A 35-year-old woman who has been troubled by panic attacks for fifteen years came to me. For the last eight years she has been taking antidepressants, but they have ceased to cope with her problematic conditions as well as before. Constant anxiety, attacks of suffocation, increased heart rate and the desire to run away anywhere during attacks began to intensify so much that it became impossible to work and lead a normal lifestyle . Therefore, there was a need to urgently change the method of treatment. And she was faced with the choice of either switching to other drugs or working through the problem with the help of psychotherapy. And if before it was easier to take a pill, now she preferred to work with a psychologist, since the prospect of finally becoming addicted to pills did not bother her. As always, we began the examination with comprehensive psychological testing in order to create a holistic picture of what was happening and find the causes of the problem, sources which lie deep in the unconscious. As a result, the tests showed a not quite typical picture of panic attacks, since there was no anxiety in the profile, there was a strong tense/unsatisfied need for acceptance by a very close person. It all started with the fact that my client got married at 18 years old , and two years after that she first learned about her husband’s infidelity. This was a serious shock for her, because she was convinced that her husband loved her and the marriage should be one for life. The husband did not admit guilt and was able to convince my client that everything was wrong, although the facts said otherwise. Therefore, At that moment she decided to maintain the relationship with her husband, but later the memories of this event begin to greatly affect her condition. The woman harasses her husband with constant questions about the fact of betrayal, begins to demand constant attention, and not receiving enough of it, she develops tension and anxiety. The husband begins to gradually move away and continues to walk, which only worsens the woman’s psychological state. As a result, all these events become the cause of panic attacks, because it is very difficult for my client to accept that she is not loved and is not needed by her husband at all. During long-term therapy, I used several psychological tools, since it is impossible to work through panic attacks only with the help of hypnosis if you are constantly close to the source of the problem. With the help of metaphorical associative cards (MACs), constellations and regressive hypnosis, we were still able to work through this problem. And my client was given recommendations that she would have to make her own choice. Either she will maintain the relationship with her husband, destroying her health and her life, since panic attacks will not stop if you constantly run in a vicious circle, or she will divorce her husband and then complete deliverance from the destructive state will be possible.. This case makes us understand that sometimes It is not enough just to identify the causes of psychological problems; sometimes a person will have to make a serious choice: either continue to unsuccessfully build completely dead-end relationships, or still make a choice in favor of himself and his health. And the strategy for subsequent therapy will depend on this. #psychologist_che