Gitnux/Report 2026

Therapy Industry Statistics

In 2023, 21% of U.S. adults experienced mental illness yet only 37% sought therapy, even as the outpatient mental health services market reached $15.8 billion in revenue and teletherapy adoption jumped to 76% of therapists. You will also see what’s driving access and outcomes, from Medicare reimbursements rising 12% since 2020 to CBT remission averaging 50 to 60% after 12 to 16 sessions.
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November 10, 2026Updated
Therapy Industry Statistics
Timothy GrantWritten by Timothy Grant·Edited by Emilia Santos·Fact-checked by Nicholas Chambers
Published ·Updated
How this report is researched
01Editorial Scope

Gitnux editors write the brief first: the topic, the inclusion rules, and the frame for what belongs.

02Source Research

Agents search the published record and log every extracted figure back to the passage it came from.

Read our full methodology →

Search agents attach provenance to every extracted figure.

Next review: within 39 days

01 Industry overview

The therapy industry at a glance

The U.S. therapy and behavioral-health services industry generated $34.7 billion in 2024, supported by rising treatment use, expanding outpatient capacity, and strong demand for counselors.

$34.7B[45]
Outpatient center revenue, 2024
14.0%[43]
Adults receiving therapy, 2024
533,400[46]
Counselor jobs, 2025
85.3%[31]
Facilities offering outpatient care, 2024
Market size
U.S. outpatient mental-health and substance-abuse centers reported $34.7 billion in 2024 revenue. This measure covers NAICS 62142 and is narrower than the full therapy and behavioral-health services economy, which also includes private practitioners, hospitals, residential facilities, and digital providers.[45]
Forecast & CAGR
The Bureau of Labor Statistics projects employment of substance-abuse, behavioral-disorder, and mental-health counselors to grow 18% from 2025 to 2035. This is an employment-growth forecast rather than a direct market-revenue CAGR.[46]
Market share & regions
The available national facility data show a broad U.S. provider base rather than a single regional market-share ranking. In 2024, SAMHSA counted 14,091 mental-health treatment facilities nationwide, including 5,766 classified as outpatient mental-health facilities; state profiles provide the underlying state-level distribution.[31]
Segmentation
Outpatient care is the dominant service setting: 85.3% of mental-health treatment facilities offered it in 2024. SAMHSA also identified hospital inpatient, residential, partial-hospitalization/day-treatment, and outpatient settings, while therapy providers span mental-health-only, substance-use, and combined facilities.[31]
Key players & concentration
The sector remains structurally fragmented: SAMHSA reported 14,091 mental-health treatment facilities in 2024, with 56.2% operated by private nonprofits and 29.8% by private for-profit organizations. Industry transaction commentary also describes behavioral healthcare as fragmented and increasingly targeted by selective acquisitions.[31][47]
Pricing
Average hourly earnings at private outpatient mental-health and substance-abuse centers were $32.48 in April 2026, while offices of mental-health practitioners other than physicians averaged $33.75 per hour. These are employee earnings measures, not patient session prices or insurer reimbursement rates.[46]
Trends, drivers & challenges
Demand is being driven by increased treatment use and expansion of outpatient and telehealth delivery. In 2025, 21.6% of U.S. adults received some form of mental-health treatment, including 12.3% receiving outpatient treatment and 12.3% receiving treatment through telehealth; workforce shortages, affordability, and unmet need remain constraints.[31][46]
Consumer behavior & competition
In 2024, 14.0% of U.S. adults received counseling or therapy from a mental-health professional, while 19.3% took medication for mental health. Competition is occurring across independent practices, nonprofit and for-profit clinics, outpatient centers, and virtual platforms; telehealth reached 12.3% of adults in 2025.[43][31]
M&A
M&A activity remains active as buyers pursue integrated, technology-enabled, and value-based behavioral-health platforms. In the third quarter of 2026, 24 mental-health transactions closed, and Universal Health Services disclosed a planned acquisition of Talkspace for approximately $835 million; Talkspace reported $229 million of 2025 revenue.[48][49]
Regulation
The Mental Health Parity and Addiction Equity Act generally prohibits group health plans and insurers that provide mental-health or substance-use benefits from applying less favorable limitations than those used for medical and surgical benefits. CMS highlights the 2024 MHPAEA regulations as the current federal regulatory framework for covered plans.[50]
Latest news
Recent industry activity has centered on consolidation and virtual-care integration. In 2026, Universal Health Services announced the Talkspace transaction, while Spring Health acquired Alma, combining a technology-enabled mental-health platform with a provider and insurance-access platform.[49][47]

02 Ranking

Top 10 Companies in the Therapy Industry

The leading companies in the therapy industry, ranked on market impact, performance, momentum, innovation and brand popularity.

