As Jason Beaman recounts his long slog searching for mental health therapy last year, he sounds defeated.The first therapist assigned to him by the Department of Veterans Affairs told him at their initial meeting that she was leaving the agency. A few months later, his second therapist told him she was also leaving. An appointment with a third counselor was canceled with no explanation.These were huge setbacks for the 54-year-old veteran of the Navy and Army Reserve. Nearly a decade ago, a spiral of depression and anxiety left him homeless and living on the streets of Spokane, Washington. A VA social worker threw him a lifeline, helping him apply for benefits, find housing and get into therapy.He still needs mental health care, he and his physician say. But bouncing from therapist to therapist has left him exhausted.“I just quit. I don’t want to mess with the therapist anymore,” Beaman said. He spends much of his time now alone playing video games or walking with his dogs.After President Donald Trump returned to office last year, his administration announced plans to overhaul the VA, one of the largest health care systems in the country, to deliver “the highest quality care.”“This administration is finally going to give the veterans what they want,” VA Secretary Doug Collins said last March, as the department announced tens of thousands of job cuts.But in interview after interview, veterans across the country told ProPublica that one year into the second Trump administration, it’s become more difficult to get treatment, as hundreds of therapists and social workers have left the VA. Many of them have not been replaced.While front-line mental health care workers were largely exempted from the job cuts, hundreds chose to leave anyway. Some cited disagreements with new administration policies, including several targeting the LGBTQ+ community, while others, facing diminished ranks, said they simply could no longer provide proper care.In January, the department had around 500 fewer psychologists and psychiatrists than it had at the same time last year, ProPublica found.Although the losses represent a relatively small number — about 4% of psychologists and 6% of psychiatrists — they are notable for an agency that has long struggled with inadequate mental health staffing. For years, administrators have listed psychologists in particular among their most “severe staffing shortages.”Mental health is not the only area where the VA has lost medical staff. The agency has eliminated more than 14,000 vacant health care positions across the system, according to data first reported by The New York Times.Data published by the VA going back to May 2023 shows that the agency was adding psychologists every quarter until Trump’s return to the White House. Then, the trend flipped, with departures outpacing hires in all four quarters of last year.Compounding the losses, the agency’s cohort of social workers, some of whom are licensed therapists who provide mental health counseling, declined by nearly 700 staffers over the year.To better understand the departures and their impact on veterans’ care, ProPublica interviewed dozens of former and current VA staffers as well as patients.ProPublica also examined a previously unreported internal employee exit survey, which included hundreds of responses from mental health care workers.“Mental Health is understaffed, burned out, and there is not enough mental health care for the Veterans who need the services,” wrote one New York-based former employee, according to the records.“Support is no longer there to provide ethical and good care for these Veterans,” wrote a second, based in Indiana. “Scheduling issues are incredibly high due to poor staff hiring and retainment.”Yet another wrote that the number of new patients seeking help at their Kansas facility was far too high, making it “unethical to accept more veterans in our clinics.”Many of those vacated positions have gone unfilled due to a yearlong hiring freeze, which was only lifted in January.Echoing the exit survey, many who remain on staff describe crushing workloads as they struggle to fill the gaps. Those reached by ProPublica, who agreed to speak only under the condition of anonymity for fear of retaliation, said that as staffing losses mount, they’ve seen their patient loads increase, while administrators shorten their appointments and pack more and more clients into group therapy sessions.“It was always bad,” said one VA psychologist, referring to staffing at a facility in Arizona. “And now it’s at a breaking point.”The therapist described being stretched so thin that schedulers replaced some one-on-one sessions with online group sessions that included as many as 35 veterans. The therapist said despite that they were still overloaded with individual sessions and had to limit each one to as little as 16 minutes.The VA declined ProPublica’s request to interview an official familiar with its mental health programs.