Description of the disorder. The heart functions as a pump to supply enough blood to the entire body. During stress and physical exertion, it is necessary for the amount of blood passing through the heart to increase, and thereby satisfy the increased need for oxygen in the tissues. A constant imbalance between the need for oxygen and its supply through the arteries of the heart is called “congestive heart failure.” All clinical, functional and morphological changes that occur with permanent or temporary insufficient blood circulation in the heart are called coronary heart disease. This disease has several different clinical manifestations, although it must be understood that we are talking about the end result of long-term atherosclerosis - the main cause of narrowing of the coronary arteries due to the development of atherosclerotic plaques on the walls of the coronary vessels. A number of factors can cause a decrease in the blood supply to the coronary vessels of the heart, including blockage or significant narrowing of the coronary arteries, lead to coronary spasm, coronary embolism, platelet aggregation and thrombosis. In heart failure, the coronary arteries are unable to supply the required amount of blood to meet the energy needs of the heart muscle. This happens especially often in conditions of increased physical activity. The result may be myocardial ischemia, which the patient feels as acute chest pain, this is angina. If coronary insufficiency persists, it leads to either a heart attack or death due to fibrillation (sudden cardiac arrest). During myocardial infarction, part of the heart muscles is damaged. The exact location of myocardial infarction depends on the occlusion of the coronary artery. There are many coronary arteries, and some or all of them may be damaged. When the coronary vessels are damaged, scarring changes in the myocardium develop, which can lead to heart rhythm disturbances, resulting in extrasystole, ventricular tachycardia, or even ventricular fibrillation. In general terms, we can say that angina pectoris, myocardial infarction, ventricular arrhythmia and sudden cardiac arrest are various manifestations of damage to the coronary arteries of the heart. The long-term prognosis after myocardial infarction depends on many factors. It includes the degree and severity of atherosclerosis of the coronary arteries, the number of damaged arteries, the location of severe narrowing, dysfunction of the left ventricle, a certain degree of heart rhythm disturbances. In addition, standard risk factors such as smoking, hypertension and hypercholesterolemia, in particular high concentrations of lipoproteins Low and very low density lipoprotein cholesterol fractions also contribute to further worsening of coronary heart disease. CBT viewpoint1) Behavioral factors. Behavioral factors associated with coronary heart disease can be divided into those that co-created at its origin, for example, type A behavior, hostility, workaholism, and those that are negatively applied in overcoming illness - avoidance of activity, passivity or, conversely, excessive activity, despite the instructions of doctors. 2) Cognitive factors. Negative cognitive factors particularly include performance-oriented schemas and the associated hurried pace of life.3) Interpersonal factors. Interpersonal factors include lack of support from others.++++++++++++++++++++++++++++++++++++++++ +++++++++++++++++++++++++++++ CBT approach1) CBT examination. The first objective of the assessment should be to identify as early as possible those patients who require psychological intervention. This process includes patients who are emotionally unstable, report a large number of symptoms, or frequently complain of]