Help-seeking stigma predicts more negative attitudes towards seeking psychological help, yet it remains unclear how distress levels might impact this relationship. Increased distress could diminish the relationship between stigma and help-seeking attitudes, as the potential benefits of seeking psychological help might outweigh the potential risks. Alternatively, increased distress could strengthen the relationship between stigma and more negative help-seeking attitudes, as help-seeking decisions become more personally relevant. The current study examined the effects of anticipated help-seeking self-stigma and psychological distress on help-seeking attitudes. Results indicated that there was an interaction of distress and stigma, such that for those reporting higher levels of distress, there was a weaker relationship between stigma and help-seeking attitudes than for those with lower levels of distress.