关键词: 惊恐障碍, 心理治疗, 整合取向, 辨证统合心理治疗, 神经症

Abstract: Panic disorder is a kind of anxiety disorder characterized by repeated unexpected panic attacks，often accompanied by strong fear，palpitation，sweating，tremor，asphyxia，sense of impending death and other symptoms，which is prone to generalized anxiety disorder as the patient always worries about the onset of the attacks or averts relevant situations. The prevalence rate of panic disorder is about 2.1% worldwide，which is increasing yearly with growing disease burden. In China，panic disorder is initially diagnosed almost entirely in general hospitals，but the possibility of diagnostic errors is high，and there is a lack of rapid and effective treatment. We described and analyzed the diagnosis and treatment of a 35-year-old female panic disorder patient using the biopsychosocial approach，revealing the key steps and application of psychological differentiation and psychotherapy，in order to provide a reference for general practitioners to understand and apply integrated psychotherapy.

Key words: Panic attack, Psychotherapy, Integration orientation, Dialectical integrated psychotherapy, Neurosis