Case from practice A 28-year-old girl complained of dizziness, anxiety attacks accompanied by difficulty breathing. She was examined and diagnosed with VSD. She was recommended to play sports and visit a psychotherapist. The girl is very responsible, efficient in all respects, both at work and in her personal life tries to do everything perfectly. She builds harmonious relationships with the people around her, avoids conflicts. She strives to comply with accepted social norms, to be a faithful friend to her man and treats his parents with respect. She has completed a course of cognitive behavioral psychotherapy. She took her classes responsibly, completed all tasks, kept a “Diary of Feelings”, in which she described all situations, thoughts, emotions and reactions to them. After this, she analyzed her status and realized the reasons for her anxiety. She made the following conclusions: - you cannot try to be for everyone is good - you can’t try to please everyone - you can’t build your life based on the opinions of others and depend on it. The conclusions are correct, but unfortunately they did not lead to results. The girl continued to be bothered by attacks of anxiety and panic. And although she was well aware of the mechanisms of symptoms, she could get rid of them she couldn’t. So what is the reason? And the reason was that it turns out that theory alone is not enough, it needs to be supported by practice! Realizing and working through your emotions is not enough! After that you also need to start acting, committing actions. Change your usual behavior and give up old strategies. And then the brain will begin to respond to changes and build new neural connections. And then the psyche will begin to work differently and react differently to surrounding stimuli and situations. The girl was asked to change some of her habits. For example, stop smiling at everyone at work and not hide her bad mood. And especially not try to continue communicating with those people she doesn’t like, who violate her personal boundaries and are toxic towards her. And stop getting up an hour earlier to get a beautiful hairstyle and paint your nails. And allow yourself to look simpler and feel your natural attractiveness. After listening to these recommendations of mine, the girl thanked me and did not come to the consultation again. I met her by chance a year later. Of course, I didn’t recognize her, she had changed a lot. And she completely changed her life .Found another job. She broke up with the young man because she was tired of pleasing his mother. And the healing process began from the moment she was riding on the subway one day and, relaxing, put her feet out into the aisle. And when she was reprimanded, she sent everyone to hell. And after that I felt an unusual lightness, like a mountain had been lifted from my shoulders. And the panic attacks began to pass.