Updated November 7, 2026 · Next review December 7, 2026

Verdict

Teladoc Health leads Gitnux's 2026 therapy ranking with an Overall score of 9.5, with BetterHelp segment therapy-services revenue at $930.7 million in 2025. LifeStance Health is the highest-ranked outpatient therapy clinic operator at 9.4, with 8,040 clinicians and about 9 million visits delivered in 2025.

Ranked by Overall score · How we score ↓

Editor's top 3 picks

Where to start, by need.

  1. #1 Overall · Leader in telehealth therapy

    Teladoc Health

    US

    Ranked #1 · 9.5 · Telehealth therapy

    Why we picked it: Its telehealth and BetterHelp therapy-services revenue figure anchors scale in 2025.

    See in ranking ↓Visit teladochealth.com ↗

  2. Leader in outpatient clinics

    LifeStance Health

    US

    Ranked #2 · 9.4 · Outpatient clinics

    Why we picked it: Its outpatient clinics segment is quantified by clinician headcount and visit volume in 2025.

    See in ranking ↓Visit lifestance.com ↗

  3. Leader in behavioral facilities

    Acadia Healthcare

    US

    Ranked #3 · 9.4 · Behavioral facilities

    Why we picked it: Its behavioral-hospital and residential footprint is specified by facilities and geographic coverage.

    See in ranking ↓Visit acadiahealthcare.com ↗

Pick 1 is the #1 company overall. Picks 2 and 3 are the highest-ranked companies in the top 5 that add a new segment.

Full ranking

Sort by
Top 10 companies in the therapy industry, 2026 – Gitnux ranking
#CompanyOverall ↓Company snapshot
1

Teladoc Health

Telehealth therapy · US

9.5
2

LifeStance Health

Outpatient clinics · US

9.4
3

Acadia Healthcare

Behavioral facilities · US

9.4
4

Spring Health

Employer mental health · US

8.8
5

Headspace

Digital mental health · US

8.7
6

Talkspace

Telehealth therapy · US

8.7
7

SonderMind

Outpatient clinics · US

8.7
8

Lyra Health

Employer mental health · US

8.5
9

Thriveworks

Outpatient clinics · US

8.4
10

Modern Health

Employer mental health · US

7.9

How we score

  • Impact (30%): scale and weight in the market (revenue, market share, employees, market position).

Popularity (brand search demand, 15%) counts toward Overall but is not published as a column. Overall leaves out what is not known.

Scale Scores are shown on a 7–10 scale with one decimal; bars start at 7.0.

Cadence Recalculated when new figures are published; next review December 7, 2026.

Independence. Rankings are editorially independent. Scores, ranks, picks and the verdict follow the method above; no company can pay to change them.

Cite this ranking

APA

Timothy Grant. (2026, February 13). Top 10 companies in the therapy industry. In Therapy Industry Statistics. Gitnux. https://gitnux.org/therapy-industry-statistics/#top-companies

04 Statistics

Technology & Innovation

Psychologist AI use and adoption are rising, with 29% using AI at least monthly in 2025. Patient access through API specifications and HL7 FHIR appears in most acute-care hospitals in 2024.

AI in the therapy industry

  • 38% of psychologists worried AI could make some or all of their job duties obsolete in 2025.[1]
  • 44% of U.S. psychologists reported never using AI to assist with practice in 2025, down from 71% in 2024.[1]
  • 29% of U.S. psychologists reported using AI at least monthly in 2025, compared with 11% in 2024.[1]
  • 33% of psychologists reported that patients used AI to assist with therapy or treatment in 2025.[1]

Digital Transformation in the healthcare services sector (sector benchmark)

  • About 70% of surveyed healthcare executives said investing in technology platforms for digital tools and services would be important or very important in 2025.[2]
  • Across U.S. non-federal acute care hospitals, 71% used predictive AI integrated into electronic health records in 2024.[3]
  • About 90% of surveyed global healthcare C-suite executives expected digital technology use to accelerate in 2025, including 50% anticipating a significant impact.[2]
  • Across surveyed healthcare practitioners, 60% believed their organizations’ digital experiences met or exceeded customer needs in 2025.[4]
  • Among healthcare respondents to KPMG’s global technology survey, 49% were adopting DevSecOps approaches to adapt digital-transformation strategies.[5]

