“我最近因为家庭矛盾，心情特别不好，失眠、厌食，什么事情都不想干，甚至连工作都耽误了，我是不是精神出问题了？”日前，当记者以同一个问题咨询本市多家心理咨询机构，得出的结论却大相径庭，有的表示“初步诊断为抑郁症”，有的说是“属于非理性不平衡，是一种心理不正常”。还有的说“这是遭遇挫折的正常反应，没什么大问题”。治疗方法和费用也是差别极大。

“I recently because the family conflicts，Mood special not，insomnia、anorexia，Don't want to do anything，Even the work is delayed，My spirit is the problem？”a，When a reporter with the same questions of this city is home to more than the psychological consultation institutions，But the conclusion is completely different，Some said“A primary diagnosis of depression”，Some say“Don't balance is irrational，Is one kind of psychological not normal”。And say“This is the normal reaction setbacks，It's nothing serious”。Treatment methods and expenses is also very different。

　　现代社会人们精神压力越来越大，很多人出现心理问题第一个想到的就是求助心理咨询师，这个职业也一度成为最有前景和人员最紧缺的行业。如今，本市的心理诊所和咨询室越开越多，档次规模不一，治疗方法各异，价钱也越标越高，其可信度却令人生疑，记者通过暗访发现了心理咨询行业的种种乱象。

Modern society people's spiritual pressure is more and more big，Many people who have mental health problems first thought is for help psychological consultant，This job also had become the most promising and personnel of shortage of the industry。now，The city's psychological clinic and elevated the more the open，Class size is differ，Treatment of，The higher prices are also more standard，Its credibility is suspect，Reporters through the investigations found that the psychological consultation industry of all kinds of the mess。

　　落脚小区 Resting area

　　隐蔽难找称是“国际惯例” Concealed is difficult to find says“International practice”

　　通过电话预约，记者来到海淀区一个住宅小区，预约的这家心理咨询室就在小区深处一栋居民楼的4层，如果不是在电话中详细问清了地址，一般人很难找到这个地方，因为无论是楼门外还是这个单元居室的门外，没有任何标志表明这里有家心理咨询室。

Through the phone booking，The reporters arrived at the haidian district of a residential district，Appointment of the counseling program in the depths of community one house of the dweller building four layers，If it's not in the phone ask detailed address，Average person is hard to find this place，Because whether floor or the unit outside the door of the bedroom，Not that there's any sign here counseling program。

　　这是一套中等装修的两居室，被隔成了三间屋子，每间小屋摆设有简单的桌椅。门口有张办公桌，上面摆着电脑，一个20多岁的女孩在值班，主要负责接电话和预约。“你们这个咨询室怎么开在居民楼里？”“这个小区是商住两用的，可以经营。”“为什么不挂牌呢，这也太难找了吧？”“这个是我们这个行业的国际惯例，不挂醒目标牌， 不开在闹市街面，主要是为了保护咨询者的隐私，很多人不愿意让人知道自己有心理问题，也不想让别人看见自己求助心理医生。”女孩回答得十分纯熟。女孩办公桌旁边的墙上挂着工商局颁发的营业执照，执照上写的机构名称是“咨询公司”，但经营项目中并未看到“心理咨询”的字样。

This is a set of medium the two bedrooms of decoration，Be separated became three rooms，Each house has a simple tables and chairs。There is a desk at the door，It put a computer，A 20 year old girl on duty，Mainly responsible for the phone and make an appointment。“You this problem how to open in the dweller building？”“The community is dual-use business，Can be operated。”“Why not listed，This also too hard now？”“This is our industry international practices，Don't hang marked the sign， Don't open in the city street face，Mainly is to protect the privacy of the consultants，Many people do not want to let people know that you have psychological problems，Also don't want to let others saw their psychological doctor for help。”The girl answered quite skillful。The girl next to your desk hung on the wall issued by the bureau of industry and commerce business license，The organization name written in the license is“Consulting company”，But business projects do not see“Psychological consultation”Words of。

　　女孩给记者介绍，他们这里一共有四名心理咨询师，轮流值班。“全都是国家二级心理咨询师，有证书的，很有经验，我这里有照片和简介，你可以挑，挑自己看着顺眼的，这样咨询效果会更好。”在事先的电话沟通中，这个女孩曾断言记者的症状“初步诊断为抑郁症”，可见面后她表示自己并非咨询师，而是“咨询师助手”，她的诊断依据是“我们这里接待过不少您这种情况的，大多数都是轻度或者中度抑郁症”。

