A 45-year-old married man presented to the psychiatry outpatient department with a 6-month history of increasingly complex visual experiences that he recognized as unreal. These had started as “ugly, unfamiliar faces,” episodically, for up to 2-hour periods daily. After about 3 months, he began to see frightening pictures of road traffic accidents, earthquake-affected cities, and countries affected by floods, wars, etc. These experiences gradually become more frequent and occurred many times a day. They were never accompanied by clouding of consciousness or hallucinations in any other modality. He described the experiences as vivid and occurring in external space, while always recognizing them as unreal. He was not consciously able to control their occurrence or content, and described the experience as mostly unpleasant. There was no past or family history of psychiatric disorder, epilepsy, drug dependence, or chronic physical illness. On mental state examination, he was a tidy, cooperative man. There were no disturbances in orientation or memory. He described his mood as normal and gave a detailed, coherent description of his visual experiences. There were no hallucinations in any other modality. He did not have any formal thought disorder. Insight and judgment were intact. The routine blood and urine examinations, fundus oculi, intraocular pressure, perimetry, electroencephalogram (EEG), and MRI brain scan were normal. He was then started on amisulpride 100 mg daily, which was gradually increased to 200 mg, and, over the next 3 weeks, there was a reduction in his symptoms. At follow-up 3 months later, he had had no recurrence of symptoms.