Well, for context I am also American, but I have spoken with probably a half-dozen or so patients during my time there who insisted that their voices were helpful and supportive and kind. These patients almost universally believed that it was either God, Jesus, or angels talking to them.

In many cases, I found these patients even more difficult to connect with. Patients who turned up in my office because they were at an emotional breaking point wanting the negative voices to stop might have been volatile, but they at least were willing to open themselves to talking to counselors or at least thinking about seeing a psychiatric who could prescribe anti-psychotics. After a ceetain point, you just want peace and you'll try anything to get it. The ones who thought God Himself was personally guiding them? They just wanted to convert me to whatever brand of born-again Christianity they subscribed to that day, and often believed that they were "chosen" by God to lead others.