ABSTRACT
This chapter provides a case of a 40-year-old deaf man in the emergency department who presents with a problem that is 'hearing voices'. Deaf people can experience language-based hallucinations. For profoundly deaf people this is in signs and lip patterns. There are also four main centres for child and adolescent mental health. Particularly for deaf people with complex or severe problems, these centres should be utilized where possible. Where generic services are accessed it is essential to have good communication and this means arranging a qualified interpreter for any meetings. A good care plan would likely include cognitive behaviour therapy delivered in BSL, good social support from family and friends, continued employment if possible and a gradual 'back to work' plan if not, possibly a deaf support group if available, and pharmacotherapy if necessary.
