Counties in Texas by depression in adults, local model estimate

Angelina County had the highest depression in adults, local model estimate of 254 counties in 2021, at 25.6%. Fort Bend County had the lowest, at 17%. The median was 22.2%. Source: the Centers for Disease Control and Prevention.

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Highest25.6Angelina County
Median22.2254 counties

Map of counties, 2021

Anderson County: 21.5 %Andrews County: 22.4 %Angelina County: 25.6 %Aransas County: 21.5 %Archer County: 23.2 %Armstrong County: 22.4 %Atascosa County: 20.8 %Austin County: 21.6 %Bailey County: 21.2 %Bandera County: 21.7 %Bastrop County: 21.8 %Baylor County: 23.2 %Bee County: 20.3 %Bell County: 22.7 %Bexar County: 23.5 %Blanco County: 21.5 %Borden County: 20.3 %Bosque County: 23 %Bowie County: 22.4 %Brazoria County: 19.4 %Brazos County: 24.2 %Brewster County: 20 %Briscoe County: 22.8 %Brooks County: 20.4 %Brown County: 23.1 %Burleson County: 21.9 %Burnet County: 22.4 %Caldwell County: 21.1 %Calhoun County: 20.2 %Callahan County: 23.3 %Cameron County: 18.9 %Camp County: 22.5 %Carson County: 22.9 %Cass County: 24 %Castro County: 20.3 %Chambers County: 23 %Cherokee County: 23.3 %Childress County: 21.5 %Clay County: 22.9 %Cochran County: 23.3 %Coke County: 22.8 %Coleman County: 22.9 %Collin County: 19.7 %Collingsworth County: 23.2 %Colorado County: 21.4 %Comal County: 20.5 %Comanche County: 22.3 %Concho County: 21.2 %Cooke County: 23.1 %Coryell County: 25.1 %Cottle County: 23.2 %Crane County: 20.6 %Crockett County: 19.4 %Crosby County: 21.7 %Culberson County: 21.1 %Dallam County: 23.7 %Dallas County: 21.2 %Dawson County: 22.2 %Deaf Smith County: 21.4 %Delta County: 23.5 %Denton County: 20.7 %DeWitt County: 21.5 %Dickens County: 21 %Dimmit County: 22.1 %Donley County: 23.5 %Duval County: 19.5 %Eastland County: 24.2 %Ector County: 22.2 %Edwards County: 20.9 %Ellis County: 22 %El Paso County: 22 %Erath County: 24.8 %Falls County: 23.4 %Fannin County: 23.6 %Fayette County: 21.2 %Fisher County: 21.3 %Floyd County: 20.8 %Foard County: 23.6 %Fort Bend County: 17 %Franklin County: 22.2 %Freestone County: 22.2 %Frio County: 20 %Gaines County: 24.5 %Galveston County: 21.1 %Garza County: 20.3 %Gillespie County: 20.7 %Glasscock County: 22 %Goliad County: 21.5 %Gonzales County: 21.8 %Gray County: 22.8 %Grayson County: 24.2 %Gregg County: 23.2 %Grimes County: 22.5 %Guadalupe County: 20.7 %Hale County: 21.8 %Hall County: 21.7 %Hamilton County: 23.4 %Hansford County: 22.3 %Hardeman County: 22.3 %Hardin County: 25.1 %Harris County: 19.7 %Harrison County: 22.6 %Hartley County: 19.7 %Haskell County: 22.8 %Hays County: 21.5 %Hemphill County: 21.7 %Henderson County: 24 %Hidalgo County: 19.2 %Hill County: 22.9 %Hockley County: 22.8 %Hood County: 21.7 %Hopkins County: 23.5 %Houston County: 22.2 %Howard County: 21.8 %Hudspeth County: 22.7 %Hunt County: 24.4 %Hutchinson County: 23.1 %Irion County: 22.1 %Jack County: 23.7 %Jackson County: 22.3 %Jasper County: 24.2 %Jeff Davis County: 21.4 %Jefferson County: 19.7 %Jim