When suffering from anxiety disorders, patients can experience tightness and discomfort at the throat, but organic diseases should be ruled out first, mainly including the following: 1, cardiovascular disease: the prominent symptom of myocardial ischemia is chest tightness, chest pain, and can radiate to the neck and manifest as throat tightness and discomfort. Therefore, when there is tightness and discomfort in the throat, patients should undergo ECG examination, especially for people with cardiovascular risk factors, such as hypertension, diabetes, hyperlipidemia and smoking, they should exclude coronary artery stenosis that causes insufficient blood supply to the heart muscle and similar performance; 2, local lesions: such as thyroid disease or tracheal and esophageal lesions can cause discomfort in the throat, which should be excluded. If no organic disease is found through the examination, we can consider this symptom as a somatic symptom caused by emotional distress. In this case, a psychologist or psychiatrist should make a judgment and provide appropriate treatment.