6 barriers to mental health treatment — and how to help clients overcome them

Social stigma

Cultural, religious, or other social stigma — that is, fear or embarrassment about seeking mental health care — can often stand in the way of people getting the care they need. For example, someone with mental health symptoms may have been taught that it’s “weak” to show emotions or seek out support for a problem. Some individuals may worry loved ones will find out they’re struggling, or they may even feel their job or relationship could be on the line if they go to therapy. 

Lack of services 

Many regions of the U.S. are experiencing a shortage of therapists, especially those accepting new clients. As of 2021, nearly 130 million Americans lived in one of the 5,930 federally designated mental health care Health Professional Shortage Areas. People in rural areas may be disproportionately affected compared to urban areas. While more and more therapists are being licensed to practice in other states, finding the right match at the right time can prove difficult. 

Financial barriers 

Therapy can be expensive. Whether someone doesn’t have health insurance, their policy doesn’t cover mental health care, or they can’t find a therapist who accepts their insurance, it can be challenging to find affordable mental health care. Even for someone whose plan does cover therapy, navigating benefits and finding an in-network provider that meets their needs can feel like a heavy lift. 

Preference for self-help 

Rather than taking the big step to ask for help — especially in light of social stigmas around mental health care — some people may prefer to address challenges on their own, whether through books, podcasts, or other self-care strategies. Many individuals also rely on support from friends and family to get through difficult times. While these sources of support can certainly contribute to mental health, they often aren’t a replacement for professional care.

Time and energy constraints 

Navigating the healthcare system — such as understanding insurance benefits and finding an in-network therapist who’s actively accepting new clients — can be burdensome for anyone. Actually making time for therapy appointments amidst a busy work or school schedule poses another challenge. These tasks can be especially tough for people who are actively struggling with mental health symptoms from conditions like anxiety or depression. 

Distrust in mental health care

Distrust in the health care system can be a major barrier to getting mental health support. Those with marginalized identities, such as BIPOC or LGBTQIA+ individuals, may be rightfully hesitant to go to therapy due to systemic inequity and historical, documented abuses in the health care system. Searching for a like-minded or culturally competent provider can also be a hurdle for minoritized individuals.