Blood Hallucinations? No drugs, no alcohol. What's going on?

A friend of mine has been experiencing hallucinations where one second she is fine and the next she will be hurting herself (either scratching up her arms until they are coated with blood or splitting her wrists or other selfharm experience involving blood). She doesn't actually hurt herself. She just experiences it. She sees it and feels it as though it was all real. Then it is just over and she is fine. There is no blood. There are no wounds. She is always alone when the hallucinations occur.
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She doesn't want to seek professional help
Blood Hallucinations? No drugs, no alcohol. What's going on?
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