This single-case study describes the mentalization-based therapy (MBT) for a woman diagnosed with severe panic disorder with agoraphobia. The aim of the study is to illustrate how MBT contributes to reducing anxiety symptoms and to strengthening the capacity for reflecting in relation to both self and others as part of developing a more coherent sense of self-identity. The findings indicate a significant therapeutic progress including reduction in anxiety symptoms and a higher function in the patient’s everyday life after MBT. Based on the results of this systematic single-case study, we hypothesize that MBT is a promising therapeutic approach for patients suffering from panic disorder who have not responded to previous treatment. We trace the efficacy of MBT to the therapy’s focus on attachment relationships, affect recognition and management, and working with the patient’s mentalizing capacity.

这项单一案例研究描述了一名被诊断患有严重恐慌症伴广场恐怖症的女性的基于心理化的治疗 (MBT)。该研究的目的是说明 MBT 如何有助于减轻焦虑症状，并加强反思自我和他人的能力，作为发展更连贯的自我认同感的一部分。研究结果表明，治疗取得了重大进展，包括减轻焦虑症状，并在 MBT 后提高患者日常生活的功能。基于这项系统的单案例研究的结果，我们假设 MBT 是一种有前途的治疗方法，适用于对先前治疗没有反应的恐慌症患者。我们将 MBT 的功效追溯到治疗对依恋关系、影响识别和管理的关注，