Nicole L Thurston1, Jess G Fiedorowicz. 1. Dept. of Psychiatry, Univ. of Iowa Hospitals and Clinics, Iowa City, IA, USA. drnicolethurston@gmail.com
Abstract
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.
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.