Mental health awareness

Black magic, spirits or mental illness?

Hearing voices, possession-like episodes or sudden behaviour change are often blamed on black magic. Why medical assessment is essential — alongside your faith.

Dr. Kuldeep Budania, MBBS, MD Psychiatry

Updated 11 October 2026 · 3 min read

Across India, many families first visit faith healers when someone behaves unusually.

Faith can give comfort, but conditions such as psychosis, dissociation and epilepsy need medical treatment.

Key concepts

  • Treatment and faith can go together
  • Delayed treatment of psychosis worsens outcome
  • Chaining, beating or starving a person is harmful and illegal

Symptoms and signs

  • Hearing voices or seeing things others don't
  • Episodes of altered consciousness, shaking or speaking in another voice
  • Sudden suspicion, aggression or withdrawal

Causes

  • Psychotic disorders such as schizophrenia
  • Dissociative (conversion) disorders after stress
  • Epilepsy, substance use or other medical causes

Risk factors

  • Family history of psychosis
  • Cannabis or other drug use
  • Severe stress or conflict at home

Evidence-based management

  • Medical and psychiatric assessment to find the cause
  • Antipsychotics, psychotherapy or epilepsy treatment as needed
  • Family education and stress reduction
  • Prayer and rituals can continue if they comfort the person, without harmful practices

When to seek professional help

  • Hearing voices, extreme fear or not sleeping for days
  • Aggression or risk to self or others — urgent care
  • You can book an online consultation for a confidential assessment

Frequently asked questions

Do psychiatrists disrespect religious beliefs?

No. Beliefs are respected; the aim is to treat illness alongside the person's faith.

Why did the episodes stop after a ritual?

Some stress-related episodes settle with reassurance, but they often return without addressing the cause.

Medical references

Guidelines and official sources used for this article.

  1. Schizophrenia — fact sheet. World Health Organization.
  2. ICD-11 for Mortality and Morbidity Statistics. World Health Organization.
Author
Dr. Kuldeep Budania, MBBS, MD Psychiatry
Medical reviewer
Dr. Kuldeep Budania, MD Psychiatry
Last reviewed

This article is for general information and is not a substitute for personal medical advice.

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