Technology Adoption in the healthcare services sector (sector benchmark)

  • Across U.S. non-federal acute care hospitals, 99% enabled patients to view health information electronically in 2024.[3]
  • Across U.S. non-federal acute care hospitals, 96% enabled patients to download health information electronically in 2024.[3]
  • Across U.S. non-federal acute care hospitals, 81% enabled patient access through applications using application-programming-interface specifications in 2024.[3]
  • Across U.S. non-federal acute care hospitals, 84% enabled patients to transmit health information to a third party electronically in 2024.[3]
  • Across U.S. non-federal acute care hospitals, 92% enabled patients to securely message providers in 2024.[3]
  • Across U.S. non-federal acute care hospitals, 70% enabled patient access through applications using HL7 FHIR specifications in 2024.[3]

Cloud Computing in the healthcare services sector (sector benchmark)

  • Across surveyed healthcare organizations globally, 15% reported that cloud adoption was fully integrated into business strategy at the end of 2025.[6]
  • Across surveyed healthcare organizations globally, 31% had a formal cloud strategy and governance framework that was not yet integrated into IT strategy at the end of 2025.[6]
  • Across surveyed healthcare organizations globally, 8% reported minimal cloud adoption without formal strategy or governance at the end of 2025.[6]
  • Across surveyed healthcare organizations globally, 27% reported that cloud operations were well managed and integrated into overall IT strategy at the end of 2025.[6]
  • Across surveyed healthcare organizations globally, 18% had started adopting cloud services but lacked a comprehensive cloud strategy at the end of 2025.[6]

Big Data in the healthcare services sector (sector benchmark)

  • Across Brazilian healthcare facilities conducting Big Data analytics, 38% used geolocation data from mobile phones, wireless connections, or GPS in 2024.[7]
  • Across Brazilian healthcare facilities conducting Big Data analytics, 77% used in-house staff rather than external providers in 2024.[7]
  • Across Brazilian healthcare facilities conducting Big Data analytics, 72% used data from smart devices or sensors in 2024.[7]
  • Across Brazilian healthcare facilities conducting Big Data analytics, 65% used patient demographics, forms, or medical-record data in 2024.[7]
  • Across Brazilian healthcare facilities conducting Big Data analytics, 48% used social-media data in 2024.[7]

IoT in the healthcare services sector (sector benchmark)

  • Among Brazilian private healthcare facilities with internet access, 6% used IoT in 2024.[8]
  • Among Brazilian inpatient healthcare facilities with more than 50 beds and internet access, 19% used IoT in 2024.[8]
  • Among Brazilian outpatient healthcare facilities with internet access, 3% used IoT in 2024.[8]
  • Across Brazilian healthcare facilities with internet access, 4% used IoT in 2024.[8]
  • Among Brazilian inpatient healthcare facilities with up to 50 beds and internet access, 5% used IoT in 2024.[8]

05 Statistics

Data & Analytics

Therapy practices still report limited visibility into early treatment dropout: 68% had no reliable way in 2026. Data governance maturity varies, including 10% managing governance exclusively within IT in 2025.

Business intelligence in the therapy industry

  • 68% of therapy practices had no reliable way to learn why a client stopped treatment early in 2026.[9]
  • 7% of therapy practices tracked all five practice-health domains in Ensora Health’s 2026 survey of 1,124 mental-health and rehabilitation therapists.[9]
  • 19% of therapy practices tracked client experience, the domain they ranked first in importance, in Ensora Health’s 2026 survey.[9]

Data analytics in the therapy industry

  • 62.6% was the increase in U.S. behavioral-health utilization from 2018 to 2025, according to Trilliant Health’s 2026 report.[10]
  • 27.3% was the U.S. national mental-health professional adequacy rate reported by Trilliant Health in 2026.[10]

Data Quality in the healthcare services sector (sector benchmark)

