Reasons related to the four steps of treatment seeking
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Broader category
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Subcategories
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Denial of the problem
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Lack of problem awareness
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Drinking was no problem
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No help needed
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Normal consumption
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Consumption under control
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Nothing serious, no problem insight
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Minimization of problem severity, rationalization
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Other problem
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Other problem was more prominent
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Other substance problem was more prominent
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Cope alone
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Acknowledgement of problem but not of its severity
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Self-change, problem resolution without professional help, non-professional help
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Cope alone
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Wish to cope alone
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Reduction in drinking
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Non-professional support
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Encounter insurmountable barriers; delay or avoid treatment, ongoing self-change efforts
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Stigma or shame
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Fear of stigma and shame
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Social pressure
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Drinking is private issue
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Encounter barriers
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Lack of possibility or knowledge
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Lack of time
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Asked for help but did not get any
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Treatment was not affordable
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Wish not to stop drinking
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Treatment was not seen as an option
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No trust in treatment system
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The help needed was not offered
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