This article discusses the psychosocial issues of patients with coronary heart disease, as a specialist always faces a dilemma: is depression a secondary manifestation of an anxious state (including with panic attacks) or vice versa. It is possible that the patient has mixed symptoms - the manifestations of depression and anxiety disorders are largely similar, and indeed, in general practice, patients with anxiety and depressive disorder are more often observed. At the same time, it is much more important not just to establish a diagnosis of depression or anxiety disorder, but to fully identify all the psychopathological symptoms that a particular patient has.