Improvement of paradoxical vocal cord dysfunction with integrated psychiatric care.

BACKGROUND

Paradoxical vocal cord dysfunction is associated with a high rate of psychiatric comorbidities, including mood, anxiety, somatoform, and personality disorders, and psychosocial distress.

OBJECTIVE

The authors draw attention to this disorder because delayed diagnosis and misdiagnosis are common and can contribute to excessive morbidity.

METHOD: The authors present a case of paradoxical vocal cord dysfunction.

RESULTS

The condition improved dramatically with integrated psychopharmacologic and psychotherapeutic intervention.

CONCLUSION

Integrated medication management and psychotherapy by a single psychiatrist-provider with relevant medical understanding can achieve a better alliance between patient and physician and, thus, improved outcomes.