The Experts below are selected from a list of 177 Experts worldwide ranked by ideXlab platform
Ran D. Anbar - One of the best experts on this subject based on the ideXlab platform.
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Functional Symptoms in Pulmonology: Taking Your Breath Away
Functional Symptoms in Pediatric Disease, 2014Co-Authors: Ran D. AnbarAbstract:Children with respiratory symptoms often are affected by a functional contribution to their presentation. In order to provide appropriate comprehensive care, clinicians need to identify and address these issues in such children. Some respiratory diagnoses are recognized generally to be of functional origin including functional dyspnea, Habit Cough, and vocal cord dysfunction. The criteria for establishing these diagnoses are discussed in the first section of this chapter. However, commonly unrecognized are the children with diagnosed physiologic disease such as asthma, bronchopulmonary dysplasia, or cystic fibrosis who develop additional or worsening symptoms due to emotional or psychosocial overlay. Whether triggered by physiological or psychological factors, symptoms may be identical, and thus clinicians may even be unaware of the psychological impact on a patient. The second section of this chapter will address how clinicians might recognize and offer optimal treatment for such patients.
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Hypnosis in Paediatric Respiratory Medicine
Paediatric respiratory reviews, 2014Co-Authors: Joshua J. Mcbride, Arine M. Vlieger, Ran D. AnbarAbstract:Hypnotherapy is an often misunderstood yet effective therapy. It has been reported to be useful within the field of paediatric respiratory medicine as both a primary and an adjunctive therapy. This article gives a brief overview of how hypnotherapy is performed followed by a review of its applications in paediatric patients with asthma, cystic fibrosis, dyspnea, Habit Cough, vocal cord dysfunction, and those requiring non-invasive positive pressure ventilation. As the available literature is comprised mostly of case series, retrospective studies, and only a single small randomized study, the field would be strengthened by additional randomized, controlled trials in order to better establish the effectiveness of hypnosis as a treatment, and to identify the processes leading to hypnosis-induced physiologic changes. As examples of the utility of hypnosis and how it can be taught to children with respiratory disease, the article includes videos that demonstrate its use for patients with cystic fibrosis.
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What Is a Functional Respiratory Disorder
Functional Respiratory Disorders, 2012Co-Authors: Ran D. Anbar, Howard HallAbstract:Functional respiratory disorders can be characterized as occurring in patients with persisting respiratory symptoms lacking an identifiable organic or physiologic basis, or symptoms in excess of what would be expected from just their physiologic cause. Such functional disorders typically have emotional or psychological associations. Common respiratory conditions that are thought to be functional include dyspnea/hyperventilation, Habit Cough, paroxysmal sneezing, throat clearing, and vocal cord dysfunction. These occur predominantly in children, adolescents, and young adults. Additionally, a functional component should be entertained as complicating existing diagnosed physical conditions, such as asthma, chronic obstructive pulmonary disease, and cystic fibrosis, which are diseases that affect patients of all ages. Treatment of functional respiratory disorders can include providing reassurance, biofeedback, breathing relaxation techniques, cognitive behavioral therapy, hypnosis, or speech therapy. Pharmacologic therapy for functional respiratory disorders occasionally may be helpful. Patients with functional respiratory disorders benefit from prompt identification and therapy, as this prevents perpetuation of the associated symptoms, development of further complicating sequelae, unnecessary medical investigations, and prescription of ineffective medical therapy that might have harmful side effects.
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Hypnosis for the Treatment of Functional Respiratory Disorders
Functional Respiratory Disorders, 2012Co-Authors: Ran D. AnbarAbstract:Clinical hypnosis is an efficient and effective tool for addressing the mind/body connection for many patients with functional respiratory disorders. Such patients can benefit from learning self-hypnosis techniques in as little as 10 min, which can help them rapidly improve or resolve their symptoms altogether, as demonstrated in several published case series. Asthma sometimes has been shown to improve with the use of hypnosis perhaps because of the large number of patients who have a functional component as part of their presentation. Keys to successful hypnosis include establishment of rapport with patients and their families, facilitating patients’ self-mastery, and following patients’ expectations, motivation, lead, and interests. Clinicians who have completed 3- to 4-day hypnosis training workshops learn to appreciate better the power of communication and usually find that their language and nonverbal interactions with patients improve, even when they are not employing formal hypnosis. Practical considerations regarding provision of clinical hypnosis in a primary care setting are discussed in this chapter; a sample text of an hypnotic encounter intended to achieve relaxation is provided; and case studies are presented that include links to videos demonstrating instruction in hypnosis to children and adults, with accompanying quiz questions and explanatory material regarding patients with chest pain, dyspnea, Habit Cough, vocal cord dysfunction, and insomnia.
