case, dysphagia may be a real health problem that could be causing constriction of the oesophagus during swallowing, meaning that people with this condition are legitimately not imagining the symptoms that they outline. Furthermore, Omophydroid Muscle Syndrome - a rare muscle condition which causes chronic soreness and pain swallowing, may be the cause of falsely diagnosed pseudodysphagia. It is also not uncommon for pseudodysphagia to be misdiagnosed with conversion disorder (Globus Pharyngeus) and eating disorders. Treatment studies In 1978, Di Scipio et al. medicated three children under the age of with the inability to swallow. Two of the children had earlier undergone oropharyngeal surgery whilst the other child had an uncertain diagnosis however the strain was examined to be a congenital neurological disorder and possibly pseudobulbar palsy. Those children were fed by a gastrostomy. The phobia was unexplained but may have accumulated after a traumatic incident of a barium swallow. The treatment in these three cases comprised: positive reinforcement of the psychomotor constituent of oral consumption; tube feeding made dependent on oral feeding (the children were fed through a tube once the child attempted swallowing); introduction of massed learning tests over 72 hour periods. This treatment took place between 1 and 2 years. References Phobias