Dizziness can lead to extreme stress, which can lead to anxiety (including panic attacks and phobias), depression, and somatic discomfort. These psychological problems can also lead to severe dizziness, and sometimes these psychological problems may replace the original organic cause and become the primary cause of dizziness. In patients with dizziness, there is a high incidence of unrecognized emotional and psychological problems, especially anxiety, and 40% of all patients with dizziness have psychological disorders, and these patients rate their dizziness-related functional impairment much higher than patients without psychiatric disorders. Mental disorders as a primary cause of dizziness decrease with age, and 38% of patients over 60 years of age have a diagnosis of dizziness causing mental illness, but only 6% are considered to have a primary psychological factor, and psychological problems often coexist with significant balance disorders. Forty percent of patients with vestibular hypofunction in otolaryngology clinics have panic disorders with or without phobias, and 50% of patients still have significant psychiatric disturbances (panic or depression) assessed 3-5 years after the onset of the disorder.