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Childhood Habit Cough treated with consultation by telephone: a case report
Cough, 2009Co-Authors: Ran D. AnbarAbstract:Background Childhood Habit Cough has been treated successfully by making suggestions that it can be stopped, desensitization techniques, use of distractors, provision of rewards, and self-hypnosis. All of these techniques have involved personal contact between a health care provider and a patient. Case presentation A 5-year-old with cystic fibrosis was diagnosed with Habit Cough following evaluation by a pediatric pulmonologist and otolaryngologist. An expert in the treatment of Habit Cough provided instruction by telephone to the patient's mother regarding use of hypnotic techniques in this setting, which was associated with resolution of the Cough within a week. Conclusion As this report describes a single patient, it is possible that his improvement was unrelated to the given advice. Therefore, it remains to be seen whether therapy by telephone for Habit Cough is applicable widely.
Anne B. Chang - One of the best experts on this subject based on the ideXlab platform.
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Somatic Cough Syndrome (Previously Referred to as Psychogenic Cough) and Tic Cough (Previously Referred to as Habit Cough) in Adults and Children: CHEST Guideline and Expert Panel Report
Chest, 2015Co-Authors: Anne E. Vertigan, Anne B. Chang, Mohammad Hassan Murad, Tamara Pringsheim, Anthony Feinstein, Peter Newcombe, Bruce K. Rubin, Lorcan P. Mcgarvey, Kelly A. Weir, Kenneth W. AltmanAbstract:BACKGROUND We conducted a systematic review on the management of psychogenic Cough, Habit Cough, and tic Cough to update the recommendations and suggestions of the 2006 guideline on this topic. METHODS We followed the American College of Chest Physicians (CHEST) methodologic guidelines and the Grading of Recommendations, Assessment, Development, and Evaluation framework. The Expert Cough Panel based their recommendations on data from the systematic review, patients' values and preferences, and the clinical context. Final grading was reached by consensus according to Delphi methodology. RESULTS The results of the systematic review revealed only low-quality evidence to support how to define or diagnose psychogenic or Habit Cough with no validated diagnostic criteria. With respect to treatment, low-quality evidence allowed the committee to only suggest therapy for children believed to have psychogenic Cough. Such therapy might consist of nonpharmacologic trials of hypnosis or suggestion therapy, or combinations of reassurance, counseling, and referral to a psychologist, psychotherapy, and appropriate psychotropic medications. Based on multiple resources and contemporary psychologic, psychiatric, and neurologic criteria ( Diagnostic and Statistical Manual of Mental Disorders , 5th edition and tic disorder guidelines), the committee suggests that the terms psychogenic and Habit Cough are out of date and inaccurate. CONCLUSIONS Compared with the 2006 CHEST Cough Guidelines, the major change in suggestions is that the terms psychogenic and Habit Cough be abandoned in favor of somatic Cough syndrome and tic Cough, respectively, even though the evidence to do so at this time is of low quality.
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Management and Diagnosis of Psychogenic Cough, Habit Cough, and Tic Cough: A Systematic Review
Chest, 2014Co-Authors: Qusay Haydour, Anne B. Chang, Anne E. Vertigan, Tamara Pringsheim, Peter Newcombe, Bruce K. Rubin, Fares Alahdab, Magdoleen H. Farah, Patricia Barrionuevo, Lorcan McgarveyAbstract:BACKGROUND Several pharmacologic and nonpharmacologic therapeutic options have been used to treat Cough that is not associated with a pulmonary or extrapulmonary etiology. METHODS We conducted a systematic review to summarize the evidence supporting different Cough management options in adults and children with psychogenic, tic, and Habit Cough. Medline, EMBASE, the Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, and Scopus were searched from the earliest inception of each database to September 2013. Content experts were contacted, and we searched bibliographies of included studies to identify additional references. RESULTS A total of 18 uncontrolled studies were identified, enrolling 223 patients (46% male subjects, 96% children and adolescents). Psychogenic Cough was the most common descriptive term used (90% of the studies). Most of the patients (95%) had no Cough during sleep; barking or honking quality of Cough was described in only eight studies. Hypnosis (three studies), suggestion therapy (four studies), and counseling and reassurance (seven studies) were the most commonly used interventions. Hypnosis was effective in resolving Cough in 78% of the patients and improving it in another 5%. Suggestion therapy resolved Cough successfully in 96% of the patients. The greatest majority of improvements noted with these forms of therapy occurred in the pediatric age group. The quality of evidence is low due to the lack of control groups, the retrospective nature of all the studies, heterogeneity of definitions and diagnostic criteria, and the high likelihood of reporting bias. CONCLUSIONS Only low-quality evidence exists to support a particular strategy to define and treat psychogenic, Habit, and tic Cough. Patient values, preferences, and availability of potential therapies should guide treatment choice.