Hogg County: 20.1 %Jim Wells County: 21 %Johnson County: 22.1 %Jones County: 21.3 %Karnes County: 20.8 %Kaufman County: 22.8 %Kendall County: 20.6 %Kenedy County: 20.6 %Kent County: 20.6 %Kerr County: 21.4 %Kimble County: 21.6 %King County: 24.1 %Kinney County: 19.7 %Kleberg County: 21.1 %Knox County: 22.4 %Lamar County: 23.7 %Lamb County: 22.2 %Lampasas County: 22.6 %La Salle County: 19.5 %Lavaca County: 22.6 %Lee County: 22.4 %Leon County: 23.3 %Liberty County: 24.1 %Limestone County: 22.7 %Lipscomb County: 21.5 %Live Oak County: 21.8 %Llano County: 21 %Loving County: 19.3 %Lubbock County: 24.3 %Lynn County: 22.3 %McCulloch County: 22.6 %McLennan County: 23.8 %McMullen County: 20.5 %Madison County: 22.1 %Marion County: 22.6 %Martin County: 22.1 %Mason County: 20.2 %Matagorda County: 21.8 %Maverick County: 20.7 %Medina County: 20.1 %Menard County: 20.3 %Midland County: 20.8 %Milam County: 22.3 %Mills County: 21.8 %Mitchell County: 21.2 %Montague County: 24.2 %Montgomery County: 21.6 %Moore County: 21.5 %Morris County: 22.4 %Motley County: 21.6 %Nacogdoches County: 23.7 %Navarro County: 23.1 %Newton County: 24.6 %Nolan County: 22.8 %Nueces County: 21.3 %Ochiltree County: 22.2 %Oldham County: 23.3 %Orange County: 23.7 %Palo Pinto County: 23.9 %Panola County: 23.5 %Parker County: 23.5 %Parmer County: 20.7 %Pecos County: 20.3 %Polk County: 23.5 %Potter County: 22 %Presidio County: 21.3 %Rains County: 23.1 %Randall County: 22.8 %Reagan County: 19.4 %Real County: 22.5 %Red River County: 23.2 %Reeves County: 19.9 %Refugio County: 21.3 %Roberts County: 22.3 %Robertson County: 21.9 %Rockwall County: 20.8 %Runnels County: 22.2 %Rusk County: 22.7 %Sabine County: 23.7 %San Augustine County: 23.1 %San Jacinto County: 23.4 %San Patricio County: 21.6 %San Saba County: 22.4 %Schleicher County: 20.8 %Scurry County: 22 %Shackelford County: 22.8 %Shelby County: 23.7 %Sherman County: 22 %Smith County: 22.4 %Somervell County: 22.4 %Starr County: 22 %Stephens County: 22.5 %Sterling County: 21.3 %Stonewall County: 22 %Sutton County: 20.4 %Swisher County: 22.7 %Tarrant County: 21.7 %Taylor County: 22.6 %Terrell County: 18.9 %Terry County: 23.1 %Throckmorton County: 22.6 %Titus County: 22.6 %Tom Green County: 22.9 %Travis County: 20.9 %Trinity County: 24.3 %Tyler County: 23.3 %Upshur County: 24.6 %Upton County: 21.6 %Uvalde County: 21.2 %Val Verde County: 20.8 %Van Zandt County: 23.7 %Victoria County: 22.3 %Walker County: 22.6 %Waller County: 21.9 %Ward County: 22 %Washington County: 21.7 %Webb County: 21.4 %Wharton County: 21.6 %Wheeler County: 23.6 %Wichita County: 24.4 %Wilbarger County: 23.7 %Willacy County: 20.8 %Williamson County: 22.8 %Wilson County: 21.3 %Winkler County: 21.3 %Wise County: 23.9 %Wood County: 22.7 %Yoakum County: 21.5 %Young County: 23.1 %Zapata County: 21.2 %Zavala County: 20.9 %
  • Under 21
  • 21 to 22
  • 22 to 23
  • 23 and over
%, 2021. Source: CDC, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), depression in adults, crude prevalence. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2021

