In this article I will describe the work done with the request for panic attacks. I will try to explain the work with panic attacks as concisely as possible, without losing the essence, using this example. At the heart of my work I use EMDR (EDMR), as well as elements of emotional-imaginative therapy. Permission was taken from the client. Name and key biographical points have been changed for privacy. A 35-year-old girl, “Anastasia,” came to me because she was experiencing panic attacks while riding public transport. She also suffered from severe anxiety during the day and for the past few months she has not been able to travel to work, which has been very stressful for her. Panic attacks had plagued her for several years. In public transport, she felt dizzy, her blood pressure rose, and her heart rate increased. Anastasia turned to various doctors because she did not understand what was happening to her. Ultimately, the last neurologist advised that she should seek help from a psychologist. In EMDR, work is based on the protocol used in cases of panic attacks. The targets of therapy are pre-panic, first cases of panic attack, acute cases of attack and actual panic attacks. In our work, it was important to remember the moment of pre-panic. Usually a panic attack doesn't come out of nowhere. Initially, a demo version of a panic attack occurs. This condition is accompanied by severe anxiety without vegetative symptoms. The client's first prepanic episode occurred when she was 18 years old. Changes were taking place in her life. She went to a big city to go to college, according to her, there was no one to help her, the financial situation was difficult. All this created strong mental stress and the first preliminary panic attack happened at a bus stop. Anastasia did not remember this moment immediately, but at the 2nd or 3rd meeting. This is where the origins of panic attacks could come from, which is why it is so important to work through the initial episodes of panic. Then we began to work with full-blown panic attacks, which appeared after 30 years. The client was able to remember the first episodes of PA clearly, with some emotion. At this stage of work, I used the EMDR method to completely process negatively charged episodes from the client’s life. Her picture of the “worst part” was the moment where they gasp and practically faint on the subway. The negative thought I had about myself at that moment was “I can’t cope, I’m in danger.” You can read about the most common fears during a panic attack here https://www.b17.ru/article/strakhi_pri_panicheskoi_ataki/ I asked the client to associate with herself at that moment and make a series of eye movements. With the help of bilateral stimulation, negativity is processed. The memory began to be processed therapeutically. With each set of eye movements (bilateral stimulation), negative information about a difficult emotional event left consciousness. With the help of repeated living, feelings seem to dissipate. And positive, adaptive, realistic information enters consciousness. At the end of working on the episode, Anastasia came to another picture; she remembered that she was actually able to get to work, and each time it was more and more difficult for her to focus on the subway. Her consciousness seemed to throw her straight to the end of the negative episode, where she comes to work, and it was her colleague’s birthday at work. Colleagues congratulate the birthday girl, a positive mood reigns, including her. All episodes of PA that the client experienced were processed in a similar way. At the end of our work, I decided to recheck the acute episodes of PA, which the client called the most terrible moments in her life and which we had previously worked on. I asked her to remember the most terrible moments in her life, what scared her most in her life. She remembered her difficult relationship, the moment of physical violence, i.e. the client previously described panic attacks as the worst