Vocal Cord Dysfunction (VCD), also called paradoxical vocal fold movement, is a condition where the vocal cords temporarily close when they should be open, especially during inhalation. This abnormal movement can make it feel like you’re suddenly short of breath, choking, or unable to get a deep breath in, even though your lungs are functioning normally.

VCD is frequently mistaken for asthma because the symptoms can feel similar, but unlike asthma, it doesn’t improve with inhalers or standard respiratory medications. Episodes may be triggered by physical exertion, exposure to strong smells or cold air, heightened emotions or stress, reflux, or even prolonged speaking. Because of these varied triggers, it often takes time and a specialized assessment to get the right diagnosis.

People with VCD often describe a tight, constricted feeling in the throat or a sensation that their airway is closing. Others notice a chronic cough or throat tickle that won’t go away, voice changes during episodes, or a sudden onset of breathlessness, especially during activities like exercise or speaking for extended periods.

Treatment is centered around retraining how the vocal cords move and helping you regain control during flare-ups. This typically involves targeted breathing exercises to promote smoother airflow, voice therapy to improve coordination and reduce strain, and manual techniques to release tension in the muscles surrounding the larynx. Part of the process also includes learning how to manage triggers, both physical and emotional, so episodes happen less often and feel less overwhelming when they do.

With the right tools and support, most people with VCD experience significant relief. Instead of feeling like they’re gasping for air or “stuck” during an episode, they develop practical strategies to stay calm, regain control, and breathe more freely.