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ii Despite the increase knowledge and understanding of help-seeking attitudes toward seeking formal mental health services of various minority groups in the U.S., the experience of the Arab-Muslim population has been largely understudied. The dominant Arab-Islamic research suggested individuals ’ attitudes toward formal mental health services are rather negative, and that the majority of Arabs and Muslims people tend to have less knowledge about and familiarity with mental health care system. The purpose of this study was to investigate the attitudes toward seeking and using formal mental health and psychological services among Arab-Muslim population residing in Columbus, Ohio. Four independents variables were selected and tested based on a developed model- Help Seeking Pathways for Arab-Muslim (HSPAM). Three hundreds and sixty survey questionnaires were mailed and distributed to Arab-Muslims residing in Columbus, Ohio via five Arab-Islamic Organizations of which 285 returned and used in Multiple Regression analysis. The results indicated that Arab-Muslim favorable or unfavorable attitudes toward seeking formal mental health services is most likely to be affected by cultural and traditional beliefs about mental health problem, knowledge and familiarity with formal services, perceived societal stigma, and the use of informal-indigenous resources. Implications of these findings for socia