Practice Guidelines

ACCP Provides Updated Recommendations on the Management of Somatic Cough Syndrome and Tic Cough


Am Fam Physician. 2016 Mar 1;93(5):416.

Key Points for Practice

• The patient must meet the DSM-5 criteria for a diagnosis of somatic cough disorder.

• A tic cough is defined as a chronic cough that shares core clinical features of tics.

• Nighttime cough, or a cough with a barking or honking quality, should not be used to diagnose or exclude somatic or tic cough.

From the AFP Editors

A cough that has no medical diagnosis and does not respond to treatment is sometimes labeled as psychogenic cough, habit cough, or tic cough. These disorders should be distinguished from other forms of chronic cough, but there is little consistency or evidence on how to best diagnose a chronic cough as a psychogenic, habit, or tic cough. The American College of Chest Physicians (ACCP) has updated the 2006 guidelines to assist physicians in the management of a patient with suspected somatic cough syndrome or tic cough.


To be consistent with the Diagnostic and Statistical Manual of Mental Disorders, 5th ed. (DSM-5), it is recommended that the terms somatic cough syndrome and tic cough replace the terms p

Coverage of guidelines from other organizations does not imply endorsement by AFP or the AAFP.

This series is coordinated by Sumi Sexton, MD, Associate Deputy Editor.

A collection of Practice Guidelines published in AFP is available at


Copyright © 2016 by the American Academy of Family Physicians.
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