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

摘要： 惊恐障碍是一种焦虑障碍，以反复出现不可预期的惊恐发作为特点，常伴有强烈的害怕、心悸、出汗、震颤、窒息感和濒死感等，患者持续担心症状发作或回避相关场所，易发展为广泛性焦虑症。全球范围内惊恐障碍发病率约为2.1%，近年来其发病率逐年增高，疾病负担越来越重。目前我国惊恐障碍患者的首诊几乎全部在综合医院，误诊率较高，尚缺乏快速有效的治疗方法。本文从生物-心理-社会医学模式出发，通过对1例35岁女性惊恐障碍患者诊疗过程进行描述和分析，体现了辨证统合心理治疗过程中的重要环节及其应用情况，以期为提高全科医生对整合取向心理治疗的了解和应用能力提供借鉴。

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