AUDITORY HALLUCINATIONS AS TINNITUS When someone reports hearing sounds that are like music or voice , it is important to consider mental illness. Reports of imagined voices or music can occur as part of psychotic illness, but there is evidence of depression , anxiety or unrealistic thoughts or actions, then these should be addressed with the client and a refferal provides to a mental health professional. in the absence of indication of mental illness , one could treat this as with other type of tinnitus. Certainly tinnitus can have a central origin . Patients who present no signs of mental illness and who hear music and voice could benefit from support , reassurance and the counseling and sound therapy programs described later . it is important not to overreact to the patient's reports.