There are many possible causes of hallucinations, including: Temporary causes. Certain mental health conditions. Certain neurological conditions. Side effects of certain medications. Temporary causes of hallucinations The following conditions or situations may temporarily cause hallucinations: Falling asleep or waking up. Being under the influence of alcohol or certain drugs, such as marijuana, hallucinogens (LSD and PCP) cocaine, amphetamines, heroin or ketamine. High fever, especially in children and older people. Severe dehydration. Sleep deprivation. Migraine. Trauma. Severe pain. Grieving. Infections like UTIs, especially in older people. Recovering from anesthesia after a surgery or procedure. Experiencing hallucinations in these ways is usually not a cause for concern. However, if you have an acute medical issue that’s causing them, like an infection or a fever, it’s important to seek medical treatment for the issue. Mental health conditions that may cause hallucinations Schizophrenia is the main mental health condition that causes hallucinations. Schizophrenia refers to both a single condition and a spectrum of conditions that fall under the category of psychosis-related disorders. These are conditions where a person experiences some form of “disconnection” from reality (psychosis), which can include hallucinations. Conditions that fall under the schizophrenia spectrum and may cause hallucinations include: Schizophrenia. Schizotypal personality disorder (which also falls under the category of personality disorders). Delusional disorder. Brief psychotic disorder. Schizophreniform disorder. Schizoaffective disorder. Hearing voices is the most common type of hallucination in people with these mental health conditions. Other mental health conditions that may cause hallucinations include: Bipolar disorder: People with bipolar disorder can experience hallucinations during both severe depressive or severe manic episodes. Major depression with psychotic features (psychotic depression): Major depressive disorder (MDD) with psychotic features is a distinct type of depressive illness in which mood disturbance is accompanied by either delusions, hallucinations or both. Neurological conditions that may cause hallucinations Neurological conditions that may cause hallucinations include: Parkinson’s disease: This condition causes a part of your brain to deteriorate, causing more severe symptoms over time. About 20% to 40% of people with Parkinson’s disease experience hallucinations or delusions. This can also be due to side effects of medications or dementia. Alzheimer’s disease: About 13% of people with Alzheimer’s disease experience hallucinations. Hallucinations are caused by changes within your brain that result from the condition. Lewy body dementia: This condition involves the buildup of clumps of proteins — called Lewy bodies — in your brain’s nerve cells. Lewy bodies damage nerve cells. It can cause hallucinations, and they’re usually visual. They might be one of the first signs of Lewy body dementia. Epilepsy: People who have epilepsy that involves a part of their brain called the temporal lobe can experience hallucinations — most commonly olfactory hallucinations. Narcolepsy: This is a neurological disorder that affects your brain’s ability to control sleep and wakefulness. People with narcolepsy often experience hallucinations just before falling asleep (hypnagogic hallucinations) or just after waking up (hypnopompic hallucinations). Other conditions that can cause hallucinations Charles Bonnet syndrome causes a person whose vision has started to deteriorate to see hallucinations. This condition only causes visual hallucinations. Terminal illnesses, including liver failure, kidney failure, stage 3 HIV/AIDS and brain cancer can all cause hallucinations. Medications that can cause hallucinations Many prescription medications can occasionally cause or worsen hallucinations as a side effect. Elderly people may be at greater risk due to increased sensitivity to medications. Hallucinations caused by medications may be dose-related and usually stop when you discontinue the medication. Your healthcare provider is the best source of information about medication side effects. Never stop taking a medication without speaking to your healthcare provider first.