An 11-year-old girl came to the clinic with the complaint of “episodic dyspnea and stomach pain for 3 years, aggravated for 6 months. As soon as the girl entered the room, she gave me a feeling of nervousness and anxiety, her eyebrows were furrowed, her expression was sad, the corners of her mouth were tightly closed, and her hands were crossed and clasped together. In order to relax the child, I first introduced myself and asked her to write down her name, age, and the school she attended. The above measures did not improve the girl’s nervousness, and she still had her hands clenched tightly together in front of her chest. I asked her what was wrong. She said, “I have trouble breathing. The father next to her quickly described her condition. “This child had one episode of dyspnea when she was 8 years old, and only once or twice a year between the ages of 9 and 10. This year it has been frequent, 7-8 episodes in the last 2 months alone.” I asked the girl to describe the episodes to me in detail. ”It started with stomach pain”, she pointed to her left abdomen, about 3cm to the left of the umbilicus, followed by difficulty breathing, chest tightness, then numbness in the arms and legs, headache, and the whole process lasted from a few minutes to 30 minutes”. ”She has more attacks when she is in a bad mood, sometimes she feels like she is going to have an attack, and her mother gives her comfort and it passes.” ”Have you been tested for this?” I asked. ”Look at the tests she had when she was sick,” my father said, handing me a thick pile of cases. From 2010 until the last month, various tests such as ECG, liver and kidney function, myocardial enzyme profile and calcium ion were all normal. “So, I suspect that she is a psychological problem, these last 3 months, I sent her back home to Hunan to school, the quality of teaching in the old home is better, we are a couple doing business in Xi’an, she and her brother in the old home to let her grandparents watch, did not leave us before. This child is not talkative and introverted since childhood. I heard her cousin say she didn’t want to go to school in her hometown, but when I asked her about it, she said it didn’t matter. This time, in order to see her, I brought her to Xi’an, and in this half month, not once did she fall ill”. Ask the girl how her mood is? She only answered me by nodding and shaking her head. I asked her, “Are you not happy?” She nodded her head. I felt her palms were sweaty. Her eyes looked very sad. I asked her if she didn’t want to go to school in her hometown and wanted to go back to Xi’an to be with her parents. She nodded her head vigorously. Diagnosis: separation anxiety. This girl had anxious qualities in herself, and with the separation from her parents, she experienced significant anxiety and depression, with various physical complaints (headache, stomach pain), etc. I suggested the parents to receive the child to themselves, saying that he should take time to spend more time with the child, not to neglect the child for earning money, if so, what is the use of earning more money? The girl heard these words eyes moistened, tears flowed down and choked up. This is the knot in her heart, right? I asked her if she could tell her father: I want to live with my mom and dad, she shook her head, I said you try to say this to your aunt, she also shook her head. I then told her that it would be good for you to learn to express your emotions and thoughts, make more friends, do more sports, and become more outgoing when your parents get you to Xi’an. Can you try to give your aunt the words that you want to go back to Xi’an? After a few tries, the girl finally looked at me and whispered, “I want to live with my mom and dad. After saying that, she cried again. The father said: I’ll get her well and pick her up in Xi’an. There was still no clear answer to the child’s wish. ”The root of the child’s illness lies in the separation from your parents. If you bring her to live with you, the child’s problem will not be a problem. You need to give the child a clear commitment.” The father said he would soon do the transfer procedure and let the child return to Xi’an, even if her grades were not good. I hurriedly said, “That’s a matter for later, even if the school is not as good as your home, she will be happy and will work hard.” When the father and daughter came out of the clinic, I saw the father holding the daughter’s shoulders, very close.