A new Pulse on Mental Health report from Thriveworks reveals increased numbers of Americans seeking treatment despite ongoing hurdles of affordability and healthcare systems that inhibit sustained access. The 2026 report — which pulls together survey responses and clinical expertise — reports that therapy is at an all-time high, but many also identify problems with expenses, time scheduling, and insurance nightmares.
There are some encouraging insights in the Pulse on Mental Health report. For example, the number of people reporting they have seen a therapist in the last year has risen dramatically. And tele-health plays a leading role in this growth because virtual visits help remove the barriers of distance and transportation that have historically prevented many from seeking mental health treatment. Overall, younger adults report feeling more comfortable seeking mental health care than generations before, as seeing a therapist is now considered to be a typical way of dealing with life pressures, changes, and relationship issues.
Additionally, the report identifies still-existing challenges. The stress of paying for care is consistently noted: overusing people may be unable to afford co pays, deductibles, and out of network charges, while under using patients may have trouble finding a clinician in network or one with openings compatible with their work and care giving commitments. These barriers are disproportionately acuted for low income people and those living in provider shortages.
According to The Pulse on Mental Health, however, once people see a therapist, they usually find the experience to be very helpful. Among the findings of the survey are reports of improved communication and coping skills, as well as decreased feelings of depression and anxiety. Thrive works highlights these findings to advocate for policy and plan design to improve access and utilization, including network expansion, parity, and increased tele-health care.
For those who might be seeking therapy, the report provides reassurance as well as a dose of realism. It offers reassurance that if you have been feeling overwhelmed, hopeless, or unable to function “as you normally would,” seeking professional help is both a sound course of action and one that is on the rise. And it offers realism in noting that insurance and waitlists are frustrating and urging you to seek any number of services including community clinics, slidingscale programs, and employee assistance programs (if your employer offers one).ble.
Source: Thriveworks’ 2026 Pulse on Mental Health Report Reveals Record Therapy Adoption and Ongoing Barriers
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