Neurosis presenting with tight gums may be related to episodes that lead to autonomic disturbances and excessive muscle tension. Neurosis can be manifested as anxiety, fear, somatoform disorders, obsessive-compulsive or neurasthenia and other symptoms, can lead to autonomic disorders and muscle overstress, resulting in insomnia, panic, irritability, tension pain or manifestation of tight gums and other symptoms. Neurosis gum tightness symptoms need to be ruled out first organic diseases, treatment to relax, regular work and rest, psychotherapy, but also the application of diazepam, sertraline, propranolol and other medications, if necessary, the application of electroconvulsive method of treatment. Specific medication and treatment need to follow the doctor’s instructions.