Evaluation of auditory hallucination in deaf person is a challenging task and there is paucity of standard procedure to evaluate. It was aimed at reporting a post lingual deaf patient with unique experience of auditory hallucination after a long period of not hearing any sound which made us difficult to evaluate. A 42 year old profoundly deaf male presented with hearing voices and persistent communication with that voices; sudden unprovoked aggression; undue suspiciousness; sleep disturbances and poor self care for last one month. As deafness is a strong communication barrier, clinical diagnostic interview was performed carefully by written languages with the help of pen and paper to evaluate his hallucination as well as other psychotic symptoms. Detailed evaluation revealed that the patient had third person auditory hallucination in the form of running commentary which fulfills all criteria of perception. He was a diagnosed case of Schizophrenia and treated with antipsychotics. He responded with medications and discharged for further follow up. A different standardized method to explore such phenomenon in the deaf persons may provide comfort to the clinicians as well as may reduce the suffering of the affected persons.
Auditory Hallucination, Deaf Person, Acquired Deafness, Schizophrenia, Postlingual Deafness