Since entering the era of reform and opening up, our whole society has been developing more and more rapidly, the competition of all social strata can be seen everywhere, the social contradictions are intensified at some levels, and the social unfair phenomenon is difficult to eliminate for a while, which brings different degrees of psychological pressure to each of us, and the psychosomatic illnesses and mental disorders secondary to the long-term psychological pressure and all kinds of social stresses are also increasing day by day and become one of the main factors that jeopardize the health of the modern human beings. It has become one of the main factors that jeopardize the health of modern human beings, and thus has received more and more attention from people. According to the latest census statistics of the World Health Organization, the incidence of psychological abnormalities has accounted for 4.3% of the total population of Shanghai and nearly 8% of the total population of Beijing, and will continue to rise, and in recent years, due to a variety of serious depressive disorders and personality disorders leading to suicide, homicide, and other vicious and violent incidents have been commonplace, and mental disorders have become the 10 major causes of death of adults in our country, and in the age group of 17-34, suicide is one of the most common causes of death of adults in our country. 34 years old age group, suicide is the cause of death that occupies the first place! According to the United Nations, 340 million people worldwide suffer from depression, 1/20 of adolescents, 1/10 of males, 1/4 of females have been or are experiencing depression, and by 2020, deaths and dysfunction due to depression will be the second most common cause of death after cardiovascular disease in the spectrum of all diseases. In the face of this grim reality, our medical community and healthcare organizations at all levels are still largely confined to the traditional biological model of healthcare, and a large number of patients with mental illnesses and disorders are not identified from the general patient population in a timely manner and treated accordingly. Therefore, it is extremely urgent to carry out research on the prevention and treatment strategies of mental illnesses and psychological disorders in general hospitals, especially in large general hospitals where patients with psychological disorders are more concentrated. First, the relationship between mental illness and physical disease The traditional view of health is that all organs of the body function well, that is, no physical disease is a healthy person, and the traditional view of health corresponds to, and has long guided our medical practice is the traditional medical model, that is, is the biological model of medicine, emphasizing that the disease is the body’s physiology, biochemistry, pathology, and other biological changes that lead to tissue and organ dysfunction. The modern concept of health has been broader than the traditional sense of health, not only refers to the absence of physical disease, i.e., physical disease, but also emphasizes the concept of overall health, which refers to the complete state of a person’s physical, mental, and social functioning to be a healthy person. Psychological abnormality is relative to psychological health, referring to a person’s cognitive and behavioral style does not adapt to the social environment, and bring harm to their own psychological state. Consistent with the modern view of health is the modern medical model, i.e., the biopsychosocial medical model, which emphasizes a holistic view, taking into account not only biological factors but also the role of psychological and social factors in the occurrence and development of diseases, i.e., any disease is the result of the joint action of biological, psychological, and social factors in different proportions. Therefore, in the diagnosis of somatic diseases and psychological disorders, we cannot ignore any of the biological, psychological and social factors, and at the same time of suffering from somatic diseases, there may also be psychological diseases or psychological disorders, which are causally related to somatic diseases. Therefore, in clinical practice, we can’t absolutely separate somatic diseases and psychological disorders, and there is a complex and close relationship between the two. 1, psychological disorders can be a direct consequence of physical disease: that is, physical disease accompanied by psychological reaction. Fear of the adverse consequences of disease, as well as the loss of confidence in the disease for a long time, long-term illness from the community, the lack of care and support from the family and society, so that many patients with physical diseases have become a high incidence of psychological disorders, from the physical disability ultimately developed into a psychological disability. Different epidemiological data at home and abroad have pointed out that overall nearly 1/3 of physical diseases are associated with anxiety and depression disorders, especially in tumors (42%~50%), cerebrovascular accidents (20~40%), myocardial infarction (20~60%), diabetes mellitus (10~20%), renal failure (54%~79%), Parkinson’s disease (20~60%), dementia (30~35%), and other diseases, depression disorders are more common in patients with physical illnesses. The incidence of depressive disorders is higher in diseases such as Parkinson’s disease (20~60%) and Alzheimer’s disease (30~35%). 2, somatic diseases directly lead to mental disorders: that is, organic mental disorders, such as organic brain lesions, severe infections, hypoxia, poisoning, tumors, cirrhosis loss of compensation, uremia, nutrient metabolism, such as vitamin B12 deficiency, endocrine diseases, such as hypoglycemia, as well as medications and surgical treatments, etc., are likely to trigger psychological, behavioral and psychiatric disorders, which is one of the most important causes of the onset of mental disorders in general hospitals. 