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Journal of Pediatric Psychology 22(5) pp. 739-748, 1997
© 1997 Society of Pediatric Psychology

research-article

The Pediatric Psychologist's Role in Differential Diagnosis: Vocal-Cord Dysfunction Presenting as Asthma

Elizabeth L. McQuaid1, Leslie E. Spieth and Anthony Spirito

Brown University School of Medicine

1All correspondence should be sent Elizabeth L. Mcquaid, Child and Family Psychiatry, Rhode Island Hospital, 593 Eddy Stret, Providence, Rhode Island 02903

Presented the case of an 11-year-old boy with vocal-cord dysfunction (VCD) as an example of a rare clinical phenomenon that may result in clinical and systemic challenges for the pediatric psychologist. VCD presents as highly similar to asthma, yet is best treated with speech therapy and psychosocial intervention. The physical symptomatology of VCD and its conceptualization as a psychosomatic disorder are described. Difficulties inherent in integrating psychological factors into medical case formulation are discussed, and possible pitfalls and strategies are delineated

Key words: vocal-cord dysfunction; asthma; consultation-liaison; case study.


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Home page
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N. L. Thurston and J. G. Fiedorowicz
Improvement of Paradoxical Vocal Cord Dysfunction With Integrated Psychiatric Care
Psychosomatics, May 1, 2009; 50(3): 282 - 284.
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