The present findings should be considered within the context of the study’s limitations. Although the participants in this study were racially representative of Wyoming rural communities, rates of college education were higher than is typical of rural adults within this age group (U.S. Census Bureau, 2012). A higher percentage of our participants were also married, as compared with adults aged 60 years and older in the general Wyoming population (State of Wyoming Department of Health, 2008). The method of sampling used by the authors in this study (i.e., purposive chain sampling) also may have resulted in a group of participants who were more open to discussing depression than are members of the general population. Despite these limitations, this is one of the first studies, to our knowledge, that was designed to qualitatively explore depression treatment preferences and factors influencing anticipated mental health service use among a sample of young-old adults residing in a rural setting. Future work may examine similarities and differences in treatment barriers and preferences among young-old and old-old adults who reside in both rural and urban settings to tease apart factors associated with age and those associated with rural living.