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Why Are They Talking to Themselves?
People often talk to themselves, but rarely in different voices. If you come across someone talking to themselves with multiple voices and acting paranoid you will assume psychosis. This will not help the person if it is personalities talking to each other, personalities whose dissociative barriers are too high to speak on the inside. They may appear paranoid because they are worried they may be discovered.
For Me:
Many of my alters I am unable to contact so if they needed to talk to me they would either have to do it out loud or by way of another alter telling me what they need. Many alters think in pictures as well, and I am unable to understand them.