in relaxation techniques
Practices such as mindfulness, yoga, or deep breathing can help reduce stress, a common trigger for hallucinations.
4. Maintain a healthy routine
Ensuring you get enough sleep, eat balanced meals, and stay hydrated can improve overall brain function and reduce episodes.
5. Use professional guidance
Consulting with specialists, such as neurologists, psychiatrists, or ophthalmologists, ensures you receive tailored advice and treatment.
When should you seek immediate help?
While some hallucinations are benign, others may signal a serious underlying condition. Seek medical attention if:
- They interfere with daily activities or cause significant distress.
- Hallucinations are frequent or persistent.
- They occur alongside other symptoms, like severe headaches, confusion, or memory loss.
Final notes
Visual hallucinations, while disconcerting, are often manageable with the right knowledge and support.
Understanding their causes, recognising patterns, and seeking appropriate care can make a significant difference.
Remember, you’re not alone, and professional guidance is available to help you regain control over your experiences.