Why can't I tell what's real?

If you’re struggling to tell what’s real and what’s not, you’re not alone. This can happen because of certain mental health conditions, but support is available and things can get better.

What affects your sense of reality?

Hallucinations

Hallucinations are sensations - like hearing, seeing, or feeling things - that seem real to you but aren’t actually there. They can be linked to mental or physical health conditions. They might feel confusing or scary, but you can get help.

Learn more about hallucinations here.

Schizophrenia

Schizophrenia is a mental health condition that can change the way you think, feel, and behave. Some people living with schizophrenia experience hallucinations or delusions (false beliefs), making it hard to know what’s real. With the right support, people affected by schizophrenia can live fulfilling lives.

Read about schizophrenia here.

Dissociation and dissociative disorders

Dissociation can make you feel disconnected from your body or surroundings. You might have memory gaps, feel emotionally numb, or feel like you’re watching your life from outside yourself. Dissociative disorders are often triggered by stress or trauma and can affect your sense of reality.

Learn about dissociation here.

You’re not alone

If these experiences are affecting you, remember that support is available. Reaching out to a medical professional or mental health service can help you understand and manage your symptoms.