Question

which is an internal barrier to seeking help with mental problems?
lack of parent permission
complex mental health system
difficulty paying for services
cultural and religious conflicts

Explanation:

Internal barriers are personal or psychological. "Cultural and religious conflicts" relate to internal beliefs/values (cultural/religious views are internal to one’s identity/belief system). The other options: "lack of parent permission" (external - parental), "complex mental health system" (external - system structure), "difficulty paying" (external - financial) are external barriers.

Answer:

D. cultural and religious conflicts