In folks who struggle with Parkinson's disease (PD), the most common form of hallucination are visual hallucinations and upwards of 30% of those diagnosed with PD will experience these. These visual hallucinations are typically complex images, which may include people, animals, buildings or secenry. They are somewhat blurred and commonly move when they do occur, often lasting seconds or minutes and occur while the patient is awake and has their eyes open. More often than not, the patient is able to identify these are hallucinations. The hallucinations are not caused by PD itself, rather are due to changes in medication or even due to an unrelated infection or other illness. If after identifying the cause and treating it, the hallucinations persist, treatment will depend on how much it impacts their daily life and how distressing it is. The first line of treatment is usually a low dose of an atypical antipsychotic such as quetiapine. Delusions, a fixed false belief, are not uncommon in advancing PD and in the presence of halluciantios and not common in their absence. The most common form of delusion is usually one of paranoia, as this is one of the more distressing ones, and if this happens in the absence of hallucinations, there ought to be a high suspicion for infection or another illness. What is interesting is that both hallucinations and delusions are often most distressing to the family and/or caregiver. Given that those with PD also have increased sensitivity to medications, it is important to limit unnecessary medcations and to provide education and reassurace about these sympotms to the family members.