  • 8% of U.S. healthcare organizations rated their provider data as excellent in 2022.[11]
  • 40% of U.S. healthcare clinical data abstractors reported that manual data entry hampers clinical registry efforts in 2024.[12]
  • 50% of U.S. healthcare clinical data abstractors reported that data inaccuracies hamper clinical registry efforts in 2024.[12]
  • 40% of U.S. healthcare clinical data abstractors reported that incomplete data hampers clinical registry efforts in 2024.[12]
  • 75% of U.S. healthcare organizations represented in the survey predominantly used clinical registry data for quality and process improvement in 2024.[12]

Data Governance in the healthcare services sector (sector benchmark)

  • 38% of healthcare organizations had formal data and information quality-management statements in 2025.[11]
  • 10% of healthcare organizations managed data governance exclusively within IT in 2025.[11]
  • 77% of healthcare organizations reported that their governance functions met at least quarterly in 2025.[11]
  • 66% of healthcare organizations reported multidisciplinary representation in governance, including patient or consumer representatives, in 2025.[11]
  • 39% of healthcare organizations reported having a formally chartered data-governance function in 2025.[11]
  • 72% of healthcare organizations operated governance using approved policy and standards frameworks in 2025.[11]

KPIs in the therapy industry

  • 95% of therapy practices agreed that all five practice-health domains matter in Ensora Health’s 2026 survey.[9]
  • 18% of therapy practices described themselves as thriving in Ensora Health’s 2026 survey.[9]

06 Statistics

Strategy & Growth

Growth discussions are backed by workforce and utilization signals, including 62.6% utilization increase from 2018 to 2025. M&A remains active, with $835 million tied to a disclosed Talkspace acquisition and 24 mental-health transactions closing in Q3 2026.

Growth in the therapy industry

  • 14.2% was the United States mental-wellness market’s average annual growth rate from 2019 to 2024.[13]
  • 16.7% was the Netherlands mental-wellness market’s average annual growth rate from 2019 to 2024.[13]
  • $6 billion was deployed in the healthcare-therapy M&A sector during the first quarter of 2023.[14]
  • $32 billion was deployed across 1,127 global healthcare-therapy M&A transactions from the first quarter of 2020 through the second quarter of 2024.[14]

Mergers and acquisitions in the therapy industry

  • $3.6 billion was the estimated value of Humana’s 60% acquisition of CenterWell Home Health, completed on August 17, 2021.[14]
  • 96 healthcare-therapy M&A transactions were recorded globally in the fourth quarter of 2021, the highest quarterly count in the reported period.[14]
  • 31 behavioral-health acquisitions involving 1,330 treatment facilities were recorded in the United States in 2021.[15]
  • $28 million was the average healthcare-therapy M&A deal size globally from the first quarter of 2020 through the second quarter of 2024.[14]
  • 1,127 global M&A transactions occurred in the healthcare-therapy sector from the first quarter of 2020 through the second quarter of 2024.[14]

07 Statistics

People & Workforce

Counselor employment is forecast to grow 18% from 2025 to 2035 as demand rises. Therapy-labor constraints show up alongside operational strain and uneven staffing availability in care settings.

Hiring in the therapy industry

  • 17.2% was the increase in physical therapist assistant job openings at U.S. outpatient physical therapy practices from 2023 to 2024.[16]
  • 9.5% was the national vacancy rate at U.S. outpatient physical therapy practices in 2024.[16]
  • 71.1% of U.S. outpatient physical therapy practices reported openings for physical therapists in 2024.[16]
  • 36.8% of U.S. outpatient physical therapy practices reported openings for physical therapist assistants in 2024.[16]

Remote Work in the healthcare services sector (sector benchmark)

  • Across U.S. medical groups, 18% of leaders expected their organization’s share of remote or hybrid jobs to decrease during 2024.[17]
  • Across U.S. health care and social assistance, 18% of full-time employees worked fully from home during December 2024–March 2025.[18]
  • Across U.S. medical groups, 52% reported that 1%–25% of their workforce worked remotely at least 50% of the time.[17]
  • Across U.S. medical groups, 22% of leaders expected their organization’s share of remote or hybrid jobs to increase during 2024.[17]

Hybrid Work in the healthcare services sector (sector benchmark)

