Panic disorder is the most easily misdiagnosed psychological disorder as heart disease. Patients often seek medical treatment repeatedly because of the high level of pain, and the symptoms similar to myocardial infarction during attacks are more likely to cause patients to fear death, thus reducing their daily activities and even requiring family members to accompany them when they go out, which seriously reduces their quality of life. Due to the pain and fear caused by the symptoms, patients are unable to diagnose the disease, their symptoms are not relieved, and they repeatedly seek medical treatment, which is costly. Mr. L, who has just reached his prime, is one of the partners of a company and often works overtime on weekdays. One day, he worked late into the night at his office, and at about 1:00 a.m., he suddenly felt panic, difficulty in breathing, chest tightness, sweating and trembling, and felt he was almost dying, and his colleagues immediately called 120 for emergency medical treatment. After the symptoms subsided, he always suspected that he had a heart attack, ran several hospitals from the local to the provincial capital and even Beijing, and had more than a dozen tests over a year, but none of them reported any abnormalities and confirmed the diagnosis of panic disorder. However, Mr. L still worried about the danger of having another attack, he was afraid to do anything every day, afraid to work overtime, afraid to exercise, and needed his wife to accompany him when he went out. Five years have passed since the attack in 2010, with one relapse, but he refuses psychotherapy, leaving his wife to suffer. C, a quiet female university student, complained of palpitations since her senior year of high school, tachycardia, frequent sudden stabbing pains, knife-like pains or constant hidden pains in the heart area and even in the chest and back, and sometimes numbness in the limbs, dizziness, tremors and even twitching in the hands and feet. Parents took her to three tertiary hospitals for blood pressure, electrocardiogram, lipids, blood sugar, liver and kidney function, routine blood tests, and even ambulatory electrocardiogram, electrocardiogram exercise stress test, cardiac ultrasound, and chest X-ray, all of which were basically normal. The doctor could only use propranolol and other receptor blocking drugs to slow down the heart rate and alleviate C’s symptoms, and even so, C barely passed the physical examination for the college entrance exam. After that, C’s symptoms would appear whenever there was stress from all sides, and in his junior year C even fainted in the exam room due to the stress of the exam. This caused C and his parents to erode and repeatedly visit various hospitals’ cardiology and Chinese medicine departments, with poor treatment results. Finally, he was reminded by his doctor to visit the psychology department and was diagnosed with somatization disorder. Panic disorder is an acute anxiety disorder characterized by recurrent significant autonomic symptoms such as palpitations, sweating, tremors, accompanied by a strong sense of near death or loss of control and fear of unfortunate consequences of panic attacks. Self-diagnosis of panic disorder: If you have been repeatedly seen in a cardiology department and have been discharged from the possibility of a physical illness, experience sudden, unprovoked, unpredictable, palpitations, shortness of breath or profuse sweating, or even a sense of near death or syncope that can occur in any environment. The episodes peak quickly and are accompanied by intense panic and anxiety, which can easily resolve without treatment or general therapy. If there is only fear in between illnesses without significant cardiac symptoms, it is important to consider whether the patient has panic disorder. Self-diagnosis and self-medication of the patient should then become a must, to be able to rid themselves of the disease as soon as possible. Panic disorder is not an incurable disease, part of the patient can completely through self-treatment symptoms relief, or even cure, the more serious patients need to receive medication and psychotherapy, so do not rush, you can absolutely first try to self-help. First of all, you need to develop a step-by-step self-help plan to establish the belief that your disease can be cured but will take a little time Phase I Spend a week reading about science and technology repeatedly to understand why this disease will come to you, to confirm that you have a psychological disease rather than a physical disease, that this disease does not really cause death, and even in the short term will not cause any physical damage, you need to Give yourself this hint repeatedly. In the second week, you should try to record your symptoms, and your emotions, thoughts, and behaviors at the time of the symptoms, and if you are neurotic also record the events at the time of the symptoms, and transcribe these words at your convenience on a large enough icon that includes time, place, time, symptoms, emotions, thoughts, and behavior items, and post it in a prominent place in your home to help yourself and the family members who care for you Evaluate the contents of the chart to further confirm that the symptoms are coming from within you and not from a physical illness, and also use the chart to try to identify the problem and ways to solve it. The second phase usually takes 3-6 weeks and usually consists of three components – belly whistling, mental skills, and self-pleasure. Abdominal whistling requires you to learn it from a convenient place, such as a yoga studio, gym or martial arts studio, and moderate fitness can also relieve your symptoms. Mental skills: mainly human relations skills and thinking skills. Actively participate in social activities within your ability, try to be tolerant towards others and yourself, do not harm yourself and others in your words and behavior, resolve daily conflict disputes in a timely manner, and seek assistance from others to resolve those that you cannot resolve yourself. Many patients tend to extreme all-or-nothing, overgeneralization, mind filtering and other thinking patterns, so they need to discover positive aspects that they ignore, middle ground of problem solving or other possibilities through more constructive self-talk to prevent overreaction and to maintain an open-minded and optimistic mood to cultivate a stable state of mind. Good, kind and mutually supportive interpersonal relationships lead to comfort, a feeling of psychological stability, and a happy, cheerful and harmonious mind and body. Self-pleasure includes music, travel, fishing, watching movies, singing, dancing, painting, aerobics, food, aromatherapy, bathing, planting, painting and any other things you are good at and can make you happy, you can choose 3~5 of them and add it to your life organically so that your attention can be broken down and not be overly concerned about your physical condition, while these ways of self-pleasure may also give you a sense of well-being in the process of self-creation. The third stage of completion, consolidation and relapse prevention takes about four weeks. The main thing is to keep adapting to new thinking, behavior, interpersonal patterns and new habits, and to make this new pattern completely your own thinking and living pattern. With these changes, the symptoms will slowly ease and even disappear.