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Habit Cough, Tic Cough, and Psychogenic Cough in Adult and Pediatric Populations: ACCP Evidence-Based Clinical Practice Guidelines
Chest, 2006Co-Authors: Richard S. Irwin, William B. Glomb, Anne B. ChangAbstract:Objectives: To review the literature on Habit, tic, and psychogenic Cough, and to make evidence-based recommendations regarding diagnosis and treatment. Design/methodology: For data on adults, an Ovid MEDLINE literature review (through February 2005) was performed for all studies published in the English language, including case series and case reports, since 1966 using the medical subject heading terms "Habit Cough," "psychogenic Cough," "tic disorder," "vocal tic," "Tourette's syndrome," "honking Cough," and "barking Cough." For pediatric data, articles were identified dating from 1966 from searches of the Cochrane Library, PubMed, EMBASE, the list of references in relevant publications, and the authors' collection of references with the last search performed in February 2005. The search terms used were "children" and "vocal tics" or "Habit Cough," or "psychogenic Cough" or "chronic Cough." Results/conclusions: The methodologies used and rigor of the diagnostic and therapeutic interventions reported in the literature are inconsistent. The putative clinical characteristics of Habit Cough and psychogenic Cough, for the most part, have not been prospectively or systematically studied. Therefore, on the basis of expert opinion, the diagnoses of Habit Cough or psychogenic Cough can be made only after an extensive evaluation is performed that includes ruling out tic disorders and uncommon causes of chronic Cough, and when Cough improves with behavior modification or psychiatric therapy. In adult patients with chronic Cough that remains persistently troublesome despite an extensive and thorough evidence-based evaluation, and after behavior modification and/or psychiatric therapy have failed, unexplained Cough should be diagnosed rather than Habit Cough or psychogenic Cough. In children, the depth of investigations to rule out uncommon causes must be individualized as some investigations and/or treatment may increase morbidity. In adult and pediatric patients with chronic Cough that is associated with troublesome psychological manifestations, psychological counseling or psychiatric intervention should be encouraged after other causes have been ruled out.
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Habit Cough, tic Cough, and psychogenic Cough in adult and pediatric populations: ACCP evidence-based clinical practice guidelines.
Chest, 2006Co-Authors: Richard S. Irwin, William B. Glomb, Anne B. ChangAbstract:To review the literature on Habit, tic, and psychogenic Cough, and to make evidence-based recommendations regarding diagnosis and treatment. For data on adults, an Ovid MEDLINE literature review (through February 2005) was performed for all studies published in the English language, including case series and case reports, since 1966 using the medical subject heading terms "Habit Cough," "psychogenic Cough," "tic disorder," "vocal tic," "Tourette's syndrome," "honking Cough," and "barking Cough." For pediatric data, articles were identified dating from 1966 from searches of the Cochrane Library, PubMed, EMBASE, the list of references in relevant publications, and the authors' collection of references with the last search performed in February 2005. The search terms used were "children" and "vocal tics" or "Habit Cough," or "psychogenic Cough" or "chronic Cough." The methodologies used and rigor of the diagnostic and therapeutic interventions reported in the literature are inconsistent. The putative clinical characteristics of Habit Cough and psychogenic Cough, for the most part, have not been prospectively or systematically studied. Therefore, on the basis of expert opinion, the diagnoses of Habit Cough or psychogenic Cough can be made only after an extensive evaluation is performed that includes ruling out tic disorders and uncommon causes of chronic Cough, and when Cough improves with behavior modification or psychiatric therapy. In adult patients with chronic Cough that remains persistently troublesome despite an extensive and thorough evidence-based evaluation, and after behavior modification and/or psychiatric therapy have failed, unexplained Cough should be diagnosed rather than Habit Cough or psychogenic Cough. In children, the depth of investigations to rule out uncommon causes must be individualized as some investigations and/or treatment may increase morbidity. In adult and pediatric patients with chronic Cough that is associated with troublesome psychological manifestations, psychological counseling or psychiatric intervention should be encouraged after other causes have been ruled out.
