Abstract:This narrative exploration examines the lived experiences of active duty military personnel receiving mental health services for military sexual trauma (MST). Despite the widespread occurrence of MST and its significant psychological and physical health effects, research specifically on active duty service members' treatment experiences remains limited. Using a qualitative approach that combined narrative inquiry and multiple case study analysis, this study aimed to understand the complex interactions of personal, institutional, and contextual factors that influence help-seeking and treatment journeys. In-depth interviews were conducted with two Air Force veterans who received mental health services for MST while still on active duty. Thematic analysis identified six main themes: concern for confidentiality, logistic and systemic barriers, distress with the reporting and investigation process, critical relationships, positive care experiences, and impact on achievements. The findings highlighted widespread systemic issues, including re-traumatization during reporting and investigation processes, as well as significant barriers related to confidentiality and continuity of care. Conversely, the study also emphasized the crucial role of supportive informal and formal relationships, along with the transformative impact of genuinely empathetic, client-centered mental health providers. The results underscore the urgent need for systemic reforms within military mental health services and reporting procedures to create a more supportive, confidential, and trauma-informed environment for MST survivors. Implications for clinical practice, policy, and future research are discussed.