3, psychological disorders and physical illnesses interact: patients at the same time have physical illnesses and different degrees of psychological disorders or mental illnesses, the two interact, each other, to a co-morbid phenomenon exists. The discomfort brought by physical disease makes depression/anxiety patients’ mood disorder aggravated, while severe anxiety/depression will also make many physical diseases aggravated, which ultimately leads to chronicity, long-term and complexity of the disease, and brings great difficulties to clinical diagnosis and treatment. Studies have shown that depression can easily induce myocardial infarction, resulting in increased mortality, depression and anxiety can lead to poor glycemic control. 4, somatic diseases to anxiety and depression symptoms: many somatic diseases can be anxiety and depression symptoms as the initial clinical symptoms, if not carefully screened easily missed, such as neurological diseases such as chronic subdural hemorrhage, multiple sclerosis, temporal lobe epilepsy, stroke, metabolic endocrine diseases such as indifference to hyperthyroidism, hypothyroidism, pernicious anemia, Addison’s disease, vitamin B12 deficiency, lungs and brain tumors. Staphylococcal, systemic lupus erythematosus, as well as the use of cardiac glycosides, rifampicin, levodopa, cortisone, antiepileptic drugs, antitumor drugs, etc., can be manifested in the depressive symptoms, so can not be based on the symptoms of psychological disorders to jump to conclusions, reasonable targeted laboratory and instrumental examination to rule out somatic diseases is also very necessary. 5, psychological disorders to somatization symptoms: many patients with psychological disorders often due to a variety of physical symptoms, these symptoms are diverse, involving multiple systems, and often conversion, such as dizziness, headache, chest tightness, palpitations, shortness of breath, body pain, dry mouth, pharyngeal sensation of a foreign body, sweating, limb numbness, gastrointestinal dysfunction, and so on, and even a lot of difficult to diagnose the medical terminology to describe a variety of discomforts, so that clinicians can not start. Doctors have no way to start, but by the systematic examination is mostly normal, or the results of the examination and the patient’s complaints about the degree of symptoms do not match, medically referred to as “somatization” phenomenon. The main reason is that the patient’s suppressed inner conflict makes the body autonomic function disorders, that is, psychological stress in the form of all kinds of physical discomfort manifested, prompting doctors and patients to focus on the possible causes of these symptoms may be caused by the possible causes of the disease, and often ignore the role of psychological and social factors. If not from the bio-psycho-social psychological model to think, not the patient as a whole to consider, will make the diagnosis of the disease confusing, difficult to grasp, seem to have become a difficult disease. 6, psychological disorders lead to physical diseases: it is now clear that the occurrence, development and treatment of certain physical diseases are closely related to psychological factors, called psychosomatic disorders or psychosomatic diseases. These psychological factors are mainly long-term high-intensity, fast-paced, high-pressure work and life status, deterioration of interpersonal relationships, emotional and material deprivation and loss, the impact of sudden social life events, etc., but also with the individual’s personality, such as A-type personality and coronary heart disease, C-type behavior and the occurrence of tumors. These psychological factors can affect the balance of the environment within the body through pathophysiological pathways such as the autonomic nervous system, endocrine system, neurotransmitter system, immune system, etc., leading to target organ pathology and ultimately somatic diseases. The common psychosomatic diseases have a wide range, can involve various clinical departments, unanimously recognized primary hypertension, coronary heart disease, migraine, bronchial asthma, peptic ulcer, anorexia nervosa, excessive obesity, diabetes mellitus, neurodermatitis, hyperthyroidism and so on. 7, psychological disorders and physical diseases are not associated with the existence of. Patients can be both physical diseases and psychological disorders, the two are not related, but the existence of psychological disorders of a physical disease diagnosis and treatment brings difficulties, especially personality disorders, is the difficulty of communication between doctors and patients of the population. 8, physical disease diagnosis and treatment of psychological problems: can occur in any patient, exists in the diagnosis of the disease, treatment of all processes, and the occurrence of the disease on the patient’s psychological blow, the patient’s cognitive attitude towards the disease, the fear of treatment measures, the doctor whether to give a reasonable explanation as well as doctor-patient relationship has a close relationship. These psychological problems are not solved, can directly affect the treatment of disease and recovery. Second, the current situation of diagnosis of mental diseases and psychological disorders in general hospitals As our country is increasingly entering into a new social form, we may face more and more patients with different degrees and etiologies of psychological disorders or mental illnesses. However, relative to other clinical medicine, the development