Changes in the psyche in diseases of the respiratory system. Breathing is actively involved in maintaining the physiological functions of the body. Simple excitement (fear, anger) causes increased breathing. A pleasant mood leads to calm breathing. The mildest disorders as a result of emotional stress (including in situations of psychological trauma) are coughing, changes in breathing rhythm, frequent breaths, slowing or speeding up speech, the voice rises or falls, and hyperventilation syndrome appears (the need to breathe deeply and frequently). Psychological notes. Hyperventilation the syndrome is more often observed in young and middle-aged people, more often in women, as a personal reaction to acute or chronic stress with pronounced frustrating moments. With this psychosomatic disorder, psychotherapeutic study of the conflicts that caused the disease, autogenic training according to Schultz, as well as breathing exercises aimed at translation are indicated abnormal (mostly chest breathing) to lighter diaphragmatic-abdominal breathing. One of the types of neurosis-like disorders related to the respiratory sphere is the syndrome of impaired breathing rhythm. There is a feeling of lack of air, discomfort. There may be a feeling of fear, a feeling of suffocation. This is usually combined with other symptoms - fear of serious illness, obsessive thoughts about breathing problems, anxiety and fear of death. Shortness of breath may have a psychological origin, and pseudoasthmatic attacks may occur. In the chronic course of bronchial asthma, changes in the personality structure occur. The most common are depression, hysteria and hypochondria, low self-esteem, and emotional difficulties. Aggressive impulses are also possible, behind which lies the need for tenderness and intimacy. Mental disorders in bronchial asthma were often observed. They are accompanied in patients by silence, monotonous thoughts about lost health, a bleak future, and decreased activity. Hypochondria manifests itself in various sensations of bloated lungs, anxiety about exaggeration of the disease (lung cancer, tuberculosis), and the emergence of more and more new anxious sensations. It is possible to develop mental asthenia, manifested by hyposthenia or irritability, petty touchiness, extreme sensitivity to environmental influences. As the disease progresses, a state of anxious anticipation of misfortune and anxiety arises. Mood swings, overvalued fears, and neurotic anticipation of repeated attacks are possible. It has now been established that in a number of patients bronchial asthma is a manifestation of fear neurosis or neurotic depression. This statement is supported by the success of treating patients with psychotropic drugs and psychotherapy. Before their use, treatment with antihistamines alone did not give any positive effect. Before the onset of the disease, all patients had periods of causeless anxiety, which, in combination with genetic predisposition, is considered a marker of bronchial asthma. Although this pathology is provoked by a combination of a number of pathogenic factors (psychogenic, allergic, infectious), most scientists give the main place to the psychogenic effect. The role of stress in the onset of the disease is also determined by age. Thus, if before the age of 16, stress before the disease was noted only in 12% of cases, then at subsequent ages (from 16 to 45 years) it increases 3 times, and after 45 years it reaches approximately 50%. In cases where stress is not the main factor in the etiology of bronchial asthma, it nevertheless significantly worsens its course, prognosis and treatment. The special microclimate that exists in families of patients with bronchial asthma deserves attention. Hyperprotection of parents (overprotective mode and style of education) essentially turns children into “dependent disabled people.”