Sentence 1: Alex had problems breathing on day. 
 Sentence 3: The doctor told him he was having an anxiety attack 
 Sentence 4:  Alex then knew he had to work on his anxiety problems 
 Sentence 5:  Alex is better since he goes to therapy 
 Option 1: He refused to go to the doctor about it. 
 Option 2: He decided that he should go to the doctor.