On February 22 this year, a young patient was seen in the afternoon clinic, once seated, he was very emotional, he said: “The level of doctors in Shanghai is so bad, I am dying several times, my heart is so hard here, my heartbeat is so fast, I can’t catch my breath, they actually said I don’t have heart disease, kicked me to you, my brain is not sick. ” Hearing this, I understood what was going on in my mind, he did not have heart disease, but how to make him understand? And how to make him accept that he is suffering from a mental illness? I told him: 1, to come here for consultation does not mean that the brain is sick 2, heart trouble does not necessarily mean heart disease 3, I can understand his pain, mentally speaking more painful than heart disease patients 4, there are many patients similar to him here, after treatment have recovered 5, can you trust me? If you want, you can slowly tell me about your condition, including your recent work, emotions, relationships and so on. After that, I asked him to go outside the clinic and think about it, so that I could show him the last one after I finished the other patients, so that there would be more time. Two hours later he came back into the clinic, still not confident in his treatment and diagnosis, but completely calm. He told me that he was a white-collar worker in a German company, 27 years old, had been working for 3 years, earning over 10,000 a month, had bought a house with a mortgage 3 months ago, and was about to get married. But 2 months ago a new colleague came to the company, with German study experience, can communicate directly with the German boss, since then he often feel his job is at risk, worried about the day to receive the boss’s notice of dismissal, extremely poor sleep at night, the brain all day thinking, mood becomes impatient, can not focus on work, the Spring Festival break at home also can not relax, and often feel panic, chest tightness, breathing problems, the last 2 weeks more serious. The last 2 weeks more serious, there are several times breathing difficulties, immediately dying, but called an ambulance to the hospital emergency, did a lot of tests, but the doctor told him there is no disease, just now is an old doctor suggested that he come to our hospital psychology department, so he was very angry. I asked him if he had talked about similar experience with other doctors, he said, “No, I didn’t, and the doctor didn’t ask, every time it was just a few minutes to ask what was uncomfortable, and then he was given a list to do tests, dynamic ECG, cardiac ultrasound, exercise test were done several times, except the heart rate was faster than usual, everything else was normal”, I asked him to do I asked him to do the HAMA, HAMD, MMPI and other scale tests, and the result was moderate to severe anxiety, sensitive personality, aggressive, careful and cautious. I told him that what he was suffering from was not organic heart disease, but a psychological disease – “anxiety disorder”, a disease related to external pressure and personality, which can be treated. I gave him the URL of my personal website, hoping that he would go there at night and see that many patients like him, or even more serious than him, had recovered, and that he would be convinced that he really did not have a heart attack and would cooperate with his doctor for regular treatment. I gave him 2 days to think about it, and if he wanted to please come for a follow-up appointment on Wednesday morning, preferably accompanied by his fiancée, as psychological support from family members is important for treatment. He was convinced that he was not having a heart attack and that he was not suffering from a difficult disease, and his fiancée was fully supportive of his treatment. In recent times, due to the patient’s emotional irritability and emergency visits to the hospital twice in three days, the whole family was worried and did not know how to help him, and this Spring Festival was not pleasant at all. After more than one month of anti-anxiety medication, combined with four sessions of psychotherapy, the patient has basically recovered and is still taking small doses of medication to consolidate his treatment.