The latest Polsinelli-TrBK Distress Indices Report shows mixed distress trends across major sectors, with a sharp increase in health care distress, a rise in Chapter 11 filings and steady distress levels in real estate. After a brief decline in Q2, overall distress activity rebounded in the third quarter. The health care sector in particular saw one of the largest quarter-over-quarter increases in distress since the indices were established.