I think Gretta had great advice. And the sounds I hear come from inside and outside as well. Usually the tv sound and voices come from inside. And clicking and phone ringing etc come from outside. It's also weird, as someone else mentioned, that I hear them in certain parts of my brain, it actually feels like that's where the sound is coming from. He may need a different med. Most of mine that took away voices usually worked within a couple days. And I have had it go from voices to tv sounds. Tv sounds are distracting and annoying but they tend to take away the danger of hurting others. It still makes me want to hurt myself though when the noise won't stop. An anti anxiety helps me, I take Xanax as needed, to ease my anxiety and discomfort when the voices happen since I've had really bad side effects on antipsychotics. It's good you're working on treating him young. It's easy to turn to self harm, alcohol, and other drugs, to self medicate. Make sure he knows to come to you when he has urges to hurt something, that you won't get mad. That he knows you'll work with him, talk it through if he wants (you can talk about what they are saying and what the practical implications of obeying them are and that they lie a lot), or you can just be there with him as an accountability partner so he knows that someone is with him if that makes it easier to not listen to them, or you can take him to the hospital if that's what he feels he needs at the time. I also take sleeping pills when things get bad cause that is often my only escape from the voice, but it's not a long term fix, but it helps when I'm sleep deprived or losing my ability to make wise decisions. It's prescribed and strong so I need to be semi monitored when I'm on it. I don't know if any of that helps. I'm sorry you and your kid are having to deal with this.