Improvement of paradoxical vocal cord dysfunction with integrated psychiatric care

Nicole L Thurston; Jess G Fiedorowicz

doi:10.1176/appi.psy.50.3.282

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Improvement of paradoxical vocal cord dysfunction with integrated psychiatric care

Journal article

Peer reviewed

Improvement of paradoxical vocal cord dysfunction with integrated psychiatric care

Nicole L Thurston and Jess G Fiedorowicz

Psychosomatics (Washington, D.C.), Vol.50(3), pp.282-284

05/2009

DOI: 10.1176/appi.psy.50.3.282

PMID: 19567769

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Abstract

Paradoxical vocal cord dysfunction is associated with a high rate of psychiatric comorbidities, including mood, anxiety, somatoform, and personality disorders, and psychosocial distress. The authors draw attention to this disorder because delayed diagnosis and misdiagnosis are common and can contribute to excessive morbidity. The authors present a case of paradoxical vocal cord dysfunction. The condition improved dramatically with integrated psychopharmacologic and psychotherapeutic intervention. 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.

Behavior Therapy

Humans

Psychotherapy

Antidepressive Agents, Second-Generation - therapeutic use

Psychophysiologic Disorders - therapy

Dose-Response Relationship, Drug

Anxiety Disorders - therapy

Adult

Depressive Disorder - therapy

Female

Respiratory Sounds

Social Isolation

Culture

Vocal Cord Paralysis - therapy

Comorbidity

Combined Modality Therapy

Anxiety Disorders - psychology

Relaxation Therapy

Lithium Carbonate - therapeutic use

Venlafaxine Hydrochloride

Dyspnea - psychology

Psychophysiologic Disorders - psychology

Cyclohexanols - therapeutic use

Cognitive Therapy

Vocal Cord Paralysis - psychology

Depressive Disorder - psychology

Illness Behavior

Details

Title: Subtitle: Improvement of paradoxical vocal cord dysfunction with integrated psychiatric care
Creators: Nicole L Thurston - Dept. of Psychiatry, Univ. of Iowa Hospitals and Clinics, Iowa City, IA, USA. drnicolethurston@gmail.com
Jess G Fiedorowicz
Resource Type: Journal article
Publication Details: Psychosomatics (Washington, D.C.), Vol.50(3), pp.282-284
Publisher: England
DOI: 10.1176/appi.psy.50.3.282
PMID: 19567769
ISSN: 0033-3182
eISSN: 1545-7206
Language: English
Date published: 05/2009
Academic Unit: Psychiatry; Epidemiology; Iowa Neuroscience Institute
Record Identifier: 9984065379002771

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