Guideline sources The following summarized guidelines for the evaluation and management of somatic and tic cough are prepared by our editorial team based on guidelines from the American College of Chest Physicians (ACCP 2015). 1 Guidelines 1. Screening and diagnosis Diagnostic criteria (tic cough disorder): diagnose tic cough disorder in adults and children with chronic cough that has remained medically unexplained after a comprehensive evaluation, when the patient manifests the core clinical features of tics (suppressibility, distractibility, suggestibility, variability, and the presence of a premonitory sensation whether the cough is single or one of many). B Diagnostic criteria (somatic cough disorder): consider diagnosing somatic cough disorder in adults and children with chronic cough that has remained medically unexplained after a comprehensive evaluation, in whom tic disorders have been ruled out and DSM-5 criteria for a somatic symptom disorder are met. C Diagnostic terminology: avoid the diagnostic terms "habit cough" and "psychogenic cough" in adults and children with chronic cough. D https://web.pathway.md/diseases/recC8pJyIpYQbAHGQ 1/2 6/24/23, 3:14 PM Somatic and tic cough Pathway 2. Diagnostic investigations Clinical history: consider not relying on the presence or absence of night-time cough or on cough quality to diagnose or exclude psychogenic or habit cough in adults or children with chronic cough. D 3. Nonpharmacologic interventions Hypnosis or suggestion therapy: Consider implementing a trial of nonpharmacologic treatment in children with somatic cough disorder. Nonpharmacologic treatment may include: hypnosis or suggestion therapy combinations of reassurance and counseling referral to a psychologist and/or psychiatrist. C References 1. Vertigan AE, Murad MH, Pringsheim T et al. 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. 2015 Jul;148 1 24 31. Open https://web.pathway.md/diseases/recC8pJyIpYQbAHGQ 2/2