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Full-Text Articles in Counseling

Screening And Treatment Protocols Used In Nicus Across Minnesota For Perinatal Mood & Anxiety Disorders (Pmads), Rachael Witt Jul 2026

Screening And Treatment Protocols Used In Nicus Across Minnesota For Perinatal Mood & Anxiety Disorders (Pmads), Rachael Witt

Journal of Justice-Informed Social Work Practice and Research

Parents of infants with prolonged neonatal intensive care unit (NICU) hospitalizations are a population that is overlooked in recommended routine screening for perinatal mood and anxiety disorders (PMADs), yet this population is at greater risk for developing diagnosable mental health disorders. Previous research shows that across the US, PMAD screening and treatment practices vary widely, with many NICUs not providing any routine PMAD screening, psychoeducation, or treatment options to parents. The objective of this study was to explore the current mental health screening and treatment protocols used in NICUs across the state of Minnesota to learn if there are areas …


Psychological Impact Of Career Roles On African American Women: A Qualitative Study On The Long-Term Effects On Behavioral Health Providers' Field, Yolanda Seals-Stewart May 2026

Psychological Impact Of Career Roles On African American Women: A Qualitative Study On The Long-Term Effects On Behavioral Health Providers' Field, Yolanda Seals-Stewart

Doctoral Dissertations and Projects

There is an untold narrative regarding the levels of stress, anxiety, and depression. This leaves a gap in researchers understanding systemic, cultural, and social factors that shape mental health outcomes in a unique way. There is also a deeper need for exploration of resiliency and coping skills strategies utilized by African American women in the behavioral health field, as well as how behaviors such as discrimination, workplace dynamics, and microaggression impact the overall psyche. By addressing these gaps, a more thorough understanding of the long-term psychological effect can be addressed, and these women can receive support mechanisms and interventions that …


Understanding Husbands Who Live With A Spouse Who Abuses Substances: A Phenomenological Study, Starla Rachelle Huckeba May 2026

Understanding Husbands Who Live With A Spouse Who Abuses Substances: A Phenomenological Study, Starla Rachelle Huckeba

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to describe the lived experiences of Christian non-addicted husbands who are married to a substance-abusing wife in Texas. A thorough review of existing literature indicated that previous research has focused on female non-addicted family members. From this, a gap was identified, and the central research question was developed: How did the Christian non-addicted husband describe the personal effect of living with a substance-abusing wife? Family systems theory, attachment theory, and attachment to God theory guided this study. The sample included 12 husbands whose wives abuse substances. The data collection consisted of the completion …


A Phenomenology Study: Exploring The Lived Experiences Of Latino Women In The South Of California With Symptoms Of Depression And The Influence Of Faith And Religion In Their Recovery, Ivette G. Perez-Paquien May 2026

A Phenomenology Study: Exploring The Lived Experiences Of Latino Women In The South Of California With Symptoms Of Depression And The Influence Of Faith And Religion In Their Recovery, Ivette G. Perez-Paquien

Doctoral Dissertations and Projects

This is a qualitative study of a phenomenological nature that explores the phenomenon and experiences of Latina women with depressive symptoms residing in Southern California, as well as the influence of faith and religion on their recovery. The investigation of this phenomenon was conducted using the theoretical model of descriptive research proposed by Husserl, along with the data analysis technique for descriptive phenomenological research based on the approach designed by Richard Krueger. The research question posed to guide this study was: What are the experiences described by Latina women suffering from symptoms of depression regarding faith, religion, and their recovery …


Music And Movement For Individuals With Parkinson's Disease, Jordan Butler May 2026

Music And Movement For Individuals With Parkinson's Disease, Jordan Butler

The Corinthian

Parkinson’s disease, affecting approximately 10 million people worldwide, causes deficits in fine motor function, speech, and movement, as well as many other secondary symptoms, such as depression (Parkinson’s Foundation, 2020, para. 1). Past researchers have outlined many different studies and interventions regarding Parkinson’s and the effects of various types of music therapy (Andrejeva et al., 2019; Bukowska et al., 2016; Tamplin et al., 2019; Thaut, Rice, Braun Janzen, Hurt-Thaut, & McIntosh, 2019; Zhang, Liu, Ye, Li, & Chen, 2017). This review includes numerous ways that music therapy has benefited, and assisted people diagnosed with Parkinson’s. Vocal practices, auditory stimulation, and …