Molly P Slothower - One of the best experts on this subject based on the ideXlab platform.
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Hypnosis for treatment of insomnia in school-age children: a retrospective chart review
BMC Pediatrics, 2006Co-Authors: Ran D. Anbar, Molly P SlothowerAbstract:Background The purposes of this study are to document psychosocial stressors and medical conditions associated with development of insomnia in school-age children and to report use of hypnosis for this condition. Methods A retrospective chart review was performed for 84 children and adolescents with insomnia, excluding those with central or obstructive sleep apnea. All patients were offered and accepted instruction in self-hypnosis for treatment of insomnia, and for other symptoms if it was felt that these were amenable to therapy with hypnosis. Seventy-five patients returned for follow-up after the first hypnosis session. Their mean age was 12 years (range, 7–17). When insomnia did not resolve after the first instruction session, patients were offered the opportunity to use hypnosis to gain insight into the cause. Results Younger children were more likely to report that the insomnia was related to fears. Two or fewer hypnosis sessions were provided to 68% of the patients. Of the 70 patients reporting a delay in sleep onset of more than 30 minutes, 90% reported a reduction in sleep onset time following hypnosis. Of the 21 patients reporting nighttime awakenings more than once a week, 52% reported resolution of the awakenings and 38% reported improvement. Somatic complaints amenable to hypnosis were reported by 41%, including chest pain, dyspnea, functional abdominal pain, Habit Cough, headaches, and vocal cord dysfunction. Among these patients, 87% reported improvement or resolution of the somatic complaints following hypnosis. Conclusion Use of hypnosis appears to facilitate efficient therapy for insomnia in school-age children.
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Hypnosis for treatment of insomnia in school-age children: a retrospective chart review
BMC pediatrics, 2006Co-Authors: Ran D. Anbar, Molly P SlothowerAbstract:The purposes of this study are to document psychosocial stressors and medical conditions associated with development of insomnia in school-age children and to report use of hypnosis for this condition. A retrospective chart review was performed for 84 children and adolescents with insomnia, excluding those with central or obstructive sleep apnea. All patients were offered and accepted instruction in self-hypnosis for treatment of insomnia, and for other symptoms if it was felt that these were amenable to therapy with hypnosis. Seventy-five patients returned for follow-up after the first hypnosis session. Their mean age was 12 years (range, 7–17). When insomnia did not resolve after the first instruction session, patients were offered the opportunity to use hypnosis to gain insight into the cause. Younger children were more likely to report that the insomnia was related to fears. Two or fewer hypnosis sessions were provided to 68% of the patients. Of the 70 patients reporting a delay in sleep onset of more than 30 minutes, 90% reported a reduction in sleep onset time following hypnosis. Of the 21 patients reporting nighttime awakenings more than once a week, 52% reported resolution of the awakenings and 38% reported improvement. Somatic complaints amenable to hypnosis were reported by 41%, including chest pain, dyspnea, functional abdominal pain, Habit Cough, headaches, and vocal cord dysfunction. Among these patients, 87% reported improvement or resolution of the somatic complaints following hypnosis. Use of hypnosis appears to facilitate efficient therapy for insomnia in school-age children.
Richard S. Irwin - One of the best experts on this subject based on the ideXlab platform.