of psychiatry in our country is slow and unbalanced. According to the Statistical Yearbook of the Ministry of Health in 1996, there is only one bed for every 10,000 people in China’s psychiatry department, and there is one psychiatrist for every 31,000 people, which is only 1/10 of that of the U.S.A., and these limited forces are mainly concentrated in psychiatric hospitals in large and medium-sized cities, and the main target of the service is schizophrenia and other serious organic mental disorders, whereas those with higher levels of mental illnesses and psychological disorders are more likely to be diagnosed in general hospitals. The main service targets are schizophrenia and other serious organic mental disorders, while a large number of patients with mild mental illnesses and mental disorders, which have a higher incidence rate, have not been diagnosed and treated in a timely manner. Not only is there a lack of human resources, but we also lack the concepts of medical regulations, disciplinary construction and services that go with them. Our country’s long-standing hospital administrative planning system determines that general hospitals admit and treat patients with somatic illnesses, and specialized mental health hospitals admit and treat patients with more serious mental illnesses (mainly schizophrenia and organic mental disorders), and specialized mental health hospitals account for only a small portion of the total number of hospitals, which is far from being able to meet the needs of clinical psychiatry. In fact, there is no absolute boundary between normal and abnormal psychology, but the long-standing social concept has always confused mental disorders/illnesses with mental illnesses, and they may not realize that their symptoms are caused by psychological problems, resulting in many patients with mental disorders who basically have no problems with cognitive functioning or co-morbidities with physical illnesses preferring to go to general hospitals to seek help. The result is that many patients with basically no cognitive problems or co-morbidities with physical illnesses are more likely to seek help in general hospitals. Similarly, many clinical staff still have not really established the concept of biopsychosocial medicine model, lack of basic knowledge of psychiatry, difficult to identify the emotional and behavioral abnormalities behind the patient’s physical symptoms, and always try to find the root cause of the disease from the physical disease. The combined effect of all the above factors has led to 1. the absolute majority of psychologically impaired patients being admitted to general hospitals; 2. the prevalence of psychologically impaired patients in general hospitals is as high as 30% or more, especially in cardiovascular, neurology, traditional Chinese medicine, and gastrointestinal medicine, etc.; 3. the vast majority of psychologically impaired patients come to general hospitals because of a variety of somatization symptoms; 4. the diagnosis and treatment rates of psychologically impaired patients in general hospitals are low; 5. the vast majority of general hospitals have low diagnosis and treatment rates; 6. Treatment rate; 5, the vast majority of general hospitals from management, staff settings to treatment concepts lag far behind the needs of reality. 6, somatization symptoms make the condition more and more complex and long-term. According to the latest report published by the Chinese Medical Association, “Study on the Prevalence of Depression, Anxiety and Combined Anxiety Symptoms of Depression and Anxiety in Non-Psychiatric Patients in Urban China”, which was conducted by Xu Biao of Fudan University, 20%-25% of the outpatients of neurology, cardiovascular and gastroenterology departments of general hospitals had symptoms of depression/anxiety, and 39%-73% of these patients were assessed to suffer from depression and/or anxiety disorders by psychiatrists, while anxiety disorders were diagnosed and treated. These patients are then assessed by psychiatrists as 39% to 73% suffering from depression and/or anxiety disorders, while the diagnosis rate of anxiety only ranges from 1.3 to 5.3%, the diagnosis rate of depression only ranges from 3.7 to 15.3, the treatment rate of anxiety only ranges from 2.2 to 7.7%, and the treatment rate of depression only ranges from 2.4 to 15.4%. The reasons for low diagnosis rate and low treatment rate are that the nature of psychological disorder is covered by physical symptoms, and once the diagnosis of physical disease is established, the psychological problem is ignored, and at the same time, the patients are afraid of being discriminated against because they are considered to be mentally ill, which leads to the patients’ covering up or denial, and the doctors are afraid of omission of diagnosis that leads to medical malpractice, so they always consider the physical disease, and some physicians, even if they find out that the patients are psychologically disturbed, will also feel that they have no right to diagnose and deal with the problem. Some physicians, even if they find patients with mental disorders, feel that they have no right to diagnose and deal with them. The target population and clinical significance of mental health work in general hospitals Adapting to the changes in the medical model and the new medical market demand, general hospitals can no longer passively face more and more patients with mental disorders and do nothing about it, whether it is the hospital management or clinical staff, the concept of medical services should be changed in a timely manner, and take the initiative to have a limited, gradual and reasonable commitment to some of the duties of the mental health to give full play to the comprehensive advantages of comprehensive medical