well...if the person experiencing these involuntary responses/reactions from inside or outside stimuli is okay with them, then that person probably would not seek treatment for them. and that's fine, as long as it's not affecting others negatively.

it's when those "okay for the originator" actions begin negatively affecting other people that the actions would no longer be accepted in society, and thus would be deemed a problem for which therapy might be needed. or intensive care. or something like that.

this is where you get into the deeper stuff. the people who need help but won't accept or acknowledge their need.