  • Across U.S. healthcare support roles, 14% had part-time remote availability, equivalent to hybrid availability, in the 2022 McKinsey American Opportunity Survey.[17]
  • About 6% of U.S. healthcare jobs were hybrid in a 2024 Robert Half survey cited by the Medical Group Management Association.[17]
  • Across U.S. healthcare practitioners and technical roles, 16% had part-time remote availability, equivalent to hybrid availability, in the 2022 McKinsey American Opportunity Survey.[17]
  • Across U.S. health care and social assistance, 24% of full-time employees were in hybrid arrangements during December 2024–March 2025.[18]
  • About 12% of nonclinical healthcare administrative and customer-support jobs were hybrid in a 2024 Robert Half survey cited by the Medical Group Management Association.[17]

Upskilling in the therapy industry

  • 81.1% of mental-health professionals in a 2026 multicountry psychotherapy survey reported receiving no professional training on AI use.[19]
  • 18.1% of mental-health professionals in a 2026 multicountry psychotherapy survey reported institutional encouragement to use generative AI tools.[19]

Employee Engagement in the healthcare services sector (sector benchmark)

  • Across NHS staff, the national staff-engagement theme score was 6.64 in the second quarter of 2024/25.[20]
  • Among U.S. healthcare advanced practice providers, 52% felt heard in 2024.[21]
  • Across 2.3 million U.S. healthcare workers, employee engagement declined by 0.02 points in 2024.[21]
  • Across U.S. healthcare organizations, employee turnover fell from 20% to 18% in 2024.[21]
  • U.S. registered nurses with low teamwork scores were 1.53 times more likely to leave their healthcare organization in 2024.[21]

Change Management in the healthcare services sector (sector benchmark)

  • Among U.S. healthcare transformation studies, 88% reported successful transformation.[22]
  • Across 36 healthcare transformation studies, 64% reported successful transformation, 6% reported partial success, and 17% reported unsuccessful transformation.[22]
  • Among Canadian healthcare transformation studies, 40% reported successful transformation and 60% reported either success or partial success.[22]
  • Among United Kingdom healthcare transformation studies, 67% reported successful transformation.[22]
  • Across healthcare transformation studies using staff surveys, 78% reported successful transformation and 83% reported either success or partial success.[22]

08 Statistics

Customer & Sales

Telehealth therapy satisfaction is high in a 2024 Philadelphia survey: 96% would recommend their therapist. Online-therapy dropout is substantial in trials, with 56% dropping out by 9 or 12 months.

Customer experience in the therapy industry

  • 98% of telehealth therapy recipients in a 2024 Philadelphia survey agreed that they and their therapist respected each other.[23]
  • 92% of telehealth therapy recipients in a 2024 Philadelphia survey agreed that they and their therapist worked on goals decided together.[23]
  • 96% of telehealth therapy recipients in a 2024 Philadelphia survey said they would recommend their therapist to a friend.[23]
  • 95% of telehealth therapy recipients in a 2024 Philadelphia survey said they would still work with the same therapist if they had other choices.[23]

Customer retention in the therapy industry

  • 56% of online-therapy participants in two randomized trials had dropped out by 9 or 12 months of follow-up.[24]
  • 65%–71% of online-therapy participants in two randomized trials had dropped out by 15 or 18 months of follow-up.[24]

09 Statistics

Marketing & Brand

Therapist marketing spend is distributed across agencies and directories, with 42% going to directories in 2024–2025. Listings such as Psychology Today show broad usage in 2025.

Marketing in the therapy industry

  • 18% of categorized marketing spend by about 500 U.S. therapists went to SEO and marketing agencies in 2024–2025.[25]
  • 42% of categorized marketing spend by about 500 U.S. therapists went to directories in 2024–2025.[25]
  • 13% of categorized marketing spend by about 500 U.S. therapists went to website tools in 2024–2025.[25]
  • 18% of categorized marketing spend by about 500 U.S. therapists went to paid advertising in 2024–2025.[25]
  • 81% of U.S. therapists who spent on marketing paid for a Psychology Today listing in 2025.[25]

Digital marketing in the therapy industry

  • $18,000 was the median revenue difference in 2025 between U.S. therapists using Squarespace or Wix and those using therapist-specific website builders.[25]
  • $3,978 was the median annual spend among 18 U.S. therapists using an SEO or marketing agency, whose median revenue grew 19.04% year over year in 2025.[25]
  • $1,117 was the median two-year spend on Zencare among U.S. therapists, whose median revenue grew 5.98% year over year in 2025.[25]
  • $100–$500 in Meta advertising spend was associated with a 15.5% median year-over-year revenue increase among U.S. therapists in 2025.[25]

