Speech therapy is the main course of treatment for long-term management of VCD and includes a variety of techniques such as relaxed-throat breathing, respiratory retraining therapy, and vocal hygiene counselling.  Most studies agree that symptoms of VCD improve in patients and few continue to require asthma medications six months post speech therapy intervention.   Significant improvements were reported for respiratory retraining therapy, including fewer episodes of dyspnea per month and decreased respiratory stress severity. 
Approximately 11% of patients with spinal cord injuries meet the criteria for Major Depressive Disorder (MDD). Therefore, in patients with spinal cord injuries who show symptoms of depression, such as suicidal ideation, it is important to screen for major depression and consult for psychological care.
Bombardier et al found % of participants with spinal cord injuries met criteria for MDD. They found MDD was associated with poorer subjective health, lower satisfaction with life, and more difficulty in daily role functioning.
Kishi et al found that both acute and delayed-onset suicidal ideation was strongly associated with the existence of major depression and impaired social functioning in patients with spinal cord injury. They argue that the detection and appropriate treatment of depressive disorders and social isolation may be the most important factor in preventing suicide both during the acute and chronic period following spinal cord injuries.
High dosages of oral corticosteroids taken daily for prolonged periods of time can have serious systemic side effects including bone loss ( osteoporosis), increased risk of infections and diabetes and cataracts, thinning of skin, stretch marks, increased facial/body hair growth, acne, fluid retention, weight gain with redistribution of fat (fat deposits on back and face, thinning of limbs), muscle weakness, decreased resistance to infections, stomach ulcers, mood swings, insomnia, suppression of the body's own production of cortisol, etc.