This applied study explored the role of behavioral health issues among workers in the restaurant and retail trade industry in the United States. It features highlights of our larger study in 2024 of eight different industries. The 27.9 million employees in the restaurant and retail trade industry accounted for almost 18% of the total U.S. workforce in year 2024. The study primarily featured EAP data collected over a 7-year period from employee users of individual counseling or coaching from a single national EAP business in the United States (CuraLinc Healthcare). The full sample included 85,432 clients who worked at 2,679 employers. The EAP user sample for the restaurant and retail trade industry group included 9,869 employee clients who worked at 201 companies. Longitudinal data at 30-days post use was obtained from 9,063 cases in the full sample of which 868 were from the restaurant and retail trade industry. The restaurant and retail trade industry client sample was 60% women and 40% men, average age of 40 years, 94% used the EAP for counseling (6% for coaching), 97% were voluntary self-referrals (3% were formally referred to use counseling by their manager at work), 56% met with a counselor in person at a local clinical office (44% online video), and the typical treatment episode lasted about 7 weeks (46 days). The reasons why employees in the restaurant and retail trade industry used the EAP was to address issues of mental health (48%), stress and personal life issues (29%), marriage and family issues (13%), work-related issues (5%) and substance use problems (5%). The EAP user profile for workers in restaurant and retail trade when compared to the other industries was in the middle range for use of coaching and the rate of management referrals but it relatively higher in the use of remote video for counseling (perhaps because of having so many more younger age workers) and this industry had the shortest duration of use episode. When starting to use the EAP many cases in restaurant and retail trade reported having clinical level symptoms on standardized measures for anxiety disorder (47% at-risk), depression disorder (36% at-risk), alcohol misuse disorder (15% at-risk) and low work productivity (55% at problem level). Each of these risk rates was the highest among all of the industries in the study. Among those cases initially at clinical risk status on outcomes in the total sample, over three-fourths recovered to healthy status after use. Among the roughly half of the total cases who initially had a work productivity problem, the hours of lost work productivity per case per month changed from 64 hours to 23 hours. The hours of restored work productivity was estimated to be a $917 value per month per case who initially had this problem. Recent data on number of worker, number of employers, worker age, gender, private/public sector, union representation, compensation, and safety from the U.S. Bureau of Labor Statistics for 7 other industry categories was presented to provide context for this one industry.