More serious cases requiring counseling will be referred to psychiatry, but some patients balk, saying, "I'm not crazy; why should I see a psychiatrist?" Dysautonomia causing heart palpitations, chest constriction and tachycardia are the most alarming to patients, especially after there's been a news report of myocardial infarction or sudden death, when cardiology departments become overcrowded with patients.
林耿立指出，發作一次之後，復發的機率約為 5 成，發作 2 次以後，再發機率則增提升為 8 成。聿康診所身心科醫師吳東庭則指出，自律神經失調是身心亮黃燈的警訊，如果置之不理，任憑情況惡化，可能導致神經及心肌病變，或高血壓、糖尿病、過勞、猝死等種種嚴重的後果。