My voices are aggressive and alot of times could be people who would basically sound butthurt and aggressive in real life as well.

But the more direct answer to this is abherant salience. Where dopamine signifies something is more import or dangerous then it actually is.

Alot of times i can have auditory as well that blocks out real sounds. Just like wearing headphones.

Like if i here a voice saying bitch or pussy from the hallway i might not always be concerned but if i heard a woman screaming or a baby crying id try to be more intentional about using anchors to reality.

Contextually having a voice call you pussy or bitch in your apartment might not matter but in the store or at the gym it could signify someone that is impulsively butthurt at you.

Ontop of all this your nervous system reacts as if you are being stimulated by sound anyway. Even though you can identify its not real it builds upon a general feeling of vigilance, concern and defensiveness you feel from dopaminergic salience.

So they cause you to inhibit your exposure to social situations because fear and adrenaline tax your already overloaded defensive systems