Emphasis on psychotherapy Emphasis on psychotherapy in the course of asthma treatment should not be an alien concept in the theoretical system of most rosthodontists and a few patients are also aware of it. However, how to do it is still an unknown to most doctors and patients. I will talk about the following aspects of psychotherapy of asthma. First, the education program for asthma is a necessary guarantee that other treatments can be effective. 1, to explain in detail to the patient the correct knowledge of the disease, to let the patient to understand including what is asthma, asthma attack typical performance, common triggers and other knowledge of the disease. 2, the patient to identify triggers and onset of aura, symptoms. Self-testing, mastering the use of inhalers. 3, let the patient understand the role of drugs, prohibited and cautious drugs and the use of methods, to help patients understand the relief of attacks and control the use of drugs is as important as the attack, to ensure that the patient in the period of remission according to the doctor’s orders to use control drugs. 4.First aid guidance for acute asthma attack. 5.Dietary guidance; understanding the precautions in life; exercise guidance; understanding the significance of psychotherapy to asthma treatment; and self-evaluation of treatment effects. Let the patient understand that asthma can not be cured, but appropriate treatment can be effectively controlled. Build up the patient’s confidence in treatment. In addition, asthma diaries and problem checklists are also important elements of education, which can find the triggers of the disease and its relationship with social, family and learning problems, and can be more targeted prevention and treatment. As early as the late 1930’s, Freud and Alexander believed that the psychological factors of asthma were primarily subconscious conflicts centered around overdependence on the mother and fear of separation. Secondly, for most patients who are not in a position to undergo professional psychotherapy, the use of antidepressants under medical supervision is a very necessary and effective tool. Numerous studies have shown that antidepressants can reduce the frequency of asthma attacks and effectively reduce asthma mortality. Third, if there are certain conditions, behavioral training and biofeedback therapy will be a more effective treatment segment. Behavioral training is mainly lip-contraction whistling, deep whistling relaxation, muscle progressive relaxation and imaginative relaxation. 1. Lip-contraction whistling is to inhale through the nose, and when you whistle, the lips are contracted and resistance is exerted to slowly whistle out. 2. Deep whistling relaxes by inhaling through the nose and whistling through the mouth. Deep and slow, even and long. Inhale with the stomach slowly bulging, about 10 seconds; hold the whistle for 2 seconds; whistle with the stomach slowly deflated, also about 10 seconds. By practicing this for 5-10 minutes, the muscles will relax, the whistling will smooth out, and the rest of the body will relax as well. At the same time, it can improve the depth of the whistle, improve lung ventilation and blood circulation, reduce bronchial spasm, and relieve asthma symptoms. The latter two relaxation methods are more complex and require professional training. In addition, systematic desensitization is also a common behavioral training method. Some asthma patients are prone to attacks in certain environments even without allergens, which requires professionals, to help patients to grade the fear and worry of the situation, and then graded exposure, step by step, to eliminate such fears and worries. Developing a life schedule, self-testing, recording and evaluating negative thinking, recording exercise, work and study, eating and sleeping are also important self-management methods for asthma patients. Behavioral treatments such as hypnotherapy, biofeedback therapy, behavioral function analysis and exposure response prevention are also common asthma psychotherapies. Cognitive Behavioral Therapy IV. The combination of cognitive therapy and behavioral therapy will be more effective in helping patients to improve the quality of life. The cognitive patterns of asthmatics are often negative or even catastrophic, and many asthmatics are so worried about their lives that they are unable to live a normal life most of the time. In addition to worrying about an acute attack of the disease, most patients also often worry excessively about life in their daily lives. A psychiatrist can reconstruct the patient’s thinking pattern through a series of cognitive techniques, such as Socratic talk, pie charts, pros and cons analysis, imagery reconstruction and other cognitive techniques, to shift the patient’s thinking from negative to positive. Life becomes more lively and interesting. It also improves the patient’s interpersonal patterns, allowing the patient to be more active and flexible in relationships. Together, these methods and behavioral therapy enable patients to turn thoughts into actions, making the changes more lasting and effective. In addition to the doctor’s efforts, the patient’s own efforts are even more important in the treatment of asthma. Dependent patients who place all the responsibility for their treatment on the doctor have the poorest quality of life. Of course, for those patients with obvious personality problems, short or long psychoanalytic treatment is necessary if possible. By exploring with the psychiatrist the impact of upbringing and early relationships on the patient, understanding the patient’s deepest feelings and needs, and allowing the patient to learn to discover and express himself, the patient can heal major or chronic lasting trauma from the early years of his life. Making effective improvements in the patient’s personality can lead to better asthma control. Finally, those improvements in daily habits should not be ignored. During the asthma remission period, it is better for patients to have jogging, tai chi, yoga or other aerobic exercises 4-6 times a week for about 15-30 minutes each time when their physical strength permits, which can reduce anxiety, decrease bronchospasm, promote blood circulation, and enhance lung function and immunity. Improving lifestyle habits, quitting smoking, increasing life planning, establishing good sleep habits, and paying attention to seasonal warmth are also necessary to prevent asthma attacks. Dietary regulation Dietary regulation is also indispensable, light diet, 80% full, avoid cold, wine, spicy, too sweet, too salty. Eat more food rich in carotene, vitamin C, vitamin E, selenium and so on. Eat more shiitake mushrooms and other immune-enhancing foods. Appropriate use of foods with healing properties such as radish, almonds, Sichuan peppercorns and pears. If asthma patients can do all these, the impact of the disease on the patient’s quality of life will be minimized. Psychotherapy is not scary, if you face it squarely. I hope I can help you to do those things you have not accomplished and would love to accomplish.