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Habit Cough, Tic Cough, and Psychogenic Cough in Adult and Pediatric Populations: ACCP Evidence-Based Clinical Practice Guidelines
Chest, 2006Co-Authors: Richard S. Irwin, William B. Glomb, Anne B. ChangAbstract:Objectives: To review the literature on Habit, tic, and psychogenic Cough, and to make evidence-based recommendations regarding diagnosis and treatment. Design/methodology: For data on adults, an Ovid MEDLINE literature review (through February 2005) was performed for all studies published in the English language, including case series and case reports, since 1966 using the medical subject heading terms "Habit Cough," "psychogenic Cough," "tic disorder," "vocal tic," "Tourette's syndrome," "honking Cough," and "barking Cough." For pediatric data, articles were identified dating from 1966 from searches of the Cochrane Library, PubMed, EMBASE, the list of references in relevant publications, and the authors' collection of references with the last search performed in February 2005. The search terms used were "children" and "vocal tics" or "Habit Cough," or "psychogenic Cough" or "chronic Cough." Results/conclusions: The methodologies used and rigor of the diagnostic and therapeutic interventions reported in the literature are inconsistent. The putative clinical characteristics of Habit Cough and psychogenic Cough, for the most part, have not been prospectively or systematically studied. Therefore, on the basis of expert opinion, the diagnoses of Habit Cough or psychogenic Cough can be made only after an extensive evaluation is performed that includes ruling out tic disorders and uncommon causes of chronic Cough, and when Cough improves with behavior modification or psychiatric therapy. In adult patients with chronic Cough that remains persistently troublesome despite an extensive and thorough evidence-based evaluation, and after behavior modification and/or psychiatric therapy have failed, unexplained Cough should be diagnosed rather than Habit Cough or psychogenic Cough. In children, the depth of investigations to rule out uncommon causes must be individualized as some investigations and/or treatment may increase morbidity. In adult and pediatric patients with chronic Cough that is associated with troublesome psychological manifestations, psychological counseling or psychiatric intervention should be encouraged after other causes have been ruled out.
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Habit Cough, tic Cough, and psychogenic Cough in adult and pediatric populations: ACCP evidence-based clinical practice guidelines.
Chest, 2006Co-Authors: Richard S. Irwin, William B. Glomb, Anne B. ChangAbstract:To review the literature on Habit, tic, and psychogenic Cough, and to make evidence-based recommendations regarding diagnosis and treatment. For data on adults, an Ovid MEDLINE literature review (through February 2005) was performed for all studies published in the English language, including case series and case reports, since 1966 using the medical subject heading terms "Habit Cough," "psychogenic Cough," "tic disorder," "vocal tic," "Tourette's syndrome," "honking Cough," and "barking Cough." For pediatric data, articles were identified dating from 1966 from searches of the Cochrane Library, PubMed, EMBASE, the list of references in relevant publications, and the authors' collection of references with the last search performed in February 2005. The search terms used were "children" and "vocal tics" or "Habit Cough," or "psychogenic Cough" or "chronic Cough." The methodologies used and rigor of the diagnostic and therapeutic interventions reported in the literature are inconsistent. The putative clinical characteristics of Habit Cough and psychogenic Cough, for the most part, have not been prospectively or systematically studied. Therefore, on the basis of expert opinion, the diagnoses of Habit Cough or psychogenic Cough can be made only after an extensive evaluation is performed that includes ruling out tic disorders and uncommon causes of chronic Cough, and when Cough improves with behavior modification or psychiatric therapy. In adult patients with chronic Cough that remains persistently troublesome despite an extensive and thorough evidence-based evaluation, and after behavior modification and/or psychiatric therapy have failed, unexplained Cough should be diagnosed rather than Habit Cough or psychogenic Cough. In children, the depth of investigations to rule out uncommon causes must be individualized as some investigations and/or treatment may increase morbidity. In adult and pediatric patients with chronic Cough that is associated with troublesome psychological manifestations, psychological counseling or psychiatric intervention should be encouraged after other causes have been ruled out.
Miles Weinberger - One of the best experts on this subject based on the ideXlab platform.
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Functional Respiratory Disorders in Children.
Pediatric clinics of North America, 2021Co-Authors: Manju Hurvitz, Miles WeinbergerAbstract:Functional respiratory disorders (FRDs) are those characterized by respiratory symptoms without anatomic or organic etiology. Clinicians caring for children encounter these disorders and should be familiar with diagnosis and treatment. FRDs encompass the Habit Cough syndrome and its variants, vocal cord dysfunction, hyperventilation disorders, functional dyspnea, and sighing syndrome. Failure to identify these disorders results in unnecessary testing and medication. This article reviews the clinical presentation, manifestation, and treatment of respiratory FRDs in children. How health care providers can successfully identify and treat these reversible conditions in the clinical setting is discussed.
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Diagnosis and management of chronic Cough: similarities and differences between children and adults.
