Question

julians roommate, tonya, has been experiencing severe anxiety for several weeks. tonya is now having difficulty leaving the room to go to class. julian suggested that she should talk to a counselor, but tonya refuses to seek help. based on what you read in this chapter, what is the most likely reason for tonyas refusal to seek help?

there are no counseling services available
shame and fear of judgment
insurance limitations on the number of covered visits
lack of money to pay for counseling services

Explanation:

In the context of mental health help - seeking behavior, people with anxiety (or mental health issues) often refuse help due to stigma - related factors. "There are no counseling services available" is unlikely as most educational or community settings have such services. Insurance limitations and lack of money are more about financial barriers, but the scenario doesn't hint at financial issues. Shame and fear of being judged (like being seen as "weak" or "abnormal") is a common reason for avoiding mental health help, especially for anxiety - related issues.

Answer:

B. Shame and fear of judgment