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Tactile Hallucination - Causes, Symptoms, and Treatment

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Tactile hallucination is the false perception of physical sensations, such as touch or movement, without any external stimuli. Let us know more.

Written by

Dr. Aaliya

Medically reviewed by

Dr. Abhishek Juneja

Published At February 12, 2024
Reviewed AtFebruary 12, 2024

Introduction

Perceptions that happen when there are no outside stimuli present are known as hallucinations. Particularly, tactile hallucinations include erroneous impressions of touch or feeling on the body in the absence of any real physical contact or reason. These feelings might be described as burning or tingling, as insects crawling on the skin, or even as the feeling of something or someone touching or grabbing. This article will explore its causes, symptoms, and treatment approaches.

What Are Tactile Hallucinations?

The term tactile hallucinations describes the experience of sensations, particularly those about touch or feeling, that are not genuine. The sense of being touched, pressure applied to the skin, tingling, burning, or the impression of insects crawling on or beneath the skin are some examples of these feelings. They frequently take place in the absence of physical touch or the real existence of the stimuli being felt, and they happen when no external stimuli are creating these sensations. Many illnesses, mental diseases, drug misuse, and sensory deprivation are linked to tactile hallucinations.

What Are the Causes of Tactile Hallucinations?

Tactile hallucinations can stem from various underlying causes, spanning neurological, psychiatric, or environmental factors. Some of the primary causes include:

1. Neurological Conditions:

  • Parkinson's Disease: Due to changes in the chemistry and structure of the brain, people with Parkinson's disease may experience tactile hallucinations.
  • Epilepsy: Tactile feelings are one type of sensory hallucination that can be brought on by seizures.
  • Brain Tumors or Lesions: Damage or anomalies in the brain, such as tumors or lesions, can cause hallucinations by interfering with the way that senses are processed.

2. Psychiatric Conditions:

  • Schizophrenia: The range of hallucinations that people with schizophrenia experience includes tactile hallucinations.
  • Substance Use Disorders: By altering the central nervous system, some medications or drug withdrawal can cause tactile hallucinations.
  • Mood Disorders: Mood illnesses such as bipolar disorder, major depression, or others can occasionally cause tactile hallucinations in their sufferers.

3. Hypersensitivity or Deprivation of Sensations:

  • Separation or Lack of Sensations: Hallucinations of all kinds, including tactile ones, can result from extended seclusion or a deficiency of sensory input.
  • Hypersensitivity: Excessive sensitivity to stimuli can lead to misunderstandings and erroneous impressions of touch or feeling.

4. Medication Adverse Effects:

Tactile hallucinations are a rare adverse effect of several drugs, particularly those that impact the central nervous system.

5. Additional Factors:

For many people, stress, sleep deprivation, extreme exhaustion, or traumatic situations can also cause hallucinations, which include physical sensations.

What Are the Symptoms of Tactile Hallucinations?

Tactile hallucinations can cause a wide range of feelings and experiences, such as:

  • Formication: People frequently describe this experience as having insects crawl on top of or beneath their skin. People who experience this common tactile hallucination frequently report feeling as though ants, spiders, or other minute animals are moving across their skin. It may be felt throughout the body or restricted to a particular location.
  • Burning or Prickling feelings: Burning, tingling, or prickling feelings can happen to people for no apparent reason. These feelings may be localized or pervasive across the body, and they can range in intensity from moderate to severe.
  • Electric Shocks or Jolts: A few people have described experiencing abrupt, intense pain that seems similar to electric shocks or jolts. These feelings may come on suddenly or often, in reaction to specific stimuli, or at random.
  • Temperature Changes: Feelings of intense heat or cold that are unrelated to the real environment might occur during tactile hallucinations. People may experience sensations of being burnt or chilled, even in the absence of any external events triggering these feelings.
  • Sensations of Pressure or Tightening: Some people may feel as though their skin or other parts of their body are being compressed, squeezed, or tightened. It could feel like a band is tightening around a certain body area or like someone is holding them firmly.

How to Diagnose Tactile Hallucinations?

