Evaluation Treatment
A cough can be considered chronic if it lasts for more than three weeks. The most common causes in nonsmokers are postnasal drip syndrome (PNDS), gastroesophageal reflux disease (GERD), and asthma. In some cases, the cough may be psychogenic (or habit).
Behavioral intervention for chronic cough is initiated only after a complete medical work-up and appropriate medical treatment has been initiated. Behavioral management is provided by a trained speech-language pathologist and addresses the non-medical components of the cough.
A comprehensive case history is an integral part of the evaluation process. It is important to determine the circumstances surrounding the onset of the cough and any precipitating factors.
The patient is asked to evaluate physical symptoms as well as the functional and emotional effects of the cough.
Evaluation results are reviewed with the patient and treatment planning begins by first identifying the patient's personal goals and his/her level of motivation. The importance of active participation and independent carryover are emphasized.
Treatment begins with the patient's verbal commitment to his/her individualized treatment program that will address awareness, desensitization, and behavioral changes.
Length of treatment varies, but is generally two to four sessions with follow up in one month after discharge.