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This study identifies how private stigma may impact one’s intent to seek therapy for romantic relationship issues via face-to-face and online therapy. The mechanisms of self-disclosure, self-concealment, and attitudes about therapy are analyzed as mediators through path modeling analysis. Results indicated significant indirect effects through self-disclosure and attitudes about therapy for seeking both online and face-to-face therapy. There was a significant indirect effect through self-concealment for intending to seek face-to-face therapy, but not for online therapy. Clinicians should find ways to normalize seeking therapy for relationship issues and be cognizant of how private stigma may impact their work with couples.

Barriers in Seeking Online and Face-to-Face Therapy for Romantic Relationship Problems