Burden of mental distress in the United States is associated with delayed medical visits and missed prescription refills during the COVID-19 pandemic.

"Financial disclosure No financial disclosures were reported by the authors of this paper. Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper."

"Madhu Jalan: Conceptualization, Methodology, Software, Validation, Formal analysis, Data curation, Resources, Writing – original draft, Visualization, Project administration. Kira Riehm: Methodology, Writing – original draft, Writing – review & editing, Visualization. Manali Nekkanti: Writing – original draft, Writing – review & editing. Smisha Agarwal: Conceptualization, Investigation, Resources, Writing – review & editing. Dustin G. Gibson: Conceptualization, Software, Validation, Investigation, Resources, Data curation, Writing – review & editing. Alain Labrique: Conceptualization, Writing – review & editing, Funding acquisition. Johannes Thrul: Conceptualization, Methodology, Writing – review & editing, Supervision."