Measuring Depression, Anxiety, Stress And Burnout In Paramedics, Dispatchers, And Call Takers Of Western Canada, Nahum Chi Heng Ip Feb 2026

Measuring Depression, Anxiety, Stress And Burnout In Paramedics, Dispatchers, And Call Takers Of Western Canada, Nahum Chi Heng Ip

Doctoral Dissertations and Projects

The following dissertation examines depression, anxiety, stress, and burnout in dispatchers and paramedics of Western Canada. This study is meant to bridge a research gap in mental health among emergency health workers in British Columbia, Canada. The samples were collected through two self-reporting surveys, the Depression, Anxiety, and Stress Scale (DASS-21) and the Maslach Burnout Index (MBI), both of which are strongly validated and widely used in similar research. Of the 948 dispatchers and paramedics who participated, 771 (81.3%) responses qualified to be included. The data was entered into the Intellectus software where a variety of tools were utilized to …


A Phenomenological Study Of The Mental Health Needs Of High School Youth In A Rural Community Post Covid-19 Pandemic, Maritza Gonzalez Jan 2026

A Phenomenological Study Of The Mental Health Needs Of High School Youth In A Rural Community Post Covid-19 Pandemic, Maritza Gonzalez

Doctoral Dissertations and Projects

The purpose of this phenomenological study is to describe former high school students’ experiences with mental health struggles while in high school during the COVID-19 pandemic in a rural Texas Public Independent School District. Mental illness increased among youth during the prolonged pandemic period of time and many of the pervasive mental health concerns have not been addressed effectively in the aftermath. As a result, a growing number of concerns pertaining to the mental health wellbeing of K-12 children continues to be on the rise. Thus, it is of utmost importance to learn more about the experiences of our youth …


Bridging Worlds Of Care: A Qualitative Exploration Of Integrating Non-Western Healing Modalities With Mental Health Counseling, Douglas Valdez Jan 2026

Bridging Worlds Of Care: A Qualitative Exploration Of Integrating Non-Western Healing Modalities With Mental Health Counseling, Douglas Valdez

Antioch University Dissertations & Theses

The aim of the study is to explore the experiences of practitioners who treat individuals presenting with depression and anxiety using culturally integrative non-Western healing modalities. Participants included 15 experienced practitioners (minimum five years of practice) who identified as Traditional Chinese Medicine providers (e.g., acupuncturists, herbalists) and/or Curandero/x/as. The approach was qualitative, utilizing open-ended survey responses collected electronically and analyzed with thematic analysis. Results indicated six primary themes: (a) Philosophies in Healing, highlighting culturally grounded conceptualizations of depression and anxiety; (b) Traditional Chinese Medicine Interventions, including acupuncture, botanical, nutritional, manual, and movement-based practices; (c) Curanderismo Pláticas and Integrative Western Healing …


"Why Don't I Talk To A Therapist?": Motivations And Reflections Of Female-Identifying Chinese Immigrants Seeking Psychotherapy For Depression, Qiuyi Wei Jan 2026

"Why Don't I Talk To A Therapist?": Motivations And Reflections Of Female-Identifying Chinese Immigrants Seeking Psychotherapy For Depression, Qiuyi Wei

Antioch University Dissertations & Theses

This phenomenological study explored the lived experiences of Chinese immigrants and temporary residents struggling with depressive symptoms and their process of seeking and accepting psychotherapy support. The study aimed to describe the factors that motivated participants to enter therapy for depression while also addressing their internal concerns about treatment. Nine female-identified Chinese immigrant adults with such experiences were recruited. Participants’ perceptions of their depressive symptoms and the factors contributing to their decision to seek professional therapy were explored through in-depth, semi-structured qualitative interviews conducted in Mandarin. The interview transcripts were analyzed in Mandarin using interpretative phenomenological analysis, through which four …


Treatment Concerning Grief Disorder After Covid-19: Can Spiritual Care Help?, Tamika Marie Johnson Dec 2025

Treatment Concerning Grief Disorder After Covid-19: Can Spiritual Care Help?, Tamika Marie Johnson

