My DS 13, had an episode of self harming in Sept, he said back then that people are talking in his head and have been doing for ages but doesn't bother him, then Friday he self harmed again after a break and said the voices are alway arguing, we ended up at a and e for an assesment, he told a and e that he is overwhelmed in school everything is too noisy and that the arguing doesn't help. . He's been referred back to camhs and also EIT and EDIT. How worried should I be? Should mention that DS has high functioning autsim, was diagnosed at 7, although in recent years I have questioned that diagnosis as he has an amazing imagination and always has, in fact it says on his diagnosis report that Ds often goes off on a flight of fancy. He has always alway made many claims that are clearly false, like making pac man, being the best basketball player, having a dinosaur in his back yard, so could it not just be imagination?
He said the voices are 2 people, not directly speaking to him just always arguing between themselves, last argument was about toast apparently .
Also last year he contacted the police about being followed, police followed it up with cctv said it didn't happen and DS is still adament it did and seems very confused by it.
My dad had a pyschotic episode after an heart attack when he was 40, so not sure that counts as was triggered.