This study explored previously detained youths' perceptions of the term "mental health" and related stigma. The study also examined how the youth see and compare "mental health" to "counseling" services. Qualitative interviews were conducted with a diverse, purposeful sample of 19 youth aged 11-17 who scored high on the Massachusetts Youth Screening Instrument (MAYSI-2) for mental health disorders. Our findings suggest that participants often found it difficult to disclose that they were receiving mental health services to non-primary friends.Overall, there were negative and inaccurate perceptions of mental health. Furthermore, this terminology was not easily understood and was associated with mental health stigma. Given these negative association with "mental health," our results suggest that this term may be, in and of itself, a significant barrier to accessing treatment that requires further investigation. These findings should prompt researchers, policy makers, and mental health professionals to evaluate alternative names or descriptions of mental health services to reduce both internal and external stigma.