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Table 3 Treatment barriers (n = 429)

From: Treatment utilization and treatment barriers in individuals with body dysmorphic disorder

Barriers to treatment % (n)
Stigma, shame, and discrimination barriers
 I felt ashamed of my problems. 49.9 (214)
 I was not comfortable discussing my problems with a health professional. 36.6 (157)
 I wanted to handle it on my own. 31.2 (134)
 I felt ashamed about needing help for my problem. 28.9 (124)
 I worried about what people would think if they knew I was in treatment. 21.0 (90)
 I would only disclose my appearance concerns, if someone specifically asked about them. a 17.0 (73)
 I was afraid of being criticized by my family if I sought psychiatric help. 10.7 (46)
 I was scared about being put in a hospital against my will. 6.5 (28)
Treatment satisfaction and perception barriers
 I am unsure if I really need treatment. a 28.9 (124)
 Only cosmetic or medical treatments can help with my problems. a 28.2 (121)
 I did not think treatment would work. 26.6 (114)
 Nobody would understand my problems anyway. a 26.1 (112)
 I received treatment before and it did not work. 14.5 (62)
 I am not ready for treatment, yet. a 7.9 (34)
 I was not satisfied with the services that were available. 7.2 (31)
 I do not need treatment. a 3.3 (14)
Logistic and financial barriers
 I was unsure about who to see or where to go. 28.2 (121)
 I was worried about how much it would cost. 15.4 (66)
 I thought it would be too inconvenient or take too much time. 12.4 (53)
 I had problems with transportation or scheduling. 8.9 (38)
 I could not choose the provider I wanted to see. 7.7 (33)
 I could not get an appointment. 7.7 (33)
 Health insurance would not cover treatment. 5.1 (22)
  1. Note. a Additional items added to the original version of the Barriers to Treatment Questionnaire; Marques et al., 2010 [36])