Only a small proportion of people who experience psychological distress seek professional psychological help. Treatment fearfulness is one of a number of factors thought to influence people’s tendency to seek or avoid mental health treatment. The aim of the present study was to provide additional validity information on the Thoughts About Therapy Survey (TAPS) (Kushner & Sher, 1989), and to determine whether fear of therapy and psychological distress were predictive of help-seeking. A non-clinical student sample completed measures of their treatment fears, expectations, anxiety, psychological distress and help-seeking likelihood. Concurrent and construct validity was confirmed for TAPS. Image Concerns, Stigma Concerns, Coercion Concerns and psychological distress were related to the likelihood that subjects would seek professional psychological help. Results are discussed in relation to educational approaches for reducing treatment fearfulness and the potential for increasing appropriate professional help-seeking. © 1994, Taylor & Francis Group, LLC. All rights reserved.