Frequencies (multiple answers per patient possible) and weighted percentages including CIs of categories and subcategories are shown in Table 3. For past 12 months cases, the most frequent reason for not seeking treatment was ‘lack of problem awareness’ (55.3 %). Patients reporting ‘lack of problem awareness’ most frequently, did not consider their drinking as a problem or stated that no help was needed. The second most common reasons was ‘stigma or shame’ (28.6 %), closely followed by ‘encounter barriers’ (22.8 %) and ‘cope alone’ (20.9 %). The specific barrier reported most frequently was the wish not to stop drinking (72.9 %). Among patients fulfilling at least four DSM-5 criteria (moderate to severe AUDs), the share of patients reporting ‘lack of problem awareness’ was 52.1 % (12 months, 95 % CI 39.1-65.1; not shown in Table 3).Table 3Frequencies and weighted percentages including 95 % confidence intervals (CI) for reasons not to seek treatment. Refers to patients that were diagnosed with an alcohol use disorder, reported a reason for not seeking treatment, and that did not receive treatment. Multiple reasons per patient