To the Editor: Paget's disease, or osteitis deformans, is a chronic condition of the bone that typically results in enlarged and deformed bones. Neuropsychiatric symptoms have been rarely reported in patients with Paget’s disease. Paget’s disease is characterized by a disorder in the normal bone remodeling process.1 It occurs in about 3%–4% of the population over the age of 50. Neuropsychiatric symptoms associated with Paget’s disease have rarely been reported in the literature, and, to our knowledge, there have been no reports of auditory hallucinations.2,3 We report here on a case of auditory hallucinations, anxiety symptoms, and cognitive impairment seen in 56-year-old female patient suffering from Paget’s disease. This patient, with no significant past psychiatric history, presented with auditory hallucinations and panic attacks 2 years after being diagnosed with Paget’s disease.