Brief Answer: Please, get her evaluated. Detailed Answer: Hi, Thank you so much for trusting us with your health query. I am so sorry to hear about these hallucinations your mom has and the disturbing messages she is getting. I hope together we would be able to address this and offer solutions. 1. If these hallucinations just developed over the past few days, then they may actually be caused by an infection. The most common cause of symptoms like this is elderly(delirium which includes disorientation) is an infection especially urinary tract infection. Check for some symptoms of infection like frequent urination, urinary incontinence, fever, cough, etc. Supposed this is the case with your mother, then I will suggest that she gets evaluated and treated accordingly. 2. However, if nothing suggests that there is a possible cause to this, we may want to qualify this as acute psychotic disorder. Again, the duration of symptoms must be noted to make the right calls here. 3. For sure we have drugs that can be used in persons who have hallucinations. Prescribing these drugs without investigating and treating fro possible cause like infections and metabolic imbalances would not be a great idea. I will suggest that you get her consulted by her primary care doctor. If no possible cause of this is found, then she shall be prescribed antipsychotic medications to help her with this. 4. Also, ask mom whether she is getting any XXXXXXX messages from these persons like asking her to commit suicide, set the house on fire, harm someone, etc. If she does, then getting her to the hospital as soon as possible would be very helpful. Also, do not let her be unattended until this problem is resolved because we never know what the next instructions would be. 5. Can you tell me how her memory has been? Is she able to remember things well, carry on a discussion, find her way around the house, etc? 6. I am sorry for not prescribing any medication at this time. This is in the best interest of your mother. I will not want to stop the hallucinations without addressing what the possible cause is. It wouldn't be the standard of care I would like my mother to receive from any other doctor in my absence. I hope you find this helpful. I wish her well. Thank you so much for using our services and please do feel free to ask for more information if need. Thanks. Dr. Ditah, MD.

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