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What causes hallucinations? Mental illnesses . Mental illnesses are among the most common causes of hallucinations. Schizophrenia, dementia, and delirium are a few examples. Substance abuse . Substance abuse is another fairly common cause of hallucinations.
Other types of auditory hallucination include exploding head syndrome and musical ear syndrome. In the latter, people will hear music playing in their mind, usually songs they are familiar with. This can be caused by: lesions on the brain stem (often resulting from a stroke); also, sleep disorders such as narcolepsy, tumors, encephalitis, or abscesses.