The purpose of this exploratory consensual qualitative research study was to examine the experiences of eight clients from north-central Appalachia who interfaced with the mental health system as consumers of mental health services. The inductive data analysis yielded four primary domains: reasons to seek services, experiences with therapy, understanding diagnosis and medication, and the role of others. The findings of the study, its limitations, and recommendations for future research are offered. (PsycINFO Database Record (c) 2018 APA, all rights reserved)