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For the third consecutive year, many psychologists across the country say they are seeing patients struggle with worsening symptoms, many of them needing longer treatment times.

Those are among the findings of an annual survey by the American Psychological Association, released this week. The APA first launched this survey in 2020 to gauge the impact of the COVID-19 pandemic on practicing psychologists.

A majority of psychologists reported that more people are seeking mental health care this year, adding to already long waitlists. Over half (56%) said they had no openings for new patients. Among those who keep waitlists, average wait times were three months or longer and nearly 40% said that their waitlist had grown in the past year.