This study examined the mediating roles of perceived social support and psychological distress on the relationship between adult attachment and help-seeking intentions. Participants were 355 college students at a large Midwestern university. The structural equation model results indicated that attachment anxiety in individuals was positively related to acknowledging distress and to seeking help. Conversely, individuals with attachment avoidance denied their distress and were reluctant to seek help. However, both individuals with attachment anxiety and individuals with avoidance also perceived less social support, which negatively contributed to their experience of distress, and their distress then positively contributed to their help-seeking intention. Furthermore, attachment anxiety and avoidance, social support, and distress explained 17% of the variance in intent to seek help.