Skepticism about the treatments system has also been shown to prevent seeking treatment: patients reported doubts about the effectiveness of AUDs treatment and expressed the wish not to stop drinking completely [13]. Actual treatment-related barriers like financial barriers (e.g. affordability, insurance issues) or structural barriers (e.g. lack of knowledge who to ask for help, lack of time) have also been reported repeatedly by patients [12, 18–20, 3].