So programs might care about you ranking them #1, although long experience suggests they should not take these communications too seriously.
Not allowed to ask, unfortunately allowed to tell. Mix in standard med student-level neuroticisn and you produce the many dozens of threads like this every year.
I mean, y'all have it much worse, since there's a much higher chance a given psych PhD isn't going to be able to match to an accredited internship.