This article considers ways of treating the potential distress arising from experiencing auditory hallucinations without the use of pharmacology. A brief discussion of the prevalence of auditory hallucinations is followed by an overview of different perspectives of treating mental illness and the potential need for treatment using non-pharmacological interventions. It is highlighted that many voice hearers are not in contact with formal psychiatric services and the author examines potential methods of managing distress caused by hallucinations. A review of research in this area is presented with the aim of identifying common themes of such coping so that they may be taught to others. While several themes are identified, no unifying method of coping is noted. Recommendations for voice hearers, clinicians and researchers are presented.