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Primary mental healthcare: patients’ perspectives1135patient needs regarding the network, and self-determination regarding the MH trajectory (Box 1). Our analysis showed that within these themes, selfdetermination excluded, three levels – cognitive, practical, and emotional – could be identified. For the sake of readability, GP is stated where it applies to both GP and MHNP. When necessary, GP or MHNP is specified.Table 5.1. Characteristics of participants Participant Sex1 Age MH problem2MHNP3 involvedPsychotropic(s) prescribedReferred to MH2servicesTrusted person presentOnline / face-to-face41 F 62 Mood problems X X FF2 F 63 Anxiety X X X X FF3 F 28 Borderline personalityAutismMood problemsX X O4 F 49 TraumaMood problemsX X FF5 F 26 Anxiety X X FF6 F 38 Trauma X X X FF7 F 50 DepressionPanicTraumaX X X FF8 F 53 Trauma X X X X FF9 F 61 Mood problemsTraumaX X X FF10 M 51 Sleep problems X X X FF11 F 23 Stress FF1Sex: M: male, F: female; 2MH: mental health problem accordingly to the GP or the participant; 3MHNP: mental health nurse practitioner; 4Online/face-to-face: O: interview was held online, FF: interview was held face-to-faceTheme 1: Cumulative vulnerabilityParticipants experienced a wide range and accumulation of additional barriers and problems occurring in their lives when experiencing MH problems, creating cumulative vulnerability. Compared with GP consultations for somatic problems, most participants experienced extra difficulties visiting their GP for MH problems. These entailed, on a cognitive level, finding it hard to recognise MH problems in the first place and, secondly, to assess whether or not to visit a GP for these problems.Katrien Pouls sHL.indd 113 24-06-2024 16:26