目的　了解上海市心理咨询中心门诊初诊咨客的咨询问题分布。方法　对 2 0 0 1年 5月至 2 0 0 2年 1 1月 3 2位专家的门诊登记进行统计分析。结果　调查咨客 7487例 ,其中重性精神障碍 1 1 61 ( 2 1 .5 2 %) ,轻性精神障碍 3 62 4例 ( 4 8.40 %) ,一般心理问题 2 2 5 2例 ( 3 0 .0 8%)。结论　咨询问题以轻性精神障碍较为突出 ,一般心理问题涉及范围较广 ,诊断名称不统一。心理咨询应建立一套统一的诊断名称 ,以便于交流 ,提高服务质量 Objective To understand the distribution of consultation questions for newly diagnosed consultants in outpatient clinics in Shanghai Psychological Counseling Center. Methods A statistical analysis was conducted on outpatient registration of 32 experts from May 2001 to January 2001. Results A total of 7487 patients were surveyed, of which 1161 (21.52%) were major mental disorders, 3262 (348.40%) were mild mental disorders, and 22 52 (30%) were general psychological problems. 0 8%). Conclusions Consultation questions are more prominent in mental disorders, general psychological problems involve a wide range, diagnostic names are not uniform. Psychological counseling should establish a unified diagnostic name, in order to facilitate the exchange, improve service quality