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Empathy, not sympathy

"Thank you Pat for allowing me to get a better understanding of what a person goes through. I don't have sympathy, I have empathy."

Walking in someone else's shoes

"If you can put yourself in another’s shoes even for a short time, it really changes how you responds to and care for others."

Teaches about resilience

"This simulation-based learning helps prepare students for working in the real world in a way that textbooks can’t. The exercise of hearing voices has something to teach students about the resilience of people with mental health conditions."


"This experience was transformative. It really challenged my preconceived notions and helped me better understand the experience of people who hear distressing voices everyday. "

Bypass the head and go straight to the heart.

The Hearing Distressing Voices Simulation is a groundbreaking, empathy-building experience which helps students, mental health professionals and first responders understand the challenges and strengths of people who experience psychosis.

Watch CNN's Anderson Cooper Experience the Simulation
Outcomes: The Hearing Distressing Voices Simulation

The Hearing Distressing Voices Simulation Toolkits

These Digital Toolkits contain everything needed to run a Simulation. Each toolkit includes digital files for download:

  • Presenter’s Manual and documents for printing
  • Videos of Pat Deegan discussing the experience of Hearing Distressing Voices
  • The Voices Soundtrack for use during the Simulation.
  • Supplemental Manual to support Facilitators in conducting Simulations virtually. 

During the Simulation, participants listen to the included Voices Soundtrack using headphones and individual players. For your convenience, we also offer the  MP3 players pre-loaded with the Soundtrack below.

For each Toolkit, we allow access for up to 6 people per organization.

Preloaded MP3 Players

Save time and hassle with our preloaded MP3 players. These convenient add-ons to the Toolkit are sold in quantities of 10 and come preloaded with the Simulation soundtrack. 

Our Preloaded Mp3 players are a sub-set of the Hearing Voices Simulation Toolkit and are not meant to be used separately from it.


  • Budget-friendly AND dependable
  • Lightweight & wearable
  • No screen
  • Quality sound
  • Straightforward navigation buttons
  • Up to 10 hours battery life

Personal Medicine for Distressing Voices

After staff experience the Simulation, help prepare them with tools to directly support people who hear distressing voices. 

This Guide can be self-directed or staff-supported. It contains:

  • information about the experience of distressing voices
  • workbook style exercises
  • Personal Medicine Cards
  • tracking tools
  • reflection questions

Frequently Asked Questions

Have a question about the Simulation? Need a purchase order?

We can help. Send us a note and we will be in touch.