You need something that makes the shoulder strap come across your shoulder instead of your neck. I made a triangle that folded into a V-shape and velcroed together on the back. I put this on the belt near the clip you insert into the buckle. It worked for me, but my dear husband couldn't figure out how to get the seat belt on, so I took it off! PM me and I'll try to find it if you don't get a better idea. I hate the seat-belt-choke-hold, too!