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Free resource

Rula's 2026 State of Mental Health Report

While mental health is a growing priority for many Americans, factors like financial challenges and age can influence who seeks help and why. Our annual State of Mental Health Report, based on a survey of 2,000+ adults, reveals the trends, care pathways, and barriers shaping modern mental health.

Review the findings below

The reality of Americans’ mental health —and what it means for the future of care

What we’ve found

Insights from the second annual State of Mental Health Report

What you’ll learn

Rula’s annual State of Mental Health Report explores how we think about and access mental healthcare in 2026. 

Discover

  • The top reasons Americans seek mental healthcare

  • The widening gap between those who need care and those who access it

  • How financial stress and rising costs limit access to care

  • How AI is extending — not replacing — therapy

Methodology


An online survey of 2,037 U.S. consumers aged 18 and older was conducted by Propeller Insights on behalf of Rula between January 15th and January 21st, 2026. Respondents were recruited from an online panel and selected based on demographic criteria. Eligibility was confirmed through screening questions in which participants self-identified their qualifications. The margin of sampling error for the total sample is ±3 percentage points at a 95% confidence level.

Download the report

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Acceptance and Commitment (ACT)Attachment-basedChristian CounselingChild & Parent PsychotherapyClient Centered TherapyGestaltCognitive Behavioral (CBT)Culturally SensitiveCoachingCompassion FocusedPositive psychologyDialectal (DBT)EclecticEMDREmotionally Focused Therapy (EFT)ExistentialFamily SystemsGroup Therapy

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Emergency

The 988 Suicide and Crisis Lifeline provides 24/7, confidential support with trained crisis counselors.

If you or a loved one is in emotional distress or a suicidal crisis, please call or text 988.


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