Pediatric patients, primarily adolescents, afflicted with paradoxical vocal fold mobility disorders often spend many months prior to being accurately diagnosed. Many, possibly unneeded diagnostic tests and emergency visits are made due to the seemingly severe breathing difficulty and dyspnea that occur for this diagnosis. Though the Otolaryngologist is critical to ensuring no additionally pathologic cause of vocal fold related dyspnea, getting to the depth of the diagnosis by understanding precipitating anxiety and mood disorders in addition to instruction of detailed respiratory and vocal exercises that require mastery not only at rest but often with intense exertion. The panelist have a unique look into the diagnosis and management of pediatric paradoxical vocal fold motion disorder. The panelists developed a multidisciplinary clinic where patients referred for dyspnea suspected to be caused by laryngeal motion abnormality are seen as a team with otolaryngology, speech language pathology, and pediatric psychology. We have gained unique understanding of the mind body connection in these patients and techiniques and protocols that can optimize outcomes in this population. We will share our patient experience and qualitative outcomes in addition to findings of validated questionnaires that have been followed throughout treatment. The panel will include a live and real time demonstration of techniques that have shown most benefit that will allow you to act as the patient in mastering these techniques. Real patient cases undergoing biofeedback through laryngoscopy will be shared and compared to demonstrate the variation in presentation. In addition the multidisciplinary development, practice management hurdles, and ongoing research insights will be shared.