Skymonk,

The article above talks exactly about what you're talking about. There are differences in voices in your head (part of pseuedohallucinations) and voices outside of your head (hallucinations). I tend to think that many people have voices inside their head and I agree with deliquesce that it could stem from PTSD. I know almost all people with eating disorders have negative voices inside their head listing negative actions, words anything. So you are not alone.

JuneRain,

I think insanity is such a lucid point constantly moving that there really is no definitive way to answer that. Though pseudohallucinations do not seem to be taken as seriously as hallucinations it's gotta be the start to knowing you're going insane IF as they say hallucinations stem from psuedohallucinations. So, in my case, I feel like I know I am going to go insane because I've had pseudohallucinations followed by hallucinations that were both auditory, tactile and visual. People always say if you think you're crazy you're not but knowing that you are experiencing something that nobody else is experiencing, or something that is not real is a form of insanity, no? Just my wild stab at answering your question. Hope you got something out of it.

Love and Hugs,
Tara