Identifying Psychological Barriers to Help-Seeking in Patients with Social Anxiety Disorder: A Qualitative Study

Abstract

The aim of this study was to identify psychological barriers to help-seeking in patients with social anxiety disorder. This qualitative study employed a thematic analysis approach. Data were collected through semi-structured interviews with 22 patients diagnosed with social anxiety disorder, purposefully selected from psychotherapy centers in Isfahan. Interviews continued until theoretical saturation was achieved. The data were analyzed using NVivo 12 software. Data analysis led to the identification of four main themes: “fear of social judgment,” “perceived inadequacy in engaging with therapy,” “cognitive-belief barriers,” and “interpersonal and environmental conditions.” Each theme comprised several subthemes and concepts derived from participants’ lived experiences. Notable barriers included fear of humiliation, mental health stigma, mistrust toward therapists, perfectionism, and lack of social support. The findings indicate that a combination of internal, cognitive, and interpersonal factors contribute to avoidance of help-seeking in individuals with social anxiety disorder. Interventions aimed at public education, stigma reduction, improved access to psychological services, and enhanced social support may facilitate the help-seeking process in this population.