 [ Symptoms ] are there situations where a schizophrenic can not differeniate between visual hallucinations and reality [ Disease ] absolutely to the schizophrenic the things they are hearingseeing are absolutely real if you hear someone call your name you are going to turn around and see who it was right because you know in your mind you heard a real person call your name it is the same with schizophrenia the voices and people they see in their hallucinations are absolutely 100 real and it is a very bad idea to try and convince himher otherwise