GL has to take medication four times a day. Anyone who says medication is never the answer for behavior should try living with him unmedicated. He learned to swallow pills at age 7, and has never had a problem with them since. Even when the pharmacy filled his prescription with the same number of milligrams, but more pills, he swallowed handfuls of pills with no difficulty. Until recently. He had a cold a month or two ago with coughing and choking. He happened to cough or choke on mucous more than once while swallowing his pills. The cold is long gone, but now he is convinced that pills will make him cough, choke, or gag. First he started coughing while the pills are still in the front of his mouth, before he attempted to swallow, spitting them across the room or into the cup of water. Now he's started coughing and gagging before they're even in his mouth, sometimes as soon as I open the bottle. Heavy sigh.