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This 43\u2010year\u2010old firefighter was diagnosed with advanced head and neck cancer and pre\u2010existing mental health problems meeting the criteria of ICD\u201010: obsessive\u2010compulsive disorder, post\u2010traumatic stress disorder and psychoactive substance abuse. During the treatment, suicidal thoughts and impulses emerged, triggered at the hospital by electronic noises and the feeling of entrapment without a way out. This situation put the patient at high risk and the whole healthcare team needed an urgent effective response.\u00a0The patient agreed to stay in the secured room, where he was cared for by doctors, nurses, a dietitian, and a psychotherapist. He actively attended daily sessions with noticeable engagement. Psychotherapy sessions focused on alleviating posttraumatic stress disorder and OCD. Mindfulness and breathwork\u2010based exercises were implemented to increase non\u2010judgemental self\u2010awareness and regulate the over\u2010aroused nervous system. As a result, the patient's mental health has improved and the completion of the cancer treatment was possible. Psychotherapy, good therapeutic alliance, and attentive teamwork effectively managed his mental health and treatment\u2010related symptoms.<\/jats:p>","DOI":"10.1002\/jclp.23517","type":"journal-article","created":{"date-parts":[[2023,4,3]],"date-time":"2023-04-03T07:40:12Z","timestamp":1680507612000},"page":"1562-1571","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Walking through the valley of the shadow of death\u2014The psychotherapy of the head and neck cancer patient expressing suicidal ideations and impulses"],"prefix":"10.1002","volume":"79","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4976-9780","authenticated-orcid":false,"given":"Alicja","family":"Heyda","sequence":"first","affiliation":[{"name":"Maria Sklodowska\u2010Curie National Research Institute Gliwice Branch 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