I agree. This is does not sound like psychosis or the classic "hearing voices" of schizophrenia. I have done some work with my T with various ego states I have, and at times I was able to hear their voices in my head. But I was never out of touch with reality. Do you feel out of touch with reality? If so, I think telling the pdoc might be good. If you are firmly grounded in reality and the voices are not causing a lot of functional impairment, I would suggest first trying to work with the voices with your therapist. Good luck.