Epileptic automatism is a more specific clinical presentation that can occur among complex partial seizures with impaired consciousness or can be seen in the presence of impaired consciousness following an aphasic seizure or other seizure types. The most common manifestations are coordinated and adaptive unconscious movements, such as pouting, lip licking, swallowing, chewing or hand rubbing, unbuttoning, dressing, undressing, and groping-like movements. More complex ones can also be manifested as running, opening and closing doors, getting into a car, or getting on a boat. Sometimes speech can also occur, manifested as shouting, talking to oneself, or singing. Such seizures occur during or after a seizure in which the patient has a hazy state of consciousness, and the mechanism for their appearance may be the result of impaired higher level control and the release of primitive automatic behavior.