Does CNS modulation of the ANS rely entirely on efferent stimulation through the parasympathetic nervous system and if so is all perceived sympathetic activity from the CNS simply non-para activity?

CNS modulation of the autonomic nervous system (ANS) does not rely entirely on efferent stimulation through the parasympathetic nervous system; it also involves sympathetic pathways. The CNS regulates both the sympathetic and parasympathetic branches, allowing for a balance between the two. Perceived sympathetic activity is not merely a product of the absence of parasympathetic influence; it represents a distinct activation of the sympathetic nervous system, which can occur independently of parasympathetic activity.