This article looks at mental illness, in particular psychotic mental illness, such as schizophrenia, and spirituality. It argues that the phenomenon of ‘voice hearing’, which is present in schizophrenia (but also other mental illnesses) can be understood at least in part as telepathy and can be explained in a spiritual framework. For this purpose, literatures from the parapsychological field as well as spiritual accounts are used. Both fields recognise the phenomena of voice hearing and telepathy, while so far they have not claimed that mental illness can be explained as a spiritual phenomenon. This explanation, however, resembles more the pre-modern interpretations of this illness. This article will conclude with a list of recommendations and tips for recovery from schizophrenia and psychosis.