Doctoral Dissertations and Projects

The phenomenological study described the experiences of spiritual care for adults who lost a loved one due to COVID-19 in Texas. The theory guiding the study was Viktor Frankl’s logotherapy, which was humanity’s search for meaning in a finite world governed by spiritual principles (García-Alandete, 2024; Parker, 2022; Seligman & Reichenberg, 2014). Grief was one of the occurrences that grappled with humanity’s understanding of life. Death was a universal phenomenon, and grief occurred as a response to a loss (Fernández & González-González, 2022). Research shows that symptoms of grief dissipate over time. When it was accompanied by prolonged time or …


Advancing Children's Mental Health In Nevada, Kelliann Beavers, Christopher Kearney Nov 2025

Advancing Children's Mental Health In Nevada, Kelliann Beavers, Christopher Kearney

Lincy Institute Events

Nevada ranks 51st nationally in youth mental health access and services, underscoring persistent shortages and disparities across the state. Nearly one in four youths aged 12–17 (23.5%) experienced a major depressive episode in the past year, and 73% did not receive treatment. Approximately 34,000 Nevada youths have reported suicidal thoughts—an urgent call for prevention and coordinated support.

During the 2024–2025 school year, 31.3% of Clark County School District students were chronically absent (missing 10% or more of school days), a challenge closely linked to mental health struggles and socioeconomic barriers.

This community forum provided an opportunity to generate dialogue and …


A Phenomenological Study On The Experiences Of Single Mothers With Depression In Christian Counseling, Julie Adeline Bliss Aug 2025

A Phenomenological Study On The Experiences Of Single Mothers With Depression In Christian Counseling, Julie Adeline Bliss

Doctoral Dissertations and Projects

The population of single mothers in the United States continues to grow, whether due to widowhood, divorce, or failed relationships. It is common for single mothers to face many obstacles due to balancing life and parenthood alone. Due to these obstacles, single mothers are at a heightened risk for depression. Themes identified in current research consist of single mothers experiencing poor physical and mental health, life stressors such as financial hardships/poverty, unstable housing, inconsistent employment, behavioral and cognitive problems in their children, religious/spiritual (R/S) interventions, along with the connection of mental health and religious or spiritual beliefs. Current studies have …


Bereavement Experiences Of African American Women In Georgia Ages 30 To 50 As Impacted By Income, Religion, And Career, Doliah Derrelle Snead Jul 2025

Bereavement Experiences Of African American Women In Georgia Ages 30 To 50 As Impacted By Income, Religion, And Career, Doliah Derrelle Snead

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to describe the grief experiences of African American women in the state of Georgia, ages 30 to 50, who have faced the loss of a spouse, parent, sibling, or child. The research questions were: How do African American females describe their experiences with grief resulting from loss in their immediate family? How do African American females describe the grieving process before, during, and after the loss of a loved one? How do African American females describe the coping strategies they used as they moved through their grieving process? How do African American females …


The Meaning And Essence Of Depression And Loneliness In Widowhood: Discovering The Healthy Construct Of Self-Efficacy, Christine M. Ward Jun 2025

The Meaning And Essence Of Depression And Loneliness In Widowhood: Discovering The Healthy Construct Of Self-Efficacy, Christine M. Ward

Doctoral Dissertations and Projects

The purpose of this phenomenological study will be to describe the lived experience of widows aged 65-80 who lost their husbands within the past five years in one of three counties in Washington State: Pierce, Kitsap, or Mason. The two theories guiding this study will be Bowlby’s Attachment Theory and Bandura’s Social Learning Theory, (SLT), as they relate to post-loss identity and mourning. Both serve as vital tools for surviving and recovering from the impact of losing a spouse. When these affectional attachments are lost, a widow’s quality of life can be lessened or even damaged. A widow will go …


Family-Based Support As A Social Determinant Of Health-Protective Factor For Children With Autism Spectrum Disorder, Bisola Duyile, Naomi J. Wheeler Jun 2025

Family-Based Support As A Social Determinant Of Health-Protective Factor For Children With Autism Spectrum Disorder, Bisola Duyile, Naomi J. Wheeler

Department of Counseling Scholarship and Creative Works

Parents of children with autism spectrum disorder (ASD) demonstrate resilience and resourcefulness in managing the demands of caregiving. This study highlights the critical role of family based support as a social determinant of health-protective factor (SDHPF) that enhances the well-being of parents, helping to mitigate depressive symptoms. Using a secondary dataset of 199 parents/ caregivers of children with ASD, this study examines how family based support, child symptom severity, and financial resources (income) influence parental mental health. The findings show that strong family support is positively associated with lower levels of depression, underscoring the strength of social networks in enhancing …


