This study attempts to examine the help-seeking cha-racteristics and psychological well-being of young heroin abusers in Hong Kong. A total of 300 Chinese male heroin abusers aged under 30 were recruited from non-government treatment agencies. A structured questionnaire was designed to measure the participants’ reasons for seeking treatment（Reasons Scale），fears about treatment（Fears Scale），expectations on treatment and confidence in achieving the expectations，knowledge about treatment，previous treatment experience and psychological well-being（depression and trait anxiety symptoms）. The results of the reliability analyses showed that the scales used in this study were internally consistent and reliable. The abusers’ help-seeking characteristics showed significant inter-relationships between measures derived from the Reasons Scale and the Fears Scale.The results suggest that the practitioners carefully assess the psychological well being of drug abusers and the counseling provided to them should be more “reasons” and “fears” related.