ChokingPhobia refers to an individual who suddenly acquires a fear of eating after choking on food, has difficulty swallowing, has no abnormalities on physical examination, and is characterized by fear and avoidance of swallowing food, liquids, or pills. It is seen as a specific phobia of other types in the DSM-V, placing it together with fear of vomiting. Choking phobia has not been reported domestically and has not been reported much abroad. In 2012 Baijens searched the Embase, PubMed, PsycINFO, and TheCochraneLibrary databases for choking fear in adults in English, German, Spanish, and Dutch and found only 12 original articles, of which nine were case reports, one case control, and two series of studies. This article reports a case of choking phobia and the course of cognitive-behavioral combined with hypnotherapy. 1. General information The visitor was a male, 44 years old at the time of initial consultation, married, Han Chinese, with a bachelor’s degree, currently unemployed and at home, but with a relatively stable investment income. He was medium-sized, thin, with a black-rimmed glasses, and had a rather civilized appearance. Eight months ago (January 2010), he was choking on dry steamed buns and peanuts, and later on he was choking again when taking medicine, and felt that something had entered his trachea and he was suffocating and dying. Later, I was afraid to eat anything with large particles, and I had to chop up chicken and vegetables before I could eat them, and I could only swallow water after taking a small sip. I don’t dare to eat anything with tendons, and I am especially afraid of eating thin strips of things, feeling that only part of it is swallowed and the other part sticks in my throat, which is especially scary. Recently, I have to pay full attention when swallowing, and I cannot talk or be distracted while eating. During the period when I first visited the doctor, I felt that swallowing was also unnatural, and I was most nervous when taking medication. No matter how bitter the medication was, I had to bite the tablet to swallow it, which felt very painful. I used to choke once a year or so, but it was fine, so I couldn’t figure out why it happened this time. She weighed about 65 kg before the onset of the disease, but now she weighs 55 kg. Her father passed away when she was 8 or 9 years old, and her grandfather and father died at the age of 40 in her family. She had hepatitis A when she was in college, hepatitis B soon after she started working, and cirrhosis was detected in 2010. He had a neurological physical examination at our neurology department, and a physical examination at the ENT department, which showed no abnormalities; laryngoscopy, electromyography, and MRI of the head showed no positive findings. The visitor was diagnosed with choking phobia. 2. Treatment process The initial three sessions were centered on understanding the condition, establishing a therapeutic relationship, and the initial treatment process. Through careful listening and observation, the therapist learned about the visitor’s upbringing: he was the eldest son, and his father passed away when he was 8 years old, but he had always had smooth sailing, studying, going to college, and working, feeling relatively normal and superior. Beginning of junior high school, the teenage years began boarding. His wife works at the hospital and he is not working now, mainly taking care of the children, so he has more time for treatment. Treatment goals were first discussed with the visitor, who expressed a desire to eliminate symptoms, which the therapist said might be difficult to achieve, but only possible to alleviate the symptoms and reduce the impact of the symptoms on his life. In time, he could be more relaxed about drinking water and eating and taking medication, and might still have occasional worries, but they would have no major impact on his life. The visitor accepted. Later the therapist introduced the visitor to himself (being trained in the Cognitive Behavioral Therapy system in the C.D. class), the basic principles of Cognitive Behavioral Therapy, the principles of treatment of phobias, the book “Reason over Emotion” [4]. and a copy is given to the visitor. The therapist then explains that the book will be used as a therapy manual, that homework will be assigned each time, that the process of therapy is a bit complicated as the therapist teaches him to solve problems, and that therapy will be conducted at the visitor’s pace, and that the therapist will work with him to solve any difficulties he encounters in the future. The focus of the visitor’s study and homework at this stage includes: reading the introduction of the book; Chapter 11, “Understanding Anxiety”, to understand the three responses that occur when anxiety occurs (fight, escape and freeze response), to understand the cognitive aspects of anxiety, to overcome avoidance, etc.; reading Chapter 1, “Understanding Your Problem “He learned to divide his problems into five areas: environment, physical reactions, emotions, behavior, and thinking (the therapist explained to him that to understand his problems, he had to take apart the TV like a TV with a problem and see what was wrong). These give the visitor an initial cognitive conceptualization.