Sense, Drugs, And Rock 'N' Roll: A Critical Review Of Music And Psychedelic Literature, Sophia Harper-Hague May 2025

Sense, Drugs, And Rock 'N' Roll: A Critical Review Of Music And Psychedelic Literature, Sophia Harper-Hague

Expressive Therapies Theses

The use of psychedelics has been shown promising efficacy surrounding treatment-resistant mental health diagnoses, as well as improving quality of life for those not suffering from mental health conditions. Additionally, music has been seen as a significant part of psychedelic research, both by music therapists and other allied health professionals alike. This literature review explores the current research surrounding music therapy and psychedelic approaches, as well as the areas in which they intersect. The current review focuses on Post-traumatic Stress Disorder (PTSD), depression, anxiety, and self-concept, delving into the perceptions of both music and psychedelic therapy as emerging treatment options …


Counseling Guided Manual: Using Cbt To Reduce Media Addiction And Depression Symptoms, Grace Halverson May 2025

Counseling Guided Manual: Using Cbt To Reduce Media Addiction And Depression Symptoms, Grace Halverson

Dissertations, Theses, and Projects

This group manual is focused on media addiction, which is defined as the excessive and compulsive need to use any form of media despite negative consequences to people’s social, academic, and work life (Sherer, 2024). The focus of this group will be on people with internet and social media addiction. However, members will be able to self-report any form of media addiction. The members will self-report their depression symptoms. These symptoms will be assessed using Young’s Internet Addiction Test and Beck’s Depression Inventory-II on the first and last sessions to measure treatment effectiveness (Young, 2016) & (Beck et al., 1996). …


Relationship Of Religiosity And Depression And Anxiety Of K-12th Grade Educators, Melissa Christian Martin May 2025

Relationship Of Religiosity And Depression And Anxiety Of K-12th Grade Educators, Melissa Christian Martin

Doctoral Dissertations and Projects

As more people suffer from a decline in mental health, the education profession is especially vulnerable to anxiety and depression. K-12th grade teachers face a plethora of job-related stressors that impact their mental health, which often affects the quality of education and student outcomes. Public school teachers face the daily challenge of managing student behavior, responding to parent, community, and administrator demands, high-stakes testing, and the responsibility of designing rigorous lessons. They must face these challenges while balancing personal stressors such as financial struggles with minimal pay. Additionally, teachers’ mental health influences the culture and climate of the school environment …


An Investigation Of Mental Well-Being Of Black Men: Perceived Discrimination, Depression, Social Support, And Marital Satisfaction, D'Anthony Teon Harris May 2025

An Investigation Of Mental Well-Being Of Black Men: Perceived Discrimination, Depression, Social Support, And Marital Satisfaction, D'Anthony Teon Harris

Doctoral Dissertations and Projects

Black Americans have long endured significant psychological distress due to racism and discrimination. Yet, limited research has examined how these stressors impact the mental health of Black males in the context of marital relationships. This study investigated the effect of perceived discrimination on depression in married African American men, examining whether marital satisfaction mediated this relationship and whether social support moderated it. Rooted in the historical legacy of systemic racism and modern forms of aversive discrimination, the study aimed to fill a gap in the literature concerning the intersection of race, gender, and mental well-being. Utilizing a diverse and well-educated …


Understanding The Impact Of Romantic Relationship Satisfaction On Depression In Women Veterans, Rhonda Jean Gaston Apr 2025

Understanding The Impact Of Romantic Relationship Satisfaction On Depression In Women Veterans, Rhonda Jean Gaston

Doctoral Dissertations and Projects

Depression is a prevalent and impactful mental health issue worldwide, with a particularly high incidence among women. Previous research has established a positive association between romantic relationship satisfaction and depression in women. However, little attention has been given to the mental health of women veterans, a growing population within the United States military, leading to significant gaps in understanding their unique experiences. This nonexperimental retrospective study was conducted to examine how initial romantic relationship satisfaction predicted the reduction of depression symptoms following psychotherapy. Additionally, it explored how minority status among women veterans influenced post-treatment depression outcomes. Using archival data, between …


