I am 46, I have had issues with this since I was 17. Seems like I focus too much on swallowing and this includes saliva as well. I hear folks talking about public places. Thats when I become self conscious and of couse when it comes to swallowing liquids or foods I have bigger problems. Swallowing is an involuntary action, however, if you think too much about it, you tend to disrupt the natural function of your body. They compare this to blinking-another involuntary action, however you may appear a bit strange by overblinking, but it doesn't make loud squishing sounds that peopel notice. I ever now and then hear others do it, I try to avoid drinking coffee at meetings at work for this environment is very stressful. I recall a few years ago someone sipping coffee in a meeting and made the same sounds I do, so its not my imagination, the sounds are quite audible. Like I said, like a "squish". I talked to a doctor who said it is stress and put me on Zoloft, however no matter how medicated I am. I still have this issue burned deep into my conscious mind, and the minute I think about the process of swallowing, it will happen. It's like your thoughts that would have been occupied with over things in your environment are interrupted and all that occupieds your mind is the fear that when you swallow you will make this sound, and then wallah, it happens. I have thought about hypnosis as a possible remedy. However one strange thing is that when I have a cold and there is plenty of mucus in my nose as a result, even when I think about swallowing, I seem to be able to swallow without the "squishing" noise which makes me tend to believe that this issue is in fact physical despite the fact that several doctors I have talked to about this say it is psychological. Which in and of itself can lead to more fixation and worry about the issue and the reasons why it is happening to me. I have gotten to the point where I fear going to any other doctors about it because it seems like no one really knows why this happens. I honestly believe this is a big issue with many people but like myself, most of them are embarrased to talk about it. Thank God for the internet. Maybe discussion groups like this be a catylist for a breakthrough. Any ideas from some out there?