Tehran University of Medical Sciences Case Reports in Clinical Practice 2538-2683 9 3 2024 12 08 99 103 Maghsoud Nader Pilehroud Clinical Psychology, Shahed University, Tehran, Iran. Mohammad Ebrahim Maddahi Clinical Psychology, Shahed University, Tehran, Iran. 2023 11 25 2024 10 20 The impact of anxiety and injuries caused by severe stress can contribute to the manifestation of more severe disorders in children. The authors of this article have reported a case involving a five-and-a-half-year-old child who formed an insecure attachment or reliance on his father after experiencing several instances of anxiety attacks (panic attacks). The child was assessed utilizing the Conner’s QEEG test (Conner Rating Scale-Revised) parent version and the Spence Children’s Anxiety Scale (SCAS). Subsequently, a treatment plan incorporating drug administration, Loretta neurofeedback, and psychological counseling was implemented. Notably, session three of QEEG demonstrated a decline in anxiety levels. However, no changes were observed in the child’s insecure attachment and reliance on the father. Hence, adopting a trans-diagnostic and dimensional approach is crucial when assessing uncommon cases and developing treatment protocols tailored to each disorder. https://crcp.tums.ac.ir/index.php/crcp/article/view/899 https://crcp.tums.ac.ir/index.php/crcp/article/download/899/665