Reflexive Actions: When to Consult a Neurologist - Neurology

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I'm not quite sure?


Hello Doctor: I asked a question on Taiwan's e-network psychiatry, and the doctor's response was as follows: Your issue resembles a reflexive action, involuntary in nature, and it doesn't seem to be caused by tension or anxiety.
Instead, it is akin to "salivating at the sight of a sour plum," where the source of your distress is not the sour plum itself, but rather "people." This type of neurological reflex may warrant a consultation with a neurologist for assessment.
Thank you for your message! If that is the case, how can I eliminate these reflexive actions? Does the doctor's response imply that my issue is related to sexuality? However, I experience this not only with people but also with situations.
I have previously consulted both gastroenterology and psychiatry clinics but have not found answers, which leaves me quite troubled.
Thank you for your response once again.

Kunrao Hen Jiu, 20~29 year old female. Ask Date: 2008/01/01

Dr. Lin Zijing reply Neurology


It seems that you may experience excessive salivation in response to certain people or situations.
If this occurs only in specific contexts and not generally, it could indicate that you have some emotional stress related to those individuals or situations, which may sensitize your autonomic nervous system.
However, if you find that you are salivating excessively at all times and in all places, it is advisable to seek assistance from an oral surgeon to determine the underlying cause.

Reply Date: 2008/01/01

More Info


When dealing with reflexive actions or involuntary movements, it is essential to understand the underlying mechanisms and when to seek specialized medical advice. Reflexive actions can manifest in various forms, often as a response to stimuli, and may not always be linked to anxiety or stress. In your case, it appears that these actions are causing you significant distress, prompting the need for further evaluation.

The neurologist's suggestion to consult a specialist in neurology is a prudent step. Neurologists are trained to assess and diagnose conditions related to the nervous system, which includes reflexive actions. They can perform a thorough examination, including neurological assessments, imaging studies, and possibly electrophysiological tests, to determine if there is an underlying neurological condition contributing to your symptoms.

Involuntary movements can arise from several causes, including neurological disorders such as Parkinson's disease, essential tremor, or dystonia. Additionally, they can be a side effect of certain medications or a result of psychological conditions. Given that you have already consulted with gastroenterology and psychiatry without finding satisfactory answers, a neurologist may provide a fresh perspective and potentially identify a neurological basis for your symptoms.

To address your concern about the nature of these reflexive actions, it is crucial to communicate openly with your healthcare providers. Explain that these actions are not limited to interactions with people but also occur in response to various situations. This information will help the neurologist understand the full scope of your symptoms and guide them in making an accurate diagnosis.

In terms of managing reflexive actions, treatment options will depend on the underlying cause identified by the neurologist. If a neurological condition is diagnosed, treatment may involve medications that target the specific disorder, physical therapy, or other interventions aimed at reducing the frequency and intensity of the reflexive actions. If the actions are determined to be more psychological in nature, cognitive-behavioral therapy (CBT) or other therapeutic approaches may be beneficial.

It is also essential to consider lifestyle modifications that may help manage your symptoms. Stress management techniques, such as mindfulness, meditation, or yoga, can be effective in reducing anxiety and improving overall well-being. Regular physical activity can also enhance your mood and may help in reducing involuntary movements.

In summary, consulting a neurologist is a wise decision when dealing with reflexive actions that cause distress. They can provide a comprehensive evaluation and develop a tailored treatment plan based on the underlying cause of your symptoms. Open communication with your healthcare providers and exploring various therapeutic options will be key in managing your condition effectively. Remember, you are not alone in this journey, and with the right support and treatment, improvement is possible.

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