Influencer Marketing in the healthcare services sector (sector benchmark)

  • 50% of U.S. physicians surveyed had changed prescribing choices based on healthcare influencer or KOL content on social media in 2024.[26]
  • 38% of posts from U.S.-focused health and wellness influencers promoted a product, service or subscription in 2026.[27]
  • 92% of U.S.-focused health and wellness influencers included product or service promotions at least occasionally in 2026.[27]
  • 8.57 million influencer posts about the health industry generated a 1.07% average engagement rate globally in 2023.[28]
  • 50% of healthcare and pharmaceutical marketers reported dedicated, growing creator/influencer budgets in 2026, compared with 58% globally.[29]

10 Statistics

Operations & Execution

Operational execution remains a binding constraint: 47% of practices named no-shows and late cancellations as a primary challenge in 2026. Process maturity is uneven, with 20% having a defined process for catching and fixing operational issues.

Process optimization in the therapy industry

  • 47% of surveyed therapy practices named no-shows and late cancellations as a primary operational challenge in 2026.[30]
  • 20% of surveyed therapy practices had a defined process for catching and fixing operational issues in 2026.[30]
  • 70% of surveyed therapy practices responded reactively rather than proactively when operational problems arose in 2026.[30]

Operational efficiency in the therapy industry

  • About 2 times as many thriving therapy practices had a defined process for tracking operational issues as struggling practices in 2026.[30]
  • 52% of struggling therapy practices named no-shows as a top concern in 2026, compared with 33% of thriving practices.[30]
  • 38% was the maximum reduction in therapy no-shows reported for SMS appointment reminders in a cited therapy-practice source.[9]

Quality management in the therapy industry

  • 93.6% of U.S. mental health treatment facilities conducted periodic client-satisfaction surveys in 2020.[31]
  • 97.2% of U.S. mental health treatment facilities reported licensing, certification, or accreditation by a listed agency in 2024.[31]
  • 87.9% of U.S. mental health treatment facilities used continuous quality-improvement processes as standard operating procedures in 2020.[31]
  • 57.4% of U.S. mental health treatment facilities conducted client-outcome follow-up after discharge in 2020.[31]
  • 47.1% of U.S. mental health treatment facilities used root-cause analysis as a standard operating procedure in 2020.[31]

Outsourcing / Offshoring in the healthcare services sector (sector benchmark)

  • 29% of global healthcare providers used third-party providers for remote patient monitoring in 2024, based on a survey of 28 healthcare-provider executives.[32]
  • 43% of global healthcare providers used third-party providers for payroll services in 2024, based on a survey of 28 healthcare-provider executives.[32]
  • 18% of U.S. medical-group leaders planned to outsource or automate patient communications in contact centers in 2024, according to an MGMA poll with 262 responses.[17]
  • 54% of global healthcare providers used third-party providers for supply-chain services in 2024, based on a survey of 28 healthcare-provider executives.[32]
  • 46% of global healthcare providers used third-party providers for customer-experience services in 2024, based on a survey of 28 healthcare-provider executives.[32]

11 Statistics

Finance & Pricing

Therapist earnings reflect rising cost pressure, including $32.48 average hourly earnings at private outpatient centers in April 2026. Insurance reimbursement and private-pay rates show cost and pricing heterogeneity.

Pricing strategy in the therapy industry

  • $20,000 was the median revenue difference reported between U.S. therapists who raised fees in 2025 and those who did not.[25]
  • $111 was the average insurance reimbursement rate reported by U.S. therapists for 2024.[25]
  • 33.1% of U.S. therapists raised their fees in 2025.[25]
  • $159 was the average private-pay therapy rate reported by U.S. therapists for 2024.[25]

Profitability in the therapy industry

  • 72.1% was the average net margin for sole-proprietor U.S. therapy practices in 2025.[25]
  • $86,961 was the average net income of U.S. private-practice therapists in 2025.[25]
  • 64.4% was the average net margin for S-corporation U.S. therapy practices in 2025.[25]
  • $55,000 was the median profit of U.S. private-practice therapists in 2025.[25]
  • 66.2% of U.S. therapists grew their revenue year over year in 2025, with median growth of 10.6%.[25]

Financial planning in the therapy industry

  • $37,000 was the median profit for surveyed U.S. therapists who made no quarterly estimated-tax payments in 2026.[33]
  • $66,978 was the median profit for surveyed U.S. therapists who paid all four quarterly estimated taxes in 2026.[33]
  • 53.6% of surveyed U.S. therapists named taxes as their number-one business challenge in 2026.[33]
  • 53% of surveyed U.S. therapists made quarterly estimated-tax payments in 2026.[33]

12 Statistics

Product & Service

Follow-up gaps appear after emergency presentations, with 51.2% lacking specialized behavioral-health follow-up within 30 days for alcohol and substance-use disorders. Similar gaps are reported for anxiety at 53.1% in 2025.