Angelina County: 25.6 %Angelina County25.6Coryell County: 25.1 %Coryell County25.1Hardin County: 25.1 %Hardin County25.1Erath County: 24.8 %Erath County24.8Newton County: 24.6 %Newton County24.6Upshur County: 24.6 %Upshur County24.6Gaines County: 24.5 %Gaines County24.5Hunt County: 24.4 %Hunt County24.4Wichita County: 24.4 %Wichita County24.4Lubbock County: 24.3 %Lubbock County24.3Trinity County: 24.3 %Trinity County24.3Brazos County: 24.2 %Brazos County24.2Eastland County: 24.2 %Eastland County24.2Grayson County: 24.2 %Grayson County24.2Jasper County: 24.2 %Jasper County24.2Montague County: 24.2 %Montague County24.2King County: 24.1 %King County24.1Liberty County: 24.1 %Liberty County24.1Cass County: 24 %Cass County24Henderson County: 24 %Henderson County24Palo Pinto County: 23.9 %Palo Pinto County23.9Wise County: 23.9 %Wise County23.9McLennan County: 23.8 %McLennan County23.8Dallam County: 23.7 %Dallam County23.7Jack County: 23.7 %Jack County23.7Lamar County: 23.7 %Lamar County23.7Nacogdoches County: 23.7 %Nacogdoches County23.7Orange County: 23.7 %Orange County23.7Sabine County: 23.7 %Sabine County23.7Shelby County: 23.7 %Shelby County23.7Van Zandt County: 23.7 %Van Zandt County23.7Wilbarger County: 23.7 %Wilbarger County23.7Fannin County: 23.6 %Fannin County23.6Foard County: 23.6 %Foard County23.6Wheeler County: 23.6 %Wheeler County23.6Bexar County: 23.5 %Bexar County23.5Delta County: 23.5 %Delta County23.5Donley County: 23.5 %Donley County23.5Hopkins County: 23.5 %Hopkins County23.5Panola County: 23.5 %Panola County23.5Angelina County: 25.6 %Angelina County25.6Coryell County: 25.1 %Coryell County25.1Hardin County: 25.1 %Hardin County25.1Erath County: 24.8 %Erath County24.8Newton County: 24.6 %Newton County24.6Upshur County: 24.6 %Upshur County24.6Gaines County: 24.5 %Gaines County24.5Hunt County: 24.4 %Hunt County24.4Wichita County: 24.4 %Wichita County24.4Lubbock County: 24.3 %Lubbock County24.3Trinity County: 24.3 %Trinity County24.3Brazos County: 24.2 %Brazos County24.2Eastland County: 24.2 %Eastland County24.2Grayson County: 24.2 %Grayson County24.2Jasper County: 24.2 %Jasper County24.2Montague County: 24.2 %Montague County24.2King County: 24.1 %King County24.1Liberty County: 24.1 %Liberty County24.1Cass County: 24 %Cass County24Henderson County: 24 %Henderson County24Palo Pinto County: 23.9 %Palo Pinto County23.9Wise County: 23.9 %Wise County23.9McLennan County: 23.8 %McLennan County23.8Dallam County: 23.7 %Dallam County23.7Jack County: 23.7 %Jack County23.7Lamar County: 23.7 %Lamar County23.7Nacogdoches County: 23.7 %Nacogdoches County23.7Orange County: 23.7 %Orange County23.7Sabine County: 23.7 %Sabine County23.7Shelby County: 23.7 %Shelby County23.7Van Zandt County: 23.7 %Van Zandt County23.7Wilbarger County: 23.7 %Wilbarger County23.7Fannin County: 23.6 %Fannin County23.6Foard County: 23.6 %Foard County23.6Wheeler County: 23.6 %Wheeler County23.6Bexar County: 23.5 %Bexar County23.5Delta County: 23.5 %Delta County23.5Donley County: 23.5 %Donley County23.5Hopkins County: 23.5 %Hopkins County23.5Panola County: 23.5 %Panola County23.5
%. Source: CDC, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), depression in adults, crude prevalence. Retrieved 2026-10-12.