A comprehensive assessment by a medical expert, typically a psychiatrist, neurologist, or primary care physician, is necessary to diagnose tactile hallucinations. The following steps are often included in the diagnostic process:

  • Medical History: A thorough medical history encompassing the onset, duration, frequency, and features of the tactile sensations will be obtained by the healthcare professional. Inquiries concerning medication usage, substance abuse, mental health history, underlying medical issues, and recent stresses in life will also be made.
  • Physical Examination: To rule out any underlying medical disorders that might be causing the hallucinations, a physical examination is performed. The medical professional may look for physical symptoms or anomalies in the nervous system.
  • Psychosocial Assessment: If the tactile hallucinations are thought to be connected to a mental illness such as schizophrenia, depression, or bipolar disorder, a comprehensive psychosocial assessment is essential. To ascertain whether the hallucinations are a component of a more extensive mental health disorder, the psychiatrist may evaluate additional symptoms and behaviors.
  • Laboratory Tests: In order to rule out physical reasons or identify any underlying illnesses, infections, or imbalances that may be causing the hallucinations, a laboratory inquiry, such as blood testing, may be required. Tests for drug levels, thyroid function, and other metabolic indicators may be included in this series.
  • Neurological Examination: When disorders of the nervous system or problems pertaining to the brain are suspected, a neurological examination may be required. Imaging tests such as MRIs (magnetic resonance imaging.) and CT (computed tomography) scans may be necessary in order to look at the anatomy of the brain and find any anomalies.
  • Collaboration and Referral: Depending on the results, several professionals may be required to work together. It may be suggested to make a referral to a psychologist, neurologist, or other expert for additional assessment or targeted therapies.
  • Diagnostic Criteria: When examining mental diseases linked to tactile hallucinations, the healthcare professional may base their diagnosis on recognized diagnostic criteria from standardized tests such as the Diagnostic and Statistical Manual of Mental Diseases (DSM-5).

How to Treat Tactile Hallucinations?

Whenever feasible, treating the underlying cause is necessary for treating tactile hallucinations. Depending on the illness that is generating the hallucinations, the treatment plan may involve any of the following:

  • Medication Management: Antipsychotics, mood stabilizers, or antidepressants may be taken if the hallucinations are caused by a mental illness such as schizophrenia, bipolar disorder, or severe depression. These drugs try to control symptoms and lessen hallucinations' frequency or power.

  • Psychotherapy: Counseling, such as supportive therapy or cognitive-behavioral therapy (CBT), might be helpful. It assists people in managing stress, comprehending and adjusting to their hallucinations, and creating plans to lessen their influence on day-to-day activities.

  • Treatment for Underlying Medical Conditions: Treating the underlying problem is essential if tactile hallucinations are brought on by a neurological illness or medical condition. This might entail certain medical procedures, surgeries, or other actions aimed at the underlying problem.

  • Substance Use Treatment: Seeking help via counseling, support groups, or rehabilitation programs can be crucial in controlling and overcoming addiction or dependency if the hallucinations are connected to substance use or withdrawal.

  • Lifestyle Adjustments: A nutritious diet, regular exercise, stress reduction, better-sleeping patterns, and adoption of stress-reduction techniques can all help lessen the symptoms of tactile hallucinations.

  • Medication Adjustment: In cases where tactile hallucinations are a side effect of certain medications, adjusting the dosage or switching to alternative medications under medical supervision might be necessary.

  • Support Networks: Building a strong support network involving family, friends, or support groups can provide emotional support and practical assistance in managing the challenges posed by hallucinations.

Conclusion

A complicated and fascinating part of human perception is tactile hallucinations. It is essential for accurate diagnosis and treatment to comprehend their symptoms, possible causes, and effects on specific people. Providing comprehensive care and support for those afflicted by tactile hallucinations requires a multidisciplinary approach that is empathetic toward these experiences and takes into account both medical and psychological concerns. In order to further our understanding of these occurrences and better assist those who are experiencing these perplexing experiences, more study on them is needed.

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Dr. Abhishek Juneja
Dr. Abhishek Juneja

Neurology

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