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Eating disorders are a significant public health issue because of their potentially devastating medical and psychological consequences. Asian Americans tend not to utilize mental health services; thus, this qualitative study explored the factors contributing to Asian American women's decisions to seek professional help for their disordered eating or body image concerns. We utilized grounded theory to allow meaning to emerge from the raw data and the Consensual Qualitative Research-Modified method for triangulation and trustworthiness with a team consensus approach. One hundred forty-three Asian American women aged 18-39 years with disordered eating or body image concerns responded to two open-ended questions in an online survey about their decisions to seek (or not seek) mental health services. Results revealed personal-, social-, structural-level barriers and two multilevel barriers-disordered eating literacy and stigma. Factors that facilitated mental health services utilization included family and social support, free counseling, and knowledge of adverse health impacts. Participants also engaged in alternative methods to manage their concerns, most notably trying to solve or manage the issues on their own. We conclude by discussing clinical implications. What is the public significance of this article?This study identified barriers and facilitators to Asian American women's decisions to seek mental health services for disordered eating or body image concerns. In addition to structural barriers such as financial resources and access to services, a significant barrier is disordered eating literacy (i.e., knowledge about symptoms and resources/treatments available), which may also contribute to stigma. Instead of professional help, many tried to solve the issue on their own. Free counseling, family and social support, and knowledge of the adverse health impacts of disordered eating were facilitators of mental health service utilization.

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