resources, so as to improve the mental health of the patients. The comprehensive medical resources of the comprehensive advantage, in order to maintain the physical and mental health of the general public. Of course, according to the specific situation of our country, the provision of psychiatric services in general hospitals is still limited to a certain range, mainly for the purpose of better improving the quality of clinical care. Specifically, the following groups of people are our target population: 1, physical disease leading to psychological disorders: these patients have a clear physical disease, often occurring after a more serious physical disease, especially in the elderly patients, such as malignant tumors, stroke with physical disability, myocardial infarction, Alzheimer’s disease, diabetes, chronic pain, rheumatoid arthritis, etc., the emergence of psychological disorders not only exacerbate the condition, treatment compliance significantly decreased, but also affects the quality of care and treatment, but also to improve the quality of care. The presence of psychological disorders not only aggravates the condition and reduces the adherence to treatment, but also affects the recovery process of the disease. For example, depression and anxiety can seriously affect the appetite and sleep of tumor patients, leading to disorders of body nerves and endocrine functions, and the suppressed cancer cells are active again; the persistent pain and pessimistic psychological state make them unwilling to cooperate with the treatment of the disease, which greatly reduces the long-term survival rate of the patients. People’s psychological endurance during illness is extremely fragile, and research shows that about 1/3-1/4 of patients with chronic organic diseases suffer from long-term pain and psychosocial pressure, as well as irrational cognition of the disease, which leads to the emergence of psychological diseases and psychological disorders. Dual psychological and somatic treatment and humanistic care for such patients to alleviate their dual physical and mental suffering certainly requires close cooperation between various clinical specialists and psychologists. For such patients, we should not only actively treat their physical illnesses, but also provide psychological counseling and psychotherapy services to enhance the quality of patients’ survival and improve the effectiveness of clinical treatment. This is what general hospitals must do and can do well. 2.Somatic diseases and co-existing psychological disorders: the existence of psychological disorders makes the diagnosis of many diseases difficult, the treatment is complicated, and the treatment compliance is reduced, and the intervention of psychological behavioral therapy can play a better role than even drugs, especially various psychosomatic disorders or psychosomatic diseases. 3, all types of somatization disorder: all kinds of various anxiety disorders, obsessive-compulsive disorder, hypochondria, dysthymia, depressive neurosis, neurasthenia, depression and other psychological disorders and mental illnesses, because they tend to complain of severe symptoms, repeated repeated medical treatment, often with chest tightness, panic, dizziness, headache, chest pain, numbness of the limbs, pharyngeal obstruction sensation, dyspnea, and other somatization symptoms for the first and main reasons for seeking medical treatment, and these Symptoms do not have characteristic changes, it is difficult to distinguish them from general cardiovascular and cerebrovascular diseases, and patients and their families are reluctant to go to specialized mental hospitals for treatment. Therefore, the necessary examination of such patients, to exclude the presence of somatic diseases and their corresponding pathophysiological changes, and then give the symptomatic psychological guidance and psychotherapy, which is more favorable than in the specialized hospitals for patients, more secure, but also more welcome and understanding of the help-seekers, which can greatly improve the efficiency of clinical diagnosis and treatment, saving a lot of medical costs. 4, the elderly: the elderly is not only many physical diseases, but also psychological disorders / diseases of the high incidence of the population, by the general hospital clinicians in accordance with the physiological characteristics of the elderly, to give safe and effective physical, psychological dual treatment, can protect the quality of life of the elderly patients, and prolong life. 5, the majority of medical personnel in the clinical front line, long-term in the continuous mental pressure and overload of work under the pressure, but also will be psychological problems and psychological disorders of the high-risk groups, to help them maintain their own mental health, but also the scope of responsibility of psychological workers. 6, actively participate in all kinds of social emergencies of psychological assistance work, to help people who suffered a major psychological shock as soon as possible through the psychological crisis period, to avoid the future to produce lasting psychological shadows and obstacles. Carrying out mental health and treatment activities in general hospitals can improve the overall health of patients, improve the quality of medical care, improve the quality of life, prevent the development of mental disability from physical disability, and prevent suicide, all of which are of great clinical significance. From the perspective of general hospital management, establishing a holistic health care model as soon as possible, developing and improving effective psychiatric services can greatly improve the efficiency of clinical diagnosis and treatment, preventing the unreasonable use of medical resources and controlling the unreasonable growth of medical costs; at the same time, understanding and respecting the reasonable inner psychological demands of patients can improve doctor-patient communication and mutual understanding, and reduce the occurrence of medical disputes; The psychological activity law between doctors and patients in medical work should be researched and used to guide our medical and nursing work to improve the quality of our medical and nursing care. Explore the psychiatry treatment mode of general hospitals adapted to China’s national conditions. 