Phagophobia: A form of Psychogenic Dysphagia a New Entity

  title={Phagophobia: A form of Psychogenic Dysphagia a New Entity},
  author={Debra L. Franko and Jo Shapiro and Adele Gagne},
  journal={Annals of Otology, Rhinology \& Laryngology},
  pages={286 - 290}
There is a group of patients presenting with either acute or chronic dysphagia secondary to fear of swallowing. We have termed this entity phagophobia. It is characterized by various significant swallowing complaints in the face of normal findings on head and neck examination, oropharyngeal swallowing videofluoroscopy, and standard barium swallow study. Ten patients who received diagnoses of phagophobia after a full evaluation at our swallowing disorders center are presented. Each patient was… 
Phagophobia: a case report.
The management of this case included the combination of behavior therapy and a dysphagia management program and after approximately one month of utilizing these techniques, the case showed considerable improvement.
A case report on the management of phagophobia
Phagophobia is the fear of swallowing. It often causes dysphagia without an organic cause. The incidence of phagophobia is sparse in literature. The client is a 29-year-old female who presented with
Phagophobia: a case report
Cognitive behavioural techniques can successfully be used in the treatment of phagophobia and the possibility of a psychological cause for dysphagia should be borne in mind although the occurrence is rare.
Psychiatric Aspects of Dysphagia
The diagnosis of psychogenic dysphagia should, to avoid misdiagnosis, be reserved for patients with strong psychological symptoms and fear of swallowing, and the most effective treatment seems to be a combination of psychological treatment and dysphAGia therapy.
Phagophobia: Behavioral Treatment of a Complex Case Involving Fear of Fear
Phagophobia is the avoidance of swallowing foods, liquids, or pills, usually based on a fear of choking. Since the first reported case study in behavior therapy, cases reported in the
A study of psycho-pathology and treatment of children with phagophobia.
Patients with strong obsessions were refractory to treatment, indicating that evaluation of premorbid personality is crucial to the prognosis, and it is important to classify this disorder according to psycho-pathology into "post-traumatic type" and "gain-from-illness type" to make a treatment plan.
Dysphagia: A Short Review of the Current State
This article reviews current literature on the subject and summarizes the state of knowledge regarding the prevalence, classification, identification, management, and treatment of dysphagia, and considers the diverse effects of cultural variables on dysphagian service delivery and capacity.
Choking Phobia : An Uncommon Phobic Disorder, Treated with Behavior Therapy : A Case Report and Review of the Literature
A case of a 20 year old female who presented with choking phobia and was treated with behavior therapy is presented and the differential diagnosis and treatment strategies of this rare anxiety disorder are discussed.
Use of fiberoptic endoscopic evaluation of swallowing (FEES) in the management of psychogenic dysphagia in children.
Fiberoptic endoscopic evaluation of swallowing can be a useful management tool in children with psychogenic dysphagia as it provides direct visualization of the oropharyngeal swallowing mechanism.
Psychopathological aspects of dysphagia: a systematic review on correlations with eating disorders and other psychiatric conditions
This review investigated the correlation between dysphagia and eating disorders, analysing the complex relationship between the two conditions and provided an overview of the assessment of dysphagic symptoms in other psychiatric syndromes.


Psychiatric aspects of swallowing disorders.
Investigations with the technically advanced means now available for studying esophageal motility should be undertaken to confirm or assess the observations of earlier reports concerning the relative roles of organic and psychological factors.
Electromyographic biofeedback treatment of a woman with chronic dysphagia
  • S. Haynes
  • Medicine
    Biofeedback and self-regulation
  • 1976
A 25-year-old female with chronic dysphagia spastica was treated with 20 sessions of frontal EMG biofeedback and home-relaxation practice and there was a significant decrease in reported difficulty swallowing associated with frontalis EMG feedback.
Choking phobia: a review of the literature.
  • R. McNally
  • Psychology, Medicine
    Comprehensive psychiatry
  • 1994
Fear of choking appears to occur somewhat more often in females than in males, and has a variable age of onset ranging from childhood to old age.
Fear of Choking and its Treatment: A Behavioural Approach *
  • L. Solyom, D. Sookman
  • Art, Medicine
    Canadian journal of psychiatry. Revue canadienne de psychiatrie
  • 1980
On discute de la phenomenologie et du traitement de the phobie d'avaler ou d'etouffer, dont il s'avera efficace dans les trois cas et apres une annee de postcure, l'amelioration s'etait maintenue.
of various etiologies
  • 1996
Errors of deglutition--real and imagined; or, don't forget the psyche.
  • J. Gilbody
  • Medicine
    The Journal of laryngology and otology
  • 1991
Fear of choking and its treatment psychiatric patients : clinical and videof luoroscopic study
  • 1991