Same here but how do we know when we suddenly think of something (sometimes like total random recall or random idea) that it is not just a healthy version of th

Same here but how do we know when we suddenly think of something (sometimes like total random recall or random idea) that it is not just a healthy version of the voices that folks with mental illness hear? Maybe mental illness in this context is just them associating a voice with what would otherwise be silent (potentially self-intrusive) thoughts?