I don't hear voices. loud muttering at times. Like you're at a loud party but can't really hear anything. I always equated it to a migraine until I was on an anti psychotic for other reasons. I get the bug sensation and the everyone hates me paranoia. I was diagnosed (still am) with bipolar for years. The only one that knows my diagnosis changed IRL is my husband and treatment team. Everyone else knows I have bipolar. I was not surprised when I was told they (dx team) tried to brace me for the dx but I knew what I was walking into.