Table 3 Treatment barriers (n = 429)

 I felt ashamed of my problems.

(214)

 I was not comfortable discussing my problems with a health professional.

(157)

 I wanted to handle it on my own.

(134)

 I felt ashamed about needing help for my problem.

(124)

 I worried about what people would think if they knew I was in treatment.

(90)

 I would only disclose my appearance concerns, if someone specifically asked about them. ^a

(73)

 I was afraid of being criticized by my family if I sought psychiatric help.

(46)

 I was scared about being put in a hospital against my will.

(28)

 I am unsure if I really need treatment. ^a

(124)

 Only cosmetic or medical treatments can help with my problems. ^a

(121)

 I did not think treatment would work.

(114)

 Nobody would understand my problems anyway. ^a

(112)

 I received treatment before and it did not work.

(62)

 I am not ready for treatment, yet. ^a

(34)

 I was not satisfied with the services that were available.

(31)

 I do not need treatment. ^a

(14)

 I was unsure about who to see or where to go.

(121)

 I was worried about how much it would cost.

(66)

 I thought it would be too inconvenient or take too much time.

(53)

 I had problems with transportation or scheduling.

(38)

 I could not choose the provider I wanted to see.

(33)

 I could not get an appointment.

(33)

 Health insurance would not cover treatment.

(22)