Full ranking

RankCounties2021 (%)
1Angelina County25.6
2Coryell County25.1
2Hardin County25.1
4Erath County24.8
5Newton County24.6
5Upshur County24.6
7Gaines County24.5
8Hunt County24.4
8Wichita County24.4
10Lubbock County24.3
10Trinity County24.3
12Brazos County24.2
12Eastland County24.2
12Grayson County24.2
12Jasper County24.2
12Montague County24.2
17King County24.1
17Liberty County24.1
19Cass County24
19Henderson County24
21Palo Pinto County23.9
21Wise County23.9
23McLennan County23.8
24Dallam County23.7
24Jack County23.7
24Lamar County23.7
24Nacogdoches County23.7
24Orange County23.7
24Sabine County23.7
24Shelby County23.7
24Van Zandt County23.7
24Wilbarger County23.7
33Fannin County23.6
33Foard County23.6
33Wheeler County23.6
36Bexar County23.5
36Delta County23.5
36Donley County23.5
36Hopkins County23.5
36Panola County23.5
36Parker County23.5
36Polk County23.5
43Falls County23.4
43Hamilton County23.4
43San Jacinto County23.4
46Callahan County23.3
46Cherokee County23.3
46Cochran County23.3
46Leon County23.3
46Oldham County23.3
46Tyler County23.3
52Archer County23.2
52Baylor County23.2
52Collingsworth County23.2
52Cottle County23.2
52Gregg County23.2
52Red River County23.2
58Brown County23.1
58Cooke County23.1
58Hutchinson County23.1
58Navarro County23.1
58Rains County23.1
58San Augustine County23.1
58Terry County23.1
58Young County23.1
66Bosque County23
66Chambers County23
68Carson County22.9
68Clay County22.9
68Coleman County22.9
68Hill County22.9
68Tom Green County22.9
73Briscoe County22.8
73Coke County22.8
73Gray County22.8
73Haskell County22.8
73Hockley County22.8
73Kaufman County22.8
73Nolan County22.8
73Randall County22.8
73Shackelford County22.8
73Williamson County22.8
83Bell County22.7
83Hudspeth County22.7
83Limestone County22.7
83Rusk County22.7
83Swisher County22.7
83Wood County22.7
89Harrison County22.6
89Lampasas County22.6
89Lavaca County22.6
89Marion County22.6
89McCulloch County22.6
89Taylor County22.6
89Throckmorton County22.6
89Titus County22.6
89Walker County22.6
98Camp County22.5
98Grimes County22.5
98Real County22.5
98Stephens County22.5
102Andrews County22.4
102Armstrong County22.4
102Bowie County22.4
102Burnet County22.4
102Knox County22.4
102Lee County22.4
102Morris County22.4
102San Saba County22.4
102Smith County22.4
102Somervell County22.4
112Comanche County22.3
112Hansford County22.3
112Hardeman County22.3
112Jackson County22.3
112Lynn County22.3
112Milam County22.3
112Roberts County22.3
112Victoria County22.3
120Dawson County22.2
120Ector County22.2
120Franklin County22.2
120Freestone County22.2
120Houston County22.2
120Lamb County22.2
120Ochiltree County22.2
120Runnels County22.2
128Dimmit County22.1
128Irion County22.1
128Johnson County22.1
128Madison County22.1
128Martin County22.1
133El Paso County22
133Ellis County22
133Glasscock County22
133Potter County22
133Scurry County22
133Sherman County22
133Starr County22
133Stonewall County22
133Ward County22
142Burleson County21.9
142Robertson County21.9
142Waller County21.9
145Bastrop County21.8
145Gonzales County21.8
145Hale County21.8
145Howard County21.8
145Live Oak County21.8
145Matagorda County21.8
145Mills County21.8
152Bandera County21.7
152Crosby County21.7
152Hall County21.7
152Hemphill County21.7
152Hood County21.7
152Tarrant County21.7
152Washington County21.7
159Austin County21.6
159Kimble County21.6
159Montgomery County21.6
159Motley County21.6
159San Patricio County21.6
159Upton County21.6
159Wharton County21.6
166Anderson County21.5
166Aransas County21.5
166Blanco County21.5
166Childress County21.5
166DeWitt County21.5
166Goliad County21.5
166Hays County21.5
166Lipscomb County21.5
166Moore County21.5
166Yoakum County21.5
176Colorado County21.4
176Deaf Smith County21.4
176Jeff Davis County21.4
176Kerr County21.4
176Webb County21.4
181Fisher County21.3
181Jones County21.3
181Nueces County21.3
181Presidio County21.3
181Refugio County21.3
181Sterling County21.3
181Wilson County21.3
181Winkler County21.3
189Bailey County21.2
189Concho County21.2
189Dallas County21.2
189Fayette County21.2
189Mitchell County21.2
189Uvalde County21.2
189Zapata County21.2
196Caldwell County21.1
196Culberson County21.1
196Galveston County21.1
196Kleberg County21.1
200Dickens County21
200Jim Wells County21
200Llano County21
203Edwards County20.9
203Travis County20.9
203Zavala County20.9
206Atascosa County20.8
206Floyd County20.8
206Karnes County20.8
206Midland County20.8
206Rockwall County20.8
206Schleicher County20.8
206Val Verde County20.8
206Willacy County20.8
214Denton County20.7
214Gillespie County20.7
214Guadalupe County20.7
214Maverick County20.7
214Parmer County20.7
219Crane County20.6
219Kendall County20.6
219Kenedy County20.6
219Kent County20.6
223Comal County20.5
223McMullen County20.5
225Brooks County20.4
225Sutton County20.4
227Bee County20.3
227Borden County20.3
227Castro County20.3
227Garza County20.3
227Menard County20.3
227Pecos County20.3
233Calhoun County20.2
233Mason County20.2
235Jim Hogg County20.1
235Medina County20.1
237Brewster County20
237Frio County20
239Reeves County19.9
240Collin County19.7
240Harris County19.7
240Hartley County19.7
240Jefferson County19.7
240Kinney County19.7
245Duval County19.5
245La Salle County19.5
247Brazoria County19.4
247Crockett County19.4
247Reagan County19.4
250Loving County19.3