1. Psychiatry treatment mode of general hospitals – the establishment of consultation-contact psychiatry mode: In western developed countries, great importance has always been attached to the important role of psychiatric interventions in the diagnosis and treatment of diseases, and general general hospitals have set up the five departments of internal medicine, surgery, obstetrics and gynecology, pediatrics and psychiatry, with specialized departments and professionals engaged in clinical psychiatry activities. Specialized departments and professionals are engaged in clinical psychiatry activities. Since the 1960s, with the improvement of people’s awareness and the importance of psychiatry, the psychological problems of patients in general hospitals have received more and more attention, and members of the psychiatry profession and physicians of various clinical departments in general hospitals have cooperated in dealing with patients’ psychological disorders/illnesses through consultation, which has gradually developed into the Consultation-Liaison Psychiatry (CLP). Consultation-liaison psychiatry (CLP). The content of CLP is that psychiatrists carry out medical, teaching and scientific research in general hospitals, study the psychological characteristics of patients in general hospitals, and the relationship between their morbidity and psychological and social factors, improve consultation services for medical and nursing staff of clinical departments, improve the ability to recognize psychological disorders/illnesses, and promote the multi-dimensional diagnosis and treatment of somatic, psychological, and social factors, and ultimately improve the overall health of patients. The program has been in operation since the 1970’s and 1980’s. After rapid development in the 70s and 80s, most teaching and general hospitals in developed countries in Europe and the United States have set up CLP systems, which have become a major force in promoting mental health services in general hospitals. Not getting timely diagnosis and treatment 2. Exploration of psychiatry model in general hospitals in China: In China, in fact, general hospitals have taken on a considerable part of the task of psychiatry services. Since the 80s of last century, China began to carry out psychiatry in general hospitals, some set up outpatient medical psychological counseling, the staff conditions are better to set up clinical medical psychology or psychosomatic medicine department, very few set up psychosomatic medicine ward. After nearly 20 years of efforts, the development of psychiatry in general hospitals is still quite unbalanced, and many general hospitals are still blank in psychiatry. It should be said that we are still in the early spontaneous stage, and have not formed the core concept of psychiatry in general hospitals and mature guiding theories to adapt to our country’s current national conditions and the current situation of medical institutions. We have not yet established a consultative-contact psychiatry model as the guiding theory for psychiatry in general hospitals, as in developed countries abroad; we do not have corresponding professional academic organizations and research institutions, and we lack unified planning and guidance for the development of psychiatry in general hospitals, and we lack theoretical research on the formulation of laws and regulations, the selection of work models, and the deployment of staff. At the same time, many of our clinicians still use the biomedical model as a guideline for clinical work, and lack the ability to recognize and deal with mental disorders and psychopathological phenomena. Shanghai Yu Dehua, Wu Wenyuan and others investigated 29 general hospitals in Shanghai, of which 15 tertiary hospitals, 14 secondary hospitals, of which only 59% of the hospitals set up mental health departments, which 59% of the hospitals, psychiatric consultation rate of only 0.63%, the rest of the hospitals are even less than 0.10%, and the incidence rate of mental disorders in the overall hospitals 29.17%, compared with the actual existence of the mental Compared with the overall hospital psychiatric disorder incidence rate of 29.17%, this is far behind the actual demand for psychiatric services. At the same time, more than half of the hospitals have never carried out or occasionally carried out psychiatry knowledge education work for general clinical staff, these hospitals’ front-line clinical staff for patients with emotional disorders, and the phenomenon of inconsistency between the main complaint and the final examination, did not propose consultation and effective identification and corresponding treatment. 