The Perception Of Mindfulness Practices Of Middle-Aged Black Christian Women Who Self-Diagnosed With Depression And Have Experiences With Racism, Latoya Angela Delmadge Feb 2025

The Perception Of Mindfulness Practices Of Middle-Aged Black Christian Women Who Self-Diagnosed With Depression And Have Experiences With Racism, Latoya Angela Delmadge

Doctoral Dissertations and Projects

Black Christians rely heavily on their spiritual leaders for guidance and support when dealing with emotional and psychological issues. Consequently, counseling interventions such as mindfulness are often met with much resistance. The origin of mindfulness from the Buddhist culture may present a barrier to Christians incorporating such practices as meditation into their lifestyle. Lack of understanding still poses a limitation for middle-aged Christian women of color to engage in mindfulness practices. This qualitative transcendental phenomenological study explored the perceptions of mindfulness-based practices among Black middle-aged Christian women self-diagnosed with depression and how this intervention can be used to cope with …


School Counselors’ Experiences With Transitioning Military-Dependent Students, Diane K. Jackson Feb 2025

School Counselors’ Experiences With Transitioning Military-Dependent Students, Diane K. Jackson

Doctoral Dissertations and Projects

This phenomenological study examined Asia-Pacific military school counselors’ lived social-emotional experiences. The study aimed to provide a qualitative transcendental phenomenological perspective of Asia-Pacific school counselors. Furthermore, this study focused on the counselors’ reported lived experiences with military-dependent students newly transitioned from the United States to Asia-Pacific. This study investigated a phenomenon to understand human experience and how the events are perceived and experienced by school counselors in the phenomena. The theoretical framework was informed by the invitational theory, Bronfenbrenner’s theory, and the contextual model of family stress. Three research questions were answered: (a) What are the lived experiences of Asia-Pacific …


Mindfulness & Mental Health: Balanced Time Perspective As A Mediator, Eddie Trueblood Jan 2025

Mindfulness & Mental Health: Balanced Time Perspective As A Mediator, Eddie Trueblood

Masters Theses

Mindfulness is a practice of intentionally paying attention to the present moment in a nonjudgmental way. Being more mindful can decrease symptoms of anxiety, depression, and stress, among other mental and physical health improvements. (Donald et al., 2016; Hofmann et al., 2010; Kabat-Zinn et al.,1992). This study examined if balanced time perspective (BTP) is one of the mechanisms of action of mindfulness in its relationship with depression, anxiety, and stress. BTP refers to a person’s ability to flexibly adapt their time perspective (attention to the past, present, or future, and positive or negative attitudes toward each) to suit the current …


Examining The Relationship Between Bicultural Stress And Mental Well-Being Among Second-Generation Filipino Americans Living In The United States, Krista Parker Jan 2025

Examining The Relationship Between Bicultural Stress And Mental Well-Being Among Second-Generation Filipino Americans Living In The United States, Krista Parker

Antioch University Dissertations & Theses

Research investigating the bicultural and mental health experiences of Filipino Americans, the third largest Asian American group in the United States, are consistently overlooked, with second-generation Filipino Americans (SGFAs) facing greater risk of adverse mental health outcomes. This quantitative study addresses a critical gap in research by examining the relationship between bicultural stress and mental well-being among SGFAs living in the United States. Using a cross-sectional survey design, a multivariate regression analysis examined the relationship between bicultural stress and four mental health constructs (as measured by depression, anxiety, stress, and self-esteem) among 302 SGFA participants. Results from this study strongly …


Subthreshold Depression In The National Epidemiologic Survey On Alcohol And Related Conditions Iii (Nesarc-Iii): A Quantitative Analysis Of Prevalence, Characteristics, And Burden In A Nationally Representative Sample, Scott T. Young Jan 2025

Subthreshold Depression In The National Epidemiologic Survey On Alcohol And Related Conditions Iii (Nesarc-Iii): A Quantitative Analysis Of Prevalence, Characteristics, And Burden In A Nationally Representative Sample, Scott T. Young

Antioch University Dissertations & Theses

While subthreshold depression (subD) is relatively young for a diagnostic concept at a mere half century old, it has burdened individuals and societies for far longer. Research has established that it is a highly prevalent, clinically important entity with clear links to personal distress and impairment (including increased suicidal ideation and behavior), societal burden (e.g., increased reliance on public assistance programs), and economic costs (both personal and public). Research has also demonstrated that it represents a significant risk factor for incident major depression (MD) and that it likely represents both a prodromal and residual state in the normal course of …


