Vertigo is a common clinical syndrome, and vestibular peripheral vertigo is an important part of vertigo, and many patients with vestibular peripheral vertigo are often associated with anxiety/depression psychological problems, both of which promote each other and form a vicious circle that seriously affects patients’ treatment outcome and quality of life. It has been widely recognized about the co-morbidity of vertigo with psychiatric problems, especially the combination of anxiety and depression, but there is little literature describing and analyzing the anxiety or depression states of different peripheral vertigo disorders separately. In this paper, we observe and evaluate the anxiety/depression status of patients with four common types of vestibular peripheral vertigo [benign paroxysmal positional vertigo (BPPV), vestibular migraine (VM), Ménière’s disease (MD) and vestibular neuronitis (VN)] to help clinicians promptly identify the anxiety/depression problems associated with patients with peripheral vertigo, so as to provide more comprehensive diagnosis and treatment recommendations and improve The results of the study showed that the anxiety/depression status of patients with VN and VN was not significantly different from that of patients with VN. The results of the study showed that VM and MD patients were more likely to have anxiety/depression than VN and BPPV patients, and we believe that the different mechanisms that trigger vertigo and the patients’ different ability to prevent and control vertigo attacks are important factors that contribute to this difference. With the dual problems of vertigo and anxiety/depression, patients’ daily life is severely affected, so we recommend screening with the Anxiety/Depression Inventory in the consultation of patients with VM and MD, and early detection and intervention of their psychological problems in conjunction with clinical psychologists if necessary. Further in-depth research is needed on the mechanism of why VM and MD patients are prone to anxiety/depression problems and why anxiety is more prevalent than depression.