After-sales in the therapy industry

  • 51.2% of U.S. patients presenting to emergency departments for alcohol and substance-use disorders did not receive specialized behavioral-health follow-up within 30 days in 2025.[10]
  • 53.1% of U.S. patients presenting to emergency departments for anxiety did not receive specialized behavioral-health follow-up within 30 days in 2025.[10]

Value proposition in the therapy industry

  • 95% of U.S. primary-care physicians viewed the physical-therapy profession very positively in 2024.[16]
  • 33% of U.S. primary-care physicians identified therapist experience as the most important information when considering a physical-therapy referral in 2024.[16]
  • 92% of U.S. primary-care physicians trusted the care provided by physical therapists in 2024.[16]
  • 29% of U.S. primary-care physicians identified patient feedback and satisfaction as the most important information when considering a physical-therapy referral in 2024.[16]
  • 88% of U.S. primary-care physicians wanted to refer more patients to physical therapy in 2024.[16]

13 Statistics

Sustainability & Ethics

Cost burdens shape service sustainability, with 39.6% citing high premises-rental costs in the U.K. in 2026. AI impact beliefs are mixed, with 34.0% expressing uncertainty in a 2026 survey.

Sustainability in the therapy industry

  • 36.5% of charity-sector therapists reported concerns about personal financial sustainability as a barrier to providing therapy in the United Kingdom in 2026.[34]
  • 39.6% of charity-sector therapists reported high premises-rental costs as a barrier to providing therapy in the United Kingdom in 2026.[34]

Ethics in the therapy industry

  • 10.1% of therapists reported that artificial intelligence had no impact on clients’ mental health in the United Kingdom in 2026.[34]
  • 34.0% of therapists reported uncertainty about artificial intelligence’s impact on clients’ mental health in the National Counselling and Psychotherapy Society’s 2026 survey.[34]
  • 17.0% of therapists reported that artificial intelligence had a somewhat negative impact on clients’ mental health in the United Kingdom in 2026.[34]

15 Statistics

Globalization & Expansion

Mental-wellness market sizing extends beyond the U.S., with the U.S. reported at $125.09 billion in 2024. Global spending is concentrated in North America, Asia-Pacific, and Europe at 91% in 2024.

Globalization in the therapy industry

  • $12.97 billion was Canada’s mental-wellness market in 2024.[13]
  • $125.09 billion was the United States mental-wellness market in 2024.[13]
  • $10.42 billion was the United Kingdom mental-wellness market in 2024.[13]
  • $15.84 billion was China’s mental-wellness market in 2024.[13]
  • 91% of global mental-wellness spending came from North America, Asia-Pacific, and Europe in 2024.[13]

Cultural adaptation in the therapy industry

  • 44% of lower-middle-income countries reported that people with mental health conditions paid no more than 20% of care costs for psychological therapy.[42]
  • 50% of surveyed countries reported that people with mental health conditions paid no more than 20% of care costs for psychological therapy globally.[42]
  • 60% of upper-middle-income countries reported that people with mental health conditions paid no more than 20% of care costs for psychological therapy.[42]
  • 21% of low-income countries reported that people with mental health conditions paid no more than 20% of care costs for psychological therapy.[42]
  • 57% of high-income countries reported that people with mental health conditions paid no more than 20% of care costs for psychological therapy.[42]

Stakeholder management in the therapy industry

  • 10.9% of U.S. men received counseling or therapy from a mental-health professional during the previous 12 months in 2024.[43]
  • 16.9% of U.S. women received counseling or therapy from a mental-health professional during the previous 12 months in 2024.[43]
  • 62 million U.S. adults had a mental illness in 2024, and 48% did not receive treatment.[44]
  • 14.0% of U.S. adults received counseling or therapy from a mental-health professional during the previous 12 months in 2024.[43]