Cognitive Behavioral Therapy (Cbt) Interventions For Group Therapy For College Students Experiencing Depression, Ty Ogren Dec 2024

Cognitive Behavioral Therapy (Cbt) Interventions For Group Therapy For College Students Experiencing Depression, Ty Ogren

Dissertations, Theses, and Projects

This group manual was created to support college students struggling with a depressive mood disorder such as Major Depressive Disorder. The instance of mental health concerns, including depression, have increased greatly over the last several years. Depression is the most common mental health concern for college students, and the rate at which they experience depressive symptoms has exceeded that of the general population. Depressive symptoms in college students can lead to many concerns like poor academic achievement, self-isolation, poor diet and nutrition, and suicidal ideation (Liu et al., 2022). This group manual aims to equip college students struggling with depression …


Treating Depression Using Non-Pharmacological Interventions, Herve Preval, Lindsay Gietzen Dec 2024

Treating Depression Using Non-Pharmacological Interventions, Herve Preval, Lindsay Gietzen

Pacific Journal of Health

Abstract

Cognitive behavioral therapy (CBT), transcranial magnetic stimulation (TMS), and neuropsychotherapy are all non-pharmacological interventions that have been used in the treatment of depression. This review seeks to investigate the possible advantages of CBT, TMS, and neuropsychotherapy in the treatment of depression. Depression is a debilitating mental health disorder, and it is an extremely prevalent mental condition that is linked to increased illness and death. More than 300 million people suffer from depression worldwide. Depression is estimated to be at a rate of 5.5 percent annually in developed countries and even higher at 6.7 percent amongst young adults. In this …


The Use Of Art Therapy On Children With Life-Limiting Conditions, Karissa K. Schillinger Dec 2024

The Use Of Art Therapy On Children With Life-Limiting Conditions, Karissa K. Schillinger

Counselor Education Capstones

Art therapy is a growing therapeutic technique that is noninvasive. The present literature review sets out to determine what effect art therapy has on children with life-limiting conditions. This author completed a literature review that involved analyzing ten research studies on a variety of youth populations. Studies were found about children with cancer, a child with cerebral palsy and a child with a severe neurological disorder. Zero incidences of harm were found when using art therapy. However, the literature was complicated by the type of art therapy provided, small sample sizes, varying duration of treatment, lack of control groups, lack …


Study Abroad Angst: A Literature Review On The Mental Health Of International Students During Covid-19, Daisuke Akiba, Michael Perrone, Caterina Almendral Nov 2024

Study Abroad Angst: A Literature Review On The Mental Health Of International Students During Covid-19, Daisuke Akiba, Michael Perrone, Caterina Almendral

Publications and Research

Background: The COVID-19 pandemic presented unique and unprecedented challenges for international students, those studying at institutions of higher education outside of their home countries, due to their distinct circumstances and vulnerabilities. This literature review examines the multifaceted mental health burdens they experienced and highlights the need for targeted support and interventions. Methods: A rigorous search across three databases (i.e., PubMed, PsycINFO, and ERIC) yielded 50 empirical studies for inclusion in this literature review. A six-phase thematic analysis framework was employed to identify and synthesize key themes. Results: Seven prominent themes emerged: (1) academic and professional disruptions; (2) challenges navigating international …


Exploring The Barriers Colleges Face Implementing Positive Psychology Interventions To Reduce Depression, Anxiety, Or Stress In College Students, Margaret U. Williams Oct 2024

Exploring The Barriers Colleges Face Implementing Positive Psychology Interventions To Reduce Depression, Anxiety, Or Stress In College Students, Margaret U. Williams

Doctoral Dissertations and Projects

The purpose of this qualitative collective case study was to understand the barriers that colleges face implementing positive psychology interventions (PPIs) to reduce depression, anxiety, or stress (DAS) in college students. The problem was the lack of utilizing PPIs to reduce DAS in college students, despite increased reports of symptoms among this population. Several research studies have supported the use of PPIs to reduce. DAS in college students. However, no prior research was identified regarding barriers to initiating these interventions. The three research questions that guided this study were fueled by previous empirical studies that revealed three barriers to implementing …