problem was more prominentCope aloneAcknowledgement of problem but not of its severitySelf-change, problem resolution without professional help, non-professional helpCope aloneWish to cope aloneReduction in drinkingNon-professional supportEncounter insurmountable barriers; delay or avoid treatment, ongoing self-change effortsStigma or shameFear of stigma and shameSocial pressureDrinking is private issueEncounter barriersLack of possibility or knowledgeLack of timeAsked for help but did not get anyTreatment was not affordableWish not to stop drinkingTreatment was not seen as an optionNo trust in treatment systemThe help needed was not offered