Organic diseases
|
Non-organic diseases
|
Pseudohypacusis
|
Functional upper airway obstruction
|
Conversion disorder
|
Adjustment disorder
|
Autism spectrum disorders
|
Patient evaluation
|
Thorough history and physical examination including flexible nasolaryngoscopy
|
Audiometry and vestibular testing should be performed to rule out organic pathology as indicated by the presenting complaint
|
Consultation with relevant specialists including neurology and psychiatry
|
Consider neuroimaging to rule out structural pathology
|
Treatment overview
|
Assessment of goals with staff, patient and family
|
Confirm belief in presenting symptoms
|
Avoid accusation
|
Ensure patient and family is connected with appropriate community resources including physical or psychological rehabilitation
|
Arrange follow-up visits
|