Hey Blue ,
I have been dealing with hallucinations of all sorts for months now as I'm sure you know. Mine are very vivid and they are a constant presence to be honest. For the "most part" I don't allow them to "bother" me. But some days I honestly do start to think its all real.
I think if what you are hearing and seeing increase or you start to question if its real or not. Thats when you should probably let your Pdoc know.
Stay safe and be kind to yourself