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Abstract. This paper is used to know about the psychological health situation for middle and primary school students in Xianning City and provide a certain empirical basis for meaningful development of psychological health education and psychological assistance. This paper uses the MHT scale prepared by Bucheng Zhou professor et al. to conduct a test for 1000 students in 7 middle and primary schools in Xianning City. The detection rate of psychological health problem accounts for 1.6%, where the positive detection rate of study anxiety ranks first (43.2%). The psychological health situations have much difference in sex (t= -4. 624, P<0. 001), and it's lower in male students than female ones. There is a significant difference between the psychological health situation for only and non-only children (t= -2. 519, P<0. 01).There is a significant difference on the psychological health situation for primary school, middle school and high school students (F= 11. 3, P<0. 001), and the psychological health situation of primary school students is better than that for middle school students. It can be concluded that the psychological health situation of middle and primary school students in Xianning City is fairly good, and the psychological health situation for male student, only children and primary school student is also fairly good.