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What Is a Habit Cough?

B. Miller
B. Miller

A habit cough, also known as a psychogenic cough, is one that appears in children following a cold or the flu, but persists long past the other symptoms. Generally, there is no actual medical cause for the cough, but it will occur every few seconds when the child is awake, and is often characterized by a type of dry, barking sound. Once it becomes a habit, it is very difficult to break, and it can go on for months or, in some rare cases, years. Cough suppressants will not help a habit cough because it is psychological, not caused by any medical reason.

In many kids who develop this issue, a habit cough can be very severe. For as long as the child is awake, he or she will likely be coughing every few seconds, or at least a few times for every minute of the day. This can begin to interfere with schoolwork or any other activities the child participates in. It can also make it difficult for the child to fall asleep at night, but once he or she is asleep, the coughing will stop. This is one of the ways that a habit cough can be differentiated by a cough caused by an actual health issue.

Some coughs have no underlying medical issue, but are psychological in nature.
Some coughs have no underlying medical issue, but are psychological in nature.

Treatments for a habit cough typically involve psychotherapy and possibly even hypnosis in order to get the child to break the habit. In therapy, the child will learn how to visualize techniques to stop coughing. He or she may begin by holding his breath for a few seconds, and gradually increasing the amount of time that the breath is held, in order to interrupt the coughing response. Other visual tools, such as visualizing a switch that can be flipped to turn off the coughing, have been shown to be useful in some instances.

A habit cough often appears in children following a cold or the flu.
A habit cough often appears in children following a cold or the flu.

For children who have developed a habit cough as a result of deeper psychological issues, such as a need to get more attention from parents or caregivers, or due to high levels of stress or anxiety, additional therapy may be needed to overcome the cough. In most other cases, however, children who are successfully taught self-hypnosis and visualization techniques are able to overcome their habit coughing. Usually the regular coughing will not cause any type of lasting damage, but while it is still going on it can cause a soreness in the throat and chest as well as affect concentration, so it is important to deal with this issue as soon as possible. A child's regular pediatrician is often the best place to start, so that medical causes can first be ruled out, and an appropriate specialist can be recommended.

Discussion Comments

stoneMason

@burcinc-- I suggest taking him to therapy right away. Habit cough is more common among children than many people realize. The treatment is not difficult but requires some professional help. There are several different speech therapies that the doctor can use to break the child's coughing habit. Pursed lip breathing is one of them.

The main idea behind these therapies is to distract the child's mind so that he or she is thinking about something other than coughing. Therapy is also beneficial in the sense that a habit cough may be a sign of an underlying problem as the article suggested. The child may have psychological needs that are not being met.

burcinc

My six year old nephew was diagnosed with a habit cough. He has had a dry cough since the past two months. It started when he had an upper respiratory infection. The infection was treated but he continues to cough. He only doesn't cough when he's sleep. He starts coughing as soon as he wakes up and continues to all during the day.

The doctor has recommended therapy but my sister wants to wait a bit longer wit the hope that the cough will disappear on its own. We're really worried and not sure what to do.

discographer

I think I was starting to develop a habit cough once when I was young. My cold was gone but whenever I saw my dad, I'd start coughing because I wanted his attention. He looked at me and said "don't force a cough." I stopped coughing after that, so obviously it was psychological.

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    • Some coughs have no underlying medical issue, but are psychological in nature.
      By: ramonespelt
      Some coughs have no underlying medical issue, but are psychological in nature.
    • A habit cough often appears in children following a cold or the flu.
      By: Arpad Nagy-Bagoly
      A habit cough often appears in children following a cold or the flu.
    • A child's regular pediatrician is often the best place to start to diagnose and treat a habit cough.
      By: nyul
      A child's regular pediatrician is often the best place to start to diagnose and treat a habit cough.
    • A habit cough can cause considerable soreness in the throat.
      By: Ilike
      A habit cough can cause considerable soreness in the throat.
    • Treatment for a habit cough may include seeing a therapist.
      By: Ljupco Smokovski
      Treatment for a habit cough may include seeing a therapist.