Table 2.

Summary of analytical and descriptive themes and their primary study source

Analytical theme	Descriptive sub-themes	Source
Inner conflict	Loss of control	Eivors et al. [32], Leavey et al. [33], Seidinger-Leibovitz et al. [34], ter Huurne et al. [31]
	Psychological difficulties	Leavey et al. [33], ter Huurne et al. [31]
	Fear	Darcy et al. [36], Leavey et al. [33], Bakland et al. [35]
	Threats to self-identity	Eivors et al. [32], Leavey et al. [33], Seidinger-Leibovitz et al. [34]
	Denial and cognitive dissonance	Eivors et al. [32], Leavey et al. [33], Seidinger-Leibovitz et al. [34]
	Low motivation	Merrill et al. [40], Darcy et al. [36], Vandereycken and Devidt [39], ter Huurne et al. [31], Frostad et al. [38], del Barrio et al. [37]
	Stigma	Eivors et al.[32], Leavey et al. [33]
Connection and communication	Family conflict	Vandereycken and Devidt [39], Leavey et al. [33], Seidinger-Leibovitz et al. [34], ter Huurne et al. [31]
	Tensions in patient-clinician relationship	Eivors et al. [32], Darcy et al. [36], Leavey et al. [33], ter Huurne et al. [31]
	Feeling misunderstood or unheard	Merrill et al. [40], Eivors et al. [32], Leavey et al. [33], Bakland et al. [35]
Treatment service experience	Unmet expectations	Eivors et al. [32], Darcy et al. [36], Vandereycken and Devidt [39], Leavey et al. [33], Seidinger-Leibovitz et al. [34], ter Huurne et al. [31], del Barrio et al. [37], Bakland et al. [35]
	Feeling unsafe in treatment	Eivors et al. [32], Darcy et al. [36], Vandereycken and Devidt [39], Bakland et al. [35]
Treatment progress	Satisfactory progress	Vandereycken and Devidt [39], ter Huurne et al. [31], Frostad et al. [38], del Barrio et al. [37]
	Obstacles to progress and accessibility	Merrill et al. [40], ter Huurne et al. [31], Frostad et al. [38], del Barrio et al. [37]