Although a majority (86 per cent) of U.S. employees say they experienced at least one mental-health challenge over the past year, just a third (33 per cent) said they received mental-health care during that time, according to a survey by Lyra Health Inc.

The survey, which polled more than 2,500 employees and more than 250 employers, found 60 per cent of employee respondents said their mental health affected their work, up 12 per cent since 2021 and up two per cent since 2022. The top stressors affecting employees’ mental health were financial stress (48 per cent), work-related stress and burnout (39 per cent) and work-related managerial stress (27 per cent).

Slightly more than half of managers said they have the resources and training to support employees’ mental health (52 per cent) and to cultivate a supportive work experience (53 per cent).

Read: 87% of employees have experienced burnout over the last year: survey

While 80 per cent of employers said it’s their responsibility to prevent employees from developing work-related mental-health problems, just two-thirds (67 per cent) of employees said they’re encouraged to take paid time off. More than a third of employees said they’re unable to disengage from work at the end of the workday and on holidays (34 per cent) and don’t feel encouraged to take vacation time (34 per cent), while 44 per cent said they’re unable to disengage from work due to their managers communicating with them outside of work hours.

While nearly all (92 per cent) employers said they believe employees take full advantage of the available mental-health benefits, a third of workers said their benefits don’t effectively address their mental-health needs. In addition, 40 per cent of employees disagreed or were unsure whether their manager or company leaders promote a psychologically safe workplace, while 30 per cent disagreed or were unsure whether they have a manageable workload.

However, more than half (55 per cent) of employers said they discuss mental health at work, up from 53 per cent in 2022 and 28 per cent in 2021. Fewer than half (46 per cent) of employees said they’re comfortable discussing mental health at work, a slight increase from 2022 (43 per cent) and a significant rise from 2021 (23 per cent).

Read: Four-day workweek pilot participants benefit from reduced burnout, better mental health