Background: This grounded theory study explored the views of adolescent boys aged 12 and 13 on the factors that influence their help-seeking decisions for less severe forms of psychological distress. Method: Semi-structured interviews with 12 participants from a local secondary school and a community setting were analysed according to grounded theory methods. The data analysis abstracted categories of data to construct a substantive theory of helpseeking. Results: Participants’ views revealed an interaction of ‘pressures and promoters’ that affected adolescent boys’ help-seeking decisions. These related to relationships with others, mental health support and education, being a boy, and individual factors. Conclusion: Mental health education and awareness should be promoted amongst adolescent boys and the adults and professionals that they encounter so that they may be encouraged to seek help for psychological distress.