3, for the establishment of China’s national conditions in line with the consultation – liaison psychiatry mode of vision: for China’s current serious lack of psychiatry personnel, taking into account our large population base, as well as mental mental disorders incidence rate of the serious situation is getting higher and higher, if you want to immediately achieve similar to foreign consultation – liaison psychiatry system, in general hospitals generally set up psychiatry and behavioral medicine departments, configuration If we want to achieve a system similar to the consultation-contact psychiatry system in foreign countries, and set up psychiatry and behavioral medicine departments in general hospitals, and allocate a certain number of professionals, it is obvious that it requires a lot of human and financial resources, and it is not possible to do it right away, which is not in line with the current situation of our country. What kind of working idea can be adopted to establish a positive and effective psychiatry service model in general hospitals with Chinese characteristics as soon as possible? The following ideas are worthy of further discussion. (1) Combining the introduction and independent training of talents. We encourage specialists from psychiatric hospitals to come to general hospitals to engage in the prevention and treatment of mental disorders, and we should also base ourselves on the selection of hospital personnel in general hospitals who have a considerable amount of clinical experience, who are also interested in psychiatry and psychology, or who have a deep understanding of these issues in their clinical treatments, and who, after standardized training, will become complex clinical and psychiatric personnel, who are not only able to treat physical illnesses, but also able to recognize and deal with mental and psychiatric disorders accordingly, especially in the case of psychiatry. Psychiatric disorders and do the appropriate treatment, especially in the physical and psychiatric disorders of co-morbid phenomena or the differential diagnosis of the two, should be able to handle, and therefore is more suitable for the requirements of the integrated hospital. (2) Combination of centralized and decentralized. Both in the general hospital set up psychiatry or clinical psychology, clinical psychiatry and psychiatry talents will be concentrated, as a full-time consultation – liaison psychiatry experts, for the majority of clinical departments to provide consultation and psychotherapy, psychiatry services, but also according to the conditions of hospitals do not set up a specialized agency, these experts as part-time personnel, in the corresponding professional range of psychiatry services. These specialists can also be used as part-time staff to provide psychiatric services within the scope of their respective specialties and directly deal with all kinds of psychological disorders encountered in clinical treatment, thus improving work efficiency and saving human resources. (3) In the management objectives of the hospital, it is necessary to adhere to the spirit of human-centeredness and put the transformation of the medical model into practice. The biological, psychological and social medical model should be effectively taken as the guideline for clinical work, and the knowledge of mental health should be popularized and promoted among the general medical staff to improve their ability to recognize and deal with mental disorders/illnesses. (4) The relevant national departments should ensure the smooth progress of psychiatry in general hospitals from the perspective of system construction, and formulate matching normative measures as soon as possible. (5) Reform the writing of medical histories, increase the content of brief psychiatric examinations and the investigation of psychosocial events, and try to implement a dual-axis diagnostic system for physical illnesses and psychosomatic disorders. V. Challenges and Opportunities Maintaining the physical and mental health of the general public is also the duty-bound responsibility of our medical workers, we can no longer just see the patient, not to ask the person, we should treat the patient as a whole, whether it is a physical disease or mental illness, should be we should be given the same attention as we do. The development of psychiatry in general hospitals is a close combination of clinical medicine in various disciplines and psychiatry, with the aim of better and better serving clinical medicine and protecting the physical and mental health of patients. In our country, this emerging fringe disciplines from theory to practice, is not very mature and perfect, there may be the following problems need to be solved: 1, with what kind of mechanism, how the staffing is the most suitable for our country’s national conditions and health care system; 2, the clinician can make a diagnosis of mental disorders? Is it beyond the scope of practice? Who is more appropriate to make the diagnosis? 3. If a general hospital sets up full-time or part-time psychiatrists, how are their qualifications recognized? How to define the scope of practice? 4. Can the dual-axis diagnosis system be recognized by authoritative institutions? 5. Doctors engaged in the treatment of mental disorders have higher qualifications and spend more time and energy than ordinary patients, so how can the value of their technical labor be properly and appropriately reflected? The solution to the above problems may require us to continue to explore, summarize and improve in practice. According to China’s mental health work plan for 2002 to 2020, the development of mental health services in general hospitals has been listed as one of the important tasks, and it is believed that a series of relevant plans will be introduced, which will play a great role in promoting the development of psychiatry, especially the orderly development of psychiatry in general hospitals. At the same time, with the popularization of psychological knowledge, people will face their psychological problems more openly, and it is foreseeable that more and more visitors will come to hospitals to seek psychological help in the future. Therefore, in the face of such a huge medical market, as a comprehensive hospital to carry out psychiatry as a new fringe discipline, will be a promising work, will be greatly developed opportunities.