Underserved Women in a Women’s Health Clinic Describe Their Experiences of Depressive Symptoms and Why They Have Low Uptake of Psychotherapy

Low-income and African American patients in women’s health clinics are at risk for depression and under-treatment of their
depression. This study aimed to understand women’s health patients’ experiences of depressive symptoms and perspectives on
the low uptake of psychotherapy. Twenty-three women with depressive symptoms from a women’s health clinic completed individual
qualitative interviews. Women reported risk of harm in the therapeutic relationship as the primary barrier; physical and mental
health symptoms and doubt that psychotherapy will help were also described. Women also reported psychotherapy can be helpful
by allowing women to express their feelings, gain insight, and make life changes.