The girl to the reporter is introduced，They here a total of four name psychological consultant，Turn on each other。“All is the national level 2 psychological consultant，A certificate of，Very experienced，I here are photos and introduction，You can pick，Pick yourself looking at the way，Such consulting the effect will be better。”In a telephone communication，The girl had assert that the reporter symptoms“A primary diagnosis of depression”，But after meet her said he is not consultant，but“Consultants assistant”，She is diagnostic basis“We received a lot of you here this situation，Most are mild or moderate depression”。

　　记者在女孩的介绍下，选择了一名咨询师，其实也没有更多选择的余地，今天值班的只有两个人，记者选了一名女咨询师，半小时后，这位咨询师来上班了。记者提议，能否先聊10分钟，看看沟通是否顺畅再决定要不要继续进行，咨询师有些不情愿地答应了。她询问了记者一些问题，诸如“症状持续多长时间”，“以前有没有发生过类似的情况”，“想不想和家人朋友诉说”等，然后她表示：“你现在肯定属于精神抑郁，但是到什么程度还需要专业问卷的检测评估，才能确定治疗方向和疗程长短。”“我这种情况一般需要多长疗程？”“不好说，但最少一个疗程是必须的，起码8次到10次才能缓解。”记者还想再问，可咨询师明显不耐烦，催着记者登记交费。记者以“回去再考虑一下为由”匆匆告别。

Reporters in the girl's introduced，Choose a consultant，There is no more room for choice，The only two people on duty today，Reporter chose a female consultant，Half an hour later，The consultant to the office。Reporter suggested，Can be talked about 10 minutes，Look at whether smooth communication before you decide to do not continue，Consultants some reluctantly agreed。She asked the reporter some problems，Such as“Symptoms for how long”，“Ever happened similar situation”，“Want to family and friends say”etc，Then she said：“Now you must belong to depression，But to what degree need professional questionnaire test evaluation，To determine the direction and the length of treatment treatment。”“I need this kind of situation is general long duration of treatment？”“Bad to say，But at least one period of treatment is necessary，At least eight to 10 times to ease。”Reporters also want to ask again，But consultants obvious impatient，Chase reporter registration fee。Reporter by“Go back to consider grounds”Hurried to say goodbye to。

　　收费悬殊 Charge between

　　一小时开价从几十到上万元 An hour from dozens of millions of dollars to offer

　　在暗访中，心理咨询的收费标准也是令记者大惑不解的一个问题，咨询了多家机构后，记者打听到了所谓的收费“行规”，三级咨询师，一般也叫做见习或者实习咨询师，收费是一小时100到200元，可以独立执业的二级咨询师，收费大约400到800元一小时，如果是某领域有专长的资深咨询师，则高达1000到1500元一小时，这只是大概的收费标准，而具体实施起来，由于疗程的长短还有其他一些专业手段的运用，不同机构的收费差别就更大了。

In the investigations in，The psychological consultation fee standards is also what makes the reporter a problem，Consulting the many domestic organizations，Reporters about the so-called charges“Guild regulations”，Level 3 consultants，General also called apprentice or internship consultant，Charge is 100 to 200 yuan an hour，Can the practice of independent secondary consultant，Charging about 400 to 800 yuan an hour，If it is a field of expertise, senior consultant，Is as high as 1000 to 1500 yuan an hour，It was only about the charge standard，And the concrete implementation up，Because of the length of the course and other professional means applying，Different agencies fee is bigger difference。

　　在和记者电话沟通的5分钟之后，根据记者所说的症状，一家心理咨询机构表示：“最少做一个疗程，6次，一周一次，咨询师为国家二级，每小时500元，因为你的焦虑情绪比较严重，建议你进行催眠疗法，所以一个疗程的总费用是4000元左右。”

In a telephone communication and the five minutes later，According to the reporter said symptoms，A psychological counseling agency says：“At least one period of treatment，6 times，Once a week，Consultants for national level 2，Each hour 500 yuan，Because of your anxiety is more serious，Suggest you to hypnosis therapy，So a course of total cost is 4000 yuan。”

　　另一家以咨询师名字命名的心理工作室则表示：“问题并不严重，聊一两次就会有明显效果。一次需要深谈两个小时，1小时收费400元。”

