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The global mental health issue is becoming increasingly prominent. The fair supply of psychological therapeutic landscape spaces in urban high-density residential areas is a core path to ensuring the physical and mental health of residents and maintaining social health equity. This study takes the theory of spatial justice as the core framework, selects 20 typical high-density residential areas in Shijiazhuang City as empirical samples, and collects basic data through structured questionnaire surveys and on-site observations to explore the justice dilemma, evaluation system, and group demand differentiation characteristics of psychological therapeutic landscape spaces in high-density residential areas. The research results show that there are three core injustice problems in the psychological therapeutic landscape spaces of high-density residential areas: insufficient spatial inclusiveness, lack of ecological space justice, and incomplete facilities and management systems. Residents’ evaluations of the spatial justice of therapeutic landscapes can be divided into four dimensions: practical, ecological, social, and management. Among them, the ecological dimension is the core dimension that residents pay the most attention to. Individual characteristics such as gender, age, identity category, community activity duration, and governance participation willingness have a significant impact on residents’ evaluations of spatial justice. This study constructs an evaluation system for the spatial justice of therapeutic landscape spaces suitable for high-density residential areas, providing theoretical support and practical guidance for the planning, design, and optimization and renewal of fair and inclusive psychological therapeutic landscapes in high-density residential areas in northern China. At the same time, it provides a scientific basis for the construction of healthy cities and the practical application of spatial justice in the field of human settlements.