I have anxiety and ocd, I am medicated for this and medication works well. Sometimes my ocd will start up, instrusive thoughts and constantly checking the cooker etc and I know it's time to increase my dose, so I do have insight.
But lately I'm struggling with a voice in my head, I'm sure it's my voice and nobody else's, and it doesn't come from outside it is definitely in my head. I will be reading the news and for example see an article about someone has died, straight away the voice in my head says "good" or something else just as awful. I would never ever think this way, I am a kind person so it's shocking to hear myself say that.
Or another example I would get very bad anxiety about my babies becoming unwell or something and happening to them, this was very distressing and was more of the post natal anxiety I had. Every now and then I will think something positive about say Christmas coming up and then this voice pops up again saying something like "well they might be dead" etc. it's so hard to explain what I mean.
I'm struggling to sleep lately and when I do start falling asleep I've had scenes play out like a movie where there is a killer who has stabbed someone and then dumping the bodies in the bathroom, just really horrible things that scare the shit out of me. I guess I'm asking, how do you know you're going psychotic ? Does it start slowly with your own voice ?