Another name to consultants, said psychological studio：“'s not a serious problem，Talk about a two times will have obvious effect。Drogba told a need for two hours，1 hour for 400 yuan。”

　　还有一些咨询机构则满嘴是让记者听不懂的专业术语，称这些专业的心理学疗法都是目前国际最新的科研成就，收费当然不菲。一家机构给记者发来一份收费清单，标明除了按小时收费的咨询之外，最好再用一些其他的手段，诸如“催眠治疗3800元(5次)，单次1200元；家庭系统排列治疗3800元(疗程3次)，单次排列1800元，沙盘疗法单次800元……”他们还极力劝说记者请一位私人心理医生，这样就可以贴身随时解决心理困扰，收费是18000到38000元，提供包年服务。

And some consulting institution is mouthful is let reporters couldn't understand the terminology，Say these professional psychological therapy are the latest scientific research achievements of the current international，Charge of course does not poor。A institutions to reporters a charge from the list，Mark in addition to charging per hour outside consulting，Best with some other means of again，Such as“Hypnosis for 3800 yuan(5 times)，A single 1200 yuan；The family system arrangement treatment 3800 yuan(Treatment three times)，Single arrangement is 1800 yuan，Single sand table therapy $800...”They also tried to persuade reporters please a private psychiatrist，So that they could to help solve the close-fitting psychology puzzle，Charge is 18000 to 38000 yuan，Provide package years service。

　　动辄数千上万的收费算是心理咨询中的高端阶层，然而收费“低端”的也不乏其人，一名心理咨询师给出的价格是“面询100至150元/小时、深度咨询200至300元/小时；电话咨询80元/小时；网络咨询60元/小时”。明显低于“行规”，他的咨询时间是“工作日晚上7点到9点，周末全天”，工作室就是他的住所，很明显是利用业余时间赚点外快。

At every turn thousands of thousands of psychological consultation fee is the top class，But charge“low-end”There are the person，A psychological consultant of the price is given“Surface for 100 to 150 yuan/hour、Depth consulting 200 reach 300 yuan/hour；Telephone consultation 80 RMB/hour；Network consulting 60 RMB/hour”。Obviously lower than“Guild regulations”，His counseling time is“Working days at 7 PM to 9 PM，Throughout the weekend”，The studio is his quarters，Obviously is using spare time to earn a little extra cash。

　　记者从回龙观医院了解到，目前物价部门对市医疗机构的心理咨询和治疗收费有着明确规定，副主任医师心理咨询与心理治疗价格为每半小时50元，而对私营的心理咨询机构收费标准却没有明确界定，这就为一些从业者漫天要价提供了可乘之机。

Reporters from huilongguan hospital to understand，At present, the commodity price departments of medical institution's psychological counseling and treatment fees has explicitly，Of doctor of vice director of counseling and psychological treatment for price every half hour 50 yuan，And for private counseling agency fee standards but no clearly defined，It is some practitioners provide an exorbitant price。

　　20天拿证 20 days of the CARDS

　　“零基础”也能开张执业 “Zero basis”Can also open practice

　　对于记者描述的同一种症状，不同的咨询师竟然给出了截然不同的结论和诊疗方法，由此让人对他们的专业技能产生疑问，但是当记者了解了目前国内心理咨询师的培训流程后，一切就恍然大悟了。

For the same kind of reporter described symptoms，Different consultants are actually different conclusion and diagnosis and treatment method，Which will allow people to their professional skills of doubt，But when a reporter know the current domestic psychological consultant after the training process，Everything is suddenly enlightened。

　　在我国，这样专业的一个工作，门槛却低得惊人，20天的培训，就可以让一个零基础的门外汉拿到国家二级心理咨询师的执业证书。

In our country，Such a professional work，But surprisingly low threshold，20 days of training，Can let a zero basis to the layman national level 2 psychological consultant certificate of practice。

　　在网上搜索，心理咨询师的培训班比比皆是，有的是民办教育机构办的，有些就是心理咨询机构自己办的。

Search the web for，Psychological consultant training classes can be found everywhere，Have a plenty of private education institutions do，Some is psychological consultation organization running your own。