F1000Research, 2020Co-Authors: Miles Weinberger, Manju S. HurvitzAbstract:Cough is a natural process that protects the airway. Cough can occur spontaneously or voluntarily. It is considered chronic when it is present for longer than 4 weeks in children or 8 weeks in adults. In both, chronic Cough causes patient distress and increased healthcare utilization. Etiologies of pediatric chronic Cough include asthma, protracted bacterial bronchitis, tracheomalacia, Habit Cough, and various systemic disorders. While some diagnoses are identifiable by careful history alone, others require testing guided by specific pointers. Flexible fiberoptic bronchoscopy has been an important tool to identify etiologies of chronic Cough that were not otherwise apparent. In adults, asthma and bronchitis are well-defined etiologies of chronic Cough, but much chronic Cough in adults is largely a conundrum. Reviews of adult chronic Cough report that at least 40% of adults with chronic Cough have no medical explanation. Gastroesophageal reflux and upper airway Cough syndrome (a.k.a. post-nasal drip) have been common diagnoses of chronic Cough, but those diagnoses have no support from controlled clinical trials and have been subjected to multiple published critiques. Cough hypersensitivity is considered to be an explanation for chronic Cough in adults who have no other confirmed diagnosis. Gabapentin, a neuromodulator, has been associated with a modest effect in adults, as has speech pathology. While Habit Cough has not generally been a diagnosis in adults, there is evidence for a behavioral component in adults with chronic Cough. Treatment for a specific diagnosis provides a better outcome than trials of Cough suppression in the absence of a specific diagnosis. More data are needed for chronic Cough in adults to examine the hypothesized Cough hypersensitivity and behavioral management. This article reviews etiologies and the treatment of chronic Cough in children and the conundrum of diagnosing and treating chronic Cough in adults.
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When is Cough functional, and how should it be treated?
Breathe (Sheffield England), 2017Co-Authors: Miles Weinberger, Boris LockshinAbstract:Key points Habit Cough is most commonly characterised by a repetitive loud barking Cough that persists for prolonged periods. The Cough interferes with normal activity and substantially decreases the quality of life. The sine qua non is the total absence of this troublesome Cough once asleep. The age distribution ranges from 4 years to late adolescence, with 85% of cases occurring from 8 to 14 years of age; similar Cough in adults is much less common and poorly characterised. Pharmacological treatment is ineffective. A simple behavioural approach called suggestion therapy has been applied with success by many physicians. The natural history in the absence of treatment can result in persistence for months to years. Educational aims To increase awareness of functional Cough as a non-organically caused symptom in children and adolescents. To provide the means of diagnosing a functional Cough based on the distinguishing characteristics of this cause of chronic Cough. To understand the principles of treating a functional Cough with a simple behavioural technique called suggestion therapy. Summary Involuntary Cough without an identified underlying organic reason has been given various names and recommended treatments. Current experience in children and adolescents suggests that “Habit Cough” best describes this entity, and suggestion therapy is a highly effective treatment that most physicians can learn.
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Differential diagnosis of chronic Cough in children.
Allergy and asthma proceedings, 2014Co-Authors: Miles Weinberger, Anthony J. FischerAbstract:A Cough is considered chronic when it lasts >4 weeks. Chronic Cough can be from a variety of causes. This article provides a structured approach to evaluating the child with chronic Cough. Beginning with the disturbing Cough that is absent once asleep, consistent with the Habit Cough syndrome, the diagnostic criteria for 10 causes of chronic Cough are discussed. Using a structured approach to the differential diagnosis, common and uncommon causes can be identified. Well-established causes of chronic Cough, such as asthma, are likely to be well known to the reader, whereas more recently identified etiologies, such as protracted bacterial bronchitis, are presented in more detail. The differential value of flexible and rigid bronchoscopy and bronchoalveolar lavage for aiding in the differential diagnosis is included for those entities where their use is essential.
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The Habit Cough Syndrome and Its Variations
Lung, 2012Co-Authors: Miles WeinbergerAbstract:Involuntary Cough without an identified underlying organic reason has been given various names and recommended treatments. Current experience suggests that “Habit Cough” best describes this entity. Suggestion therapy in its various forms is the treatment of choice. Successful therapy is directed at demonstrating to the patient that he/she has the ability to resist the urge to Cough. Attempts at medical treatment or use of placebo therapy, even with the suggestion that the “medicine” will stop the Cough, are generally not successful. Continued symptoms for years can occur in the absence of suggestion therapy. Sustained relapse after suggestion therapy is uncommon.