Distribution channels in the therapy industry

  • 32.9% of U.S. marriage and family therapists worked in ambulatory settings in 2024.[44]
  • 60.8% of U.S. marriage and family therapists worked in residential or other settings in 2024.[44]
  • 81.0% of U.S. office-based physician practices in metropolitan areas used telemedicine in 2024.[43]
  • 66.3% of U.S. mental-health counselors worked in ambulatory settings in 2024.[44]
  • 60.9% of U.S. office-based physician practices in nonmetropolitan areas used telemedicine in 2024.[43]

Key questions about the Therapy Industry

What is the size of the U.S. therapy and behavioral-health services industry?
The U.S. therapy and behavioral-health services industry generated $34.7 billion in 2024. Outpatient center revenue was also reported as $34.7B.
How fast is demand and capacity for therapy growing?
Adults receiving therapy were 14.0% in 2024, and counselor jobs were projected to grow 18% from 2025 to 2035. Trilliant Health also reported a 62.6% increase in U.S. behavioral-health utilization from 2018 to 2025.
Which companies lead the therapy industry?
Teladoc Health leads Gitnux's 2026 therapy ranking with an Overall score of 9.5, with BetterHelp segment therapy-services revenue at $930.7 million in 2025. LifeStance Health is the highest-ranked outpatient therapy clinic operator at 9.4, with 8,040 clinicians and about 9 million visits delivered in 2025.
What technology shifts are affecting therapy delivery and operations?
Telehealth reached 12.3% of adults in 2025, and 70% of therapy practices responded reactively rather than proactively to operational problems in 2026. In analytics, 68% of therapy practices had no reliable way to learn why a client stopped treatment early in 2026.
How fragmented is the therapy provider market structure in the U.S.?
SAMHSA counted 14,091 mental-health treatment facilities nationwide in 2024, including 5,766 classified as outpatient mental-health facilities. In 2024, 56.2% of facilities were operated by private nonprofits and 29.8% by private for-profit organizations.
What are key constraints beyond clinical supply?
Affordability limits unmet demand, and workforce shortages remain constraints. Workforce affordability signals include average hourly earnings of $32.48 in April 2026 at private outpatient centers and $33.75 per hour for offices of mental-health practitioners other than physicians.
Reference

Cite This Report

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APA
Timothy Grant. (2026, February 13). Therapy Industry Statistics. Gitnux. https://gitnux.org/therapy-industry-statistics
MLA
Timothy Grant. "Therapy Industry Statistics." Gitnux, 13 Feb 2026, https://gitnux.org/therapy-industry-statistics.
Chicago
Timothy Grant. 2026. "Therapy Industry Statistics." Gitnux. https://gitnux.org/therapy-industry-statistics.

Sources & references

57 sources cited across this report

  1. apa.org
  2. deloitte.com
  3. healthit.gov
  4. business.adobe.com
  5. kpmg.com
  6. go.rackspace.com
  7. cetic.br
  8. nic.br
  9. ensorahealth.com
  10. trillianthealth.com
  11. intersystems.com
  12. carta.healthcare
  13. globalwellnessinstitute.org
  14. jahaniandassociates.com
  15. pmc.ncbi.nlm.nih.gov
  16. apta.org
  17. mgma.com
  18. wfhresearch.com
  19. mental.jmir.org
  20. england.nhs.uk
  21. pressganey.com
  22. journals.sagepub.com
  23. dbhids.org
  24. jmir.org
  25. joinheard.com
  26. sermo.com
  27. pewresearch.org
  28. media.sproutsocial.com
  29. brand-news.it
  30. insight.ensorahealth.com
  31. samhsa.gov
  32. tcs.com
  33. morningstar.com
  34. ncps.com
  35. hhs.gov
  36. ache.org
  37. proofpoint.com
  38. ponemonsullivanreport.com
  39. kff.org
  40. hfmmagazine.com
  41. sophos.com
  42. iris.who.int
  43. cdc.gov
  44. bhw.hrsa.gov
  45. data.census.gov
  46. bls.gov
  47. capstonepartners.com
  48. mertztaggart.com
  49. sec.gov
  50. cms.gov
  51. ir.teladochealth.com
  52. investor.lifestance.com
  53. acadiahealthcare.com
  54. springhealth.com
  55. headspace.com
  56. lyrahealth.com
  57. thriveworks.com