　　记者咨询了一家知名的职业培训学校，称想参加心理咨询师培训，拿到证书之后以此作为自己的职业。“你是想光取证，还是想多学点东西？”客服人员开门见山地问。“取证怎么个学法？”客服人员解释说，“必须考下国家二级心理咨询师证书才有资格执业。按照规定，报考者必须是医学或者法学硕士，您是本科学历，本来没有报考资格，但是我们的优势就是‘协助报名’，而且可以帮助您跨过三级直接报二级，学历不够也能顺利报考。”她表示要是想用最快最简单的方法取得证书，那就参加他们的“协议取证班”，“只需要上20天的课，每周日上一整天，大概五个月，正好赶上11月的国家职业考试，通过就可以拿到证书。”记者表示没有丝毫相关学科基础，她表示，“大多数学员都是您这样的情况，我们考试的通过率是85%以上，这个班就是专为应试设计的。”这个班的学费是3500元。

Reporter consulted a famous professional training school，Say want to join the psychological consultant training，After the certificate to a career。“Are you trying to light forensics，Or want to learn a lot？”The personnel of the service straight asked。“How forensic method？”The personnel of the service explained，“Must take an examination of the national secondary psychological consultant certificate ability is qualified practitioners。According to the regulation，The candidate must be medical or master of law，You are bachelor degree，Were not enter oneself for an examination qualification，But our advantage is‘Assist the’，And can help you across the level 3 direct quote level 2，Education is not enough also can smoothly enter oneself for an examination。”She says if want to use the most simple method fastest certificate，That took part in them“Agreement forensics class”，“Only need 20 days of class，Every Sunday on all day，About five months，Just catch November the national professional exam，Through the can get certificate。”Reporters without any related discipline foundation，She says she，“Most students are all is you this situation，We exam passing rate is 85%，This class is designed for the test design。”The class tuition fee is 3500 yuan。

　　“要是还想多学点知识呢？”“那就报精英班，33天的课程，也是周末上课，除了基础知识，主要增加了实际操作，我们负责推荐学员实习，到大的心理咨询机构实习8天，学费4800元。”

“If you want to learn more knowledge？”“That newspaper elite class，33 days of course，Class is weekend，In addition to basic knowledge，A major increase the actual operation，We are in charge of to nominate students practice，To big psychological counseling agencies practice 8 days，Tuition nt $4800。”

　　二三十天的培训，几千元的学费，正在批量地“生产”心理咨询师。一个没有心理学相关基础的人经过短暂培训就能拿到执业证书，该证书的含金量可想而知。记者查到相关资料，在美国，要想成为心理咨询师，至少需要5年的大学本科学习，如果想进一步拿到为患者进行心理治疗的资质，还要参加心理学继续教育2年，要想获得心理疾病诊断资质，要再到精神科执业3年。

ErSanShiTian training，Thousands of yuan tuition fees，Are batch to“production”Psychological consultant。A no psychology related basis after a short training can get a practice certificate，The value of the certificate can be imagined。Reporter check relevant material，In the United States，To be a counselor，At least 5 years of university undergraduate course to learn，If you want to get further for patients with the qualifications of the psychological treatment，Participating in the psychology to continue education in 2 years，To get to the mental disease diagnosis qualification，Want to psychiatric practice in 3 years。

　　无诊断权 No diagnosis right

　　患者病情会被延误 The condition can be delayed patients

　　去年，在上海一家开在居民小区的心理咨询室中，一名男子在接受心理治疗的过程中跳楼自杀，关于心理咨询行业的种种乱象开始引发社会关注。一名业内人士告诉记者，由于门槛低，导致“谁都可以当心理咨询师，现在社会上的个体心理咨询室，大部分从业人员都是半路出家，甚至有人报考心理咨询师就是为了解决自己的心理问题”。

Last year，In Shanghai a opening in the residential quarters counseling program，A man in the psychological treatment process commit suicide，About the psychological consultation industry of all kinds of the mess began to cause social concern。An industry insiders told reporters，Due to the low threshold，Lead to“Anyone can be a counselor，Now in the society of individual counseling program，Most of the employees are ordained halfway，Someone even enter oneself for an examination psychological consultant is to solve their psychological problem”。

　　“曾有一名患精神病的病人到我们这里来求医，之前他已经在个体心理诊所医治了很长时间，花了很多钱，还耽误了病情。因为一些精神疾病心理咨询师鉴别不了，一些症状也不是靠心理疏导可以缓解的，尤其是有自杀倾向的抑郁症病人，如果不对其及时进行治疗，并且把情况告知家属，那是非常危险的。”回龙观医院临床心理科医生过斌告诉记者。对于记者在暗访过程中遭遇的被诊断为“抑郁症”的情况，他认为“这完全超出了心理咨询的鉴定范畴，他们是没有诊断权和处方权的，没有对抑郁症、偏执症等患者进行诊断和治疗的资质”。

