For me they can be very real. They can say things only I know and they respond to that. In addition, they know every feeling of uncertainty and doubt that I hav

For me they can be very real. They can say things only I know and they respond to that. In addition, they know every feeling of uncertainty and doubt that I have, and they respond in cruel ways to that and get "in". It's like telling someone your dearest secrets, and then they go and be mean about that. And that, again and again, every morning again when waking up, with no end in sight. Then there is the thing that they can become so strong and draw so much attention to them, that normal life gets to second place. The surreal world with voices is becoming the reality and is taking over. At that point, it can get dangerous, for yourself, and in some cases, others.