Automatisms are more or less involuntary, meaningless, and purposeless stereotyped movements that occur during or after a seizure while the patient’s consciousness is still clouded and cannot be recalled after waking. The clinical manifestations are varied and may be a repetition of a previously ongoing action, a new unconscious action, or an action in response to a hallucination or delusion. Automatism needs to be differentiated from the following similar symptoms: 1. Eating and drinking automatism: It is most common clinically and is often a repetitive action of the mouth, such as sucking, chewing, licking, tongue extension, throat clearing, etc. 2. Habitual automatism: unconscious repetition of a simple action, such as rubbing hands, stroking face, unbuttoning, undressing, touching pockets, moving tables and chairs, etc. 3.Postural automatism: unconscious repetition of a simple posture. 4.Somnambulism: it is an agitated automatism, mostly occurs in the daytime, when the patient has partial perception of the surroundings and can react accordingly, and can carry out complex and coordinated activities for a longer period of time, such as walking, running, riding or driving a vehicle, simple conversation, buying goods, etc. It usually lasts for several minutes and is often difficult to detect if no attention is paid. 5.Sleepwalking disorder: It is an episode of automatism at night. 6, verbal automatism: mostly repetition of simple language or shouting, etc. 7, hazy state: this seizure is extremely complex and is a common seizure psychosis in epileptic patients, often with sudden onset, unclear consciousness, poor orientation to the surroundings, poor perception of things, and inability to make normal contact. There can be hallucinations and delusions, mostly with emotional disorders, such as panic, anger, behavioral disorders, or even destruction of objects and injuries, etc. There can be vegetative symptoms during seizures.