Talking to people with facial muscle tremors may be nervous, excited about, but also may be vegetative nerve disorders, facial muscle spasms and other causes. 1. Nervousness, excitement: when talking to someone too nervous, excited sympathetic nerve excitation, may appear facial muscle tremor symptoms, smooth emotions can be improved. 2. Vegetative nerve disorders: patients may be overworked for a long time, resulting in vegetative nerve disorders, aggravated by nervousness, which can lead to facial muscle tremors when talking to people, and in severe cases, can be spasmodic, which can be improved after taking rest. 3. Facial muscle spasm: manifested as involuntary twitching of the facial muscles, obvious when tense, so you can talk to people when the face muscle tremor obvious situation. This symptom alone is not enough to diagnose the disease, and may be caused by other factors. It is recommended that the patient consult a doctor in time to clarify the cause of the disease and give targeted treatment.