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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.
In some cases dementia may be reversible. Alzheimer's disease is the most common cause of dementia in people older than age 65. Delirium is a sudden change in how well a person's brain is working (mental status). Delirium can cause confusion, change the sleep-wake cycles, and cause unusual behavior.