I've had psychotic episodes and have had them since I was a child. Mostly visual hallucinations, but I've also had auditory ones. As far as hospitalization I've been hospitalized once and this was when I received my diagnosis at 31 years. I agree that it's probably a good idea to let your pdoc know, in saying that I've never called my pdoc regarding them and just let her know at my next appointment. It's one of her standard questions, but she has never suggested I go to the hospital immediately. I would suggest letting a friend, significant other, and/or family member know.....I never do that either. I'm not the best example of what a person should do.