Keywords

grounded theory; healthcare access; stigma; thematic analysis; therapy; youth

Abstract

Compared to prior generations, Generation Z engages with mental health and mental health service interaction in distinct ways, frequently using social media platforms to share experiences, concerns, and opinions. Previous research has examined mental health discourse on Reddit; however, much of this work relies on inductive thematic approaches and offers limited focus on mental health service interaction and the factors influencing utilization. Guided by the Theory of Planned Behavior (TPB), this study examines how Generation Z discusses mental health service use through online discourse. Public Reddit posts authored by users identifiable as Generation Z, based on self-reported age, school enrollment, or similar indicators, were organized using TPB constructs, including attitudes, subjective norms, and perceived behavioral control. A qualitative content analysis informed by grounded theory principles was then employed, using iterative coding and constant comparison to identify patterns and emerging themes within and across these constructs. Themes surrounding peer and parent influence, financial considerations, and perceived efficacy, among others, were observed. Compared to prior literature, similar themes were found, especially related to stigma. The traditional view of parents supporting help-seeking was frequently challenged by Generation Z. Overall, various challenges were identified at personal, institutional, and global levels. This approach allowed for a nuanced and organized contribution to the understanding of how Generation Z articulates motivations, barriers, and social influences related to mental health service interaction in online spaces.

Thesis Completion Year

2026

Thesis Completion Semester

Spring

Thesis Chair

Vergara, Angela

College

College of Sciences

Department

Sociology

Thesis Discipline

Sociology

Language

English

Access Status

Open Access

Length of Campus Access

None

Campus Location

Orlando (Main) Campus

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