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. Author manuscript; available in PMC: 2012 Aug 1.
Published in final edited form as: Psychol Med. 2010 Dec 7;41(8):1751–1761. doi: 10.1017/S0033291710002291

Reasons for not seeking treatment

Reasons CIDI Questions
Low perceived need:
Low perceived need for treatment The problem went away by itself, and I did not really need help.
Structural barriers:
Financial My health insurance would not cover this type of treatment.
I was concerned about how much money it would cost.
Availability I was unsure about where to go or who to see.
I could not get an appointment.
Transportation I had problems with things like transportation, childcare, or scheduling that would have made it hard to get to treatment
Inconvenient I thought it would take too much time or be inconvenient.
Attitudinal barriers:
Wanted to handle on own I wanted to handle the problem on my own.
Perceived ineffectiveness I didn't think treatment would work.
I was not satisfied with available services.
I received treatment before and it did not work.
Stigma I was concerned about what others might think if they found out I was in treatment.
I was scared about being put into a hospital against my will.
Thought would get better I thought the problem would get better by itself.
Problem was not severe The problem didn't bother me very much.