“Had a insane patients coming here to seek medical attention，Before he had been in an individual's psychological clinic heal for a long time，Spent a lot of money，Any illness。Because some mental health counselor identification，Some symptoms also not by psychological counseling can ease，Especially suicidal patients with depression，If the wrong in time for treatment，And the situation told the families，It is very dangerous。”Huilongguan hospital clinical psychology, the doctor had bin told reporters。For journalists in the investigations in the process of the encounter was diagnosed“depression”situation，He thinks“This completely out the psychological consultation appraisal category，They are without diagnosis and the right ChuFangQuan，No depression、Paranoid sickness and so on the diagnosis and treatment of patients with qualification”。

　　据过斌医生介绍，目前我国有卫生部考核的心理医生和劳动部考核的心理咨询师，心理医生大多在医院精神科工作，具有本科以上的医学背景，还要经过数年病房工作和专业培训才能上岗。“但是很多人不愿意到医院精神科就诊，怕别人说他有精神病，实际上这是一个误区，来我们这里并不意味着得了精神病。”正是出于这种“忌讳”，社会对心理咨询师的需求日益加大。

According to a bin doctor introduction，At present our country has health assessment of doctors and the labor department assessment of psychological counselor，Psychological doctors mostly in psychiatric hospitals，Bachelor or above degree in medical background，Even after years of work and professional training to ward mount guard。“But many people don't like to psychiatric hospital doctor，Fear of others said that he is mentally ill，In fact it is a misunderstanding，Here does not mean that had a mental illness。”It is for this“taboo”，Social psychological consultant to the growing demand。

　　全国政协委员安纯人表示，据世界卫生组织估算，我国大概有1.9亿人在一生中有接受专业心理咨询或心理治疗的需要，但我国自2005年迅猛发展起来的心理咨询行业却差强人意。“目前我国心理咨询的从业人员可以说是鱼龙混杂，有证的、没证的；真证的、假证的，还漫天要价，起点从每小时200元到1000元不等，甚至有的按疗程收费，一收就是2000元以上。”

The national political consultative conference AnChun said，According to the world health organization estimates，There are about 190 million people in our country in a lifetime accept professional counseling or psychological treatment needs，But the rapid development in China since 2005 and the psychological consultation industry is not pretty。“At present our country the psychological consultation employees can say is good and evil people mixed up，A certificate of、No card；True syndrome of、Of duty，Also wild eculatio，Starting point from each hour 200 yuan to 1000 yuan，Even some charge according to the treatment，A charge is 2000 yuan of above。”

　　目前，工商部门对个体心理咨询室的监管通常只是局限于个体证照是否齐全，是否存在超范围经营等领域，至于消费者在进行心理辅导时，是否被隐瞒病情，误导消费，还需要专业领域的认定，因此只靠工商部门很难规范该行业市场。“应尽快组建心理咨询行业协会，规范从业人员资质，加强监管，并根据各地不同的经济状况，配合政府指导，出台相应的定价标准。”安纯人建议。

At present，Industry and Commerce Department to individual counseling program regulatory usually just limited to individuals licenses are complete，Whether there is of business beyond, etc，As for consumers in the psychological counselling，Whether concealment of the illness，Mislead the consumer，Still need the cognizance of the field，Therefore only by the industry and Commerce Department is hard to regulate the market。“Should be established as soon as possible psychological consultation industry association，Standard from personnel qualification，Strengthening the supervision，And according to the different local economic conditions，Cooperate with the government guidance，Publish corresponding pricing standard。”AnChun people suggested that。

　　“发现自己出现心理问题，最好先到大医院心理科或者精神科就诊，由医生筛查，诊断是何种情况，在医生的建议下再决定是进行治疗还是找心理咨询师进行心理疏导。”过斌医生表示。(张鹏)

“Find themselves appear psychological problems，Best first to big psychiatric hospital or psychiatric clinic，The doctors screening，The diagnosis is circumstances，Below the doctor's proposal is to decide to treatment or find a counselor psychological persuation。”Doctors say a bin。(zhang)