儿童头晕/眩晕的诊疗是一项涉及多学科的复杂临床难题，其挑战主要源于两方面：一是儿童表达能力有限，常难以清晰描述症状；二是儿童处于发育阶段，前庭-情绪-认知网络的交互作用较成人更为复杂。因此，在面对儿童头晕/眩晕，特别是涉及焦虑、抑郁等情绪问题时，如何开展恰当的心理评估仍存在诸多困难。本文结合近10年来的国际循证医学证据及笔者在多学科门诊中的实践经验，系统分析耳鼻咽喉科、神经内科及精神心理科在评估目标、工具选择及转诊时机方面的差异与盲区，指出当前主要问题包括成人评估量表在低龄人群中的不当应用、情绪共病识别不足以及专科之间沟通不畅。文章提出，应建立基于症状持续时间、发作频率和功能损害程度的分阶段评估模式，以尽可能缓解精神源性疾病在漏诊与过早标签化之间的矛盾；构建“神经科首诊-耳科前庭评估-心理科会诊”三级协作流程；并推行医师-患儿-家长的“三角式”沟通模式，以减少信息偏倚。未来，有必要在全国多中心建立儿童头晕/眩晕神经心理评估常模与转诊标准，为制定符合中国国情的相关专家共识提供循证依据。

The diagnosis and management of pediatric dizziness/vertigo represent a complex clinical challenge involving multiple disciplines. The primary difficulties stem from two key aspects: firstly, children's limited expressive ability often leads to unclear symptom description; and secondly, the vestibular-emotional-cognitive network interactions during development are more complex than in adults. Consequently, conducting appropriate psychological assessments for children with dizziness/vertigo, particularly when comorbid anxiety or depression is suspected, remains particularly challenging. This article integrates international evidence-based findings from the past decade with the author's clinical experience in multidisciplinary clinics to systematically analyze differences and blind spots in assessment objectives, tool selection, and referral timing among otolaryngology, neurology, and psychiatry/psychology departments. Current major issues include the inappropriate application of adult assessment scales in younger populations, insufficient recognition of emotional comorbidities, and inadequate inter-specialty communication. The paper proposes establishing a symptom duration-, frequency-, and functional impairment-based staged assessment model to balance underdiagnosis versus premature labeling of psychosomatic conditions. It recommends implementing a three-tier collaborative pathway of "neurology initial consultation - otology vestibular assessment - psychology consultation" and adopting a clinician-child-parent "triangular" communication approach to minimize information bias. Future work should focus on establishing nationwide multicenter norms for neuropsychological assessment and referral standards for pediatric dizziness/vertigo, thereby providing evidence-based foundation for developing Chinese expert consensus.