Multidisciplinary approach to an adolescent with vocal cord dysfunction: case report

Abstract

Vocal Cord Dysfunction (VCD) causes improper adduction of vocal cords resulting in audible wheezing and stridor over the larynx. The etiology of VCD is not clear, however, it has been viewed as a complex and heterogeneous disorder in which psychogenic factors might also have a critical role. We present the 14-years-old female with VCD, asthma, and gastroesophageal reflux disease. Her condition was resistant to medical treatment and speech therapy. A psychiatric evaluation revealed that several dynamics consistent with somatic symptom disorder. Cognitive Behavioral Therapy (CBT) oriented 5 sessions of intervention resulted in symptom relief successfully. Child and adolescent psychiatrists can play a facilitating role in the optimal treatment of VCD regarding the multifactorial aspects of the condition.

Keywords

• cognitive behavioural therapy
• somatic symptoms
• vocal cord dysfunction

Vokal kord disfonksiyonu olan bir ergene multidisipliner yaklaşım: olgu sunumu

Abstract

Vokal Kord Disfonksiyonu (VKD), ses tellerinin uygun olmayan şekilde kapanmasına neden olarak gırtlak üzerinde duyulabilir hırıltıya ve stridora yol açar. VCD'nin etiyolojisi net değildir, ancak psikojenik faktörlerin de kritik rol oynayabileceği karmaşık ve heterojen bir bozukluk olarak görülmüştür. Bu vakada VCD, astım ve gastroözofageal reflü hastalığı olan 14 yaşında adölesan hasta sunulmaktadır. Tıbbi tedaviye ve konuşma terapisine dirençli olan olguda yapılan psikiyatrik değerlendirme, somatik semptom bozukluğu ile uyumlu çeşitli dinamikleri ortaya çıkarmıştır. Bilişsel Davranışçı Terapi (CBT) odaklı 5 seanslık müdahale, semptomların başarıyla giderilmesini sağlayarak psikiyatrik yaklaşımların VCD'nin optimal tedavisinde kolaylaştırıcı bir rol oynayabileceğine işaret etmektedir.

Keywords

• bilişsel davranışçı terapi
• somatik belirtiler
• vokal kord disfonksiyonu

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