Annual Mental Health Caseload Trends Report

Help shape the future of mental health practice by sharing your perspective.

The Mental Health Caseload Trends Report is UCEBT’s annual initiative to capture the experiences of today’s mental health providers. By participating in this year’s survey, you’ll help build a growing resource that offers valuable insights into caseloads, practice trends, business challenges, and the evolving mental health landscape. 

The deadline to participate in the 2026 survey is Friday, September 18, 2026. Everyone who participates will be emailed the results.

Key Insights from 2025

Beyond the numbers, providers described a practice landscape marked by unpredictable referrals, growing administrative demands, financial pressures, and increasing competition. At the same time, many emphasized that strong referral networks, specialization, collaboration, and community support are key to building a sustainable practice. Explore some of the key findings below, then dive deeper by reading the full 2025 Caseload Trends Report.

Burnout

Nearly half (48%) of providers identified burnout and provider fatigue as one of the biggest challenges in their own practice.

Insurance Reimbursement

When asked about industry-wide concerns, 78% of providers identified low insurance reimbursement rates as one of the biggest challenges facing mental health professionals today.

Telehealth Demand

Most providers (55%) said demand for telehealth has remained steady over the past year, while 34% reported it has declined.

Provider Support

Top requested resources:

  • Better insurance reimbursement (68%)
  • Affordable CEUs (30%)
  • Policy advocacy (29%)
  • Stronger referral networks (28%)

Online Directories

More than half (53%) of providers reported a decrease in referral flow from online directories compared to previous years.

Practice Fees

While 51% of providers kept their rates the same, 42% increased their fees over the past year, with increased cost of living and rising business expenses cited as the most common reasons.

Seasonal Trends

68% of providers reported that their caseloads are less full during the summer, while 61% said fall is their busiest season.

Marketing Strategy

Among providers who market their own practices, online directories (31%) were rated as the most effective marketing strategy, followed by networking and SEO.

Leaving Private Practice

More than one in four providers (26%) have considered leaving private practice due to financial challenges, including 6% who are strongly considering it.