Showing the top 250 of 254. The Excel download has every row.

Other periods

About this ranking

Percentage of adults who have ever been told by a doctor, nurse or other health professional that they had a depressive disorder. Model-based estimate for adults aged 18 and over from CDC PLACES. Crude prevalence, not age-adjusted.

US counties and cities (incorporated places of 10,000 or more). CDC PLACES combines Behavioral Risk Factor Surveillance System (BRFSS) answers with local population data through multilevel regression and poststratification, so a county or city value is a model estimate, not a survey count. The year is the BRFSS survey year, not the release year. CDC says the method does not support tracking change in a place over time, and each annual release can change the model, so values for different years are not strictly comparable. A state is missing in a year when its BRFSS data did not meet standards (Kentucky and Pennsylvania in 2023, Florida in 2021). Connecticut counties appear as its nine planning regions from 2022; its eight former counties are not served. City values for 2021 come from the 2023 release, built on 2010 Census place boundaries; later years use 2020 boundaries.

Every value in the ranking comes from the same publisher and the same period, so the counties are compared on one definition. Equal values share a rank.

How to cite

Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), depression in adults, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.

Citation styles

The publisher is the author. Invokely is named only as the place the figures were read, where a style asks for it.

APA 7

Centers for Disease Control and Prevention. (2025). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), depression in adults, crude prevalence (Counties in Texas by depression in adults, local model estimate, 2021) [Data set]. Retrieved October 12, 2026, from https://www.cdc.gov/places/

MLA 9

PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), depression in adults, crude prevalence, Counties in Texas by depression in adults, local model estimate, 2021. Centers for Disease Control and Prevention, 4 Dec. 2025, https://www.cdc.gov/places/. Invokely, https://invokely.ai/rankings/adult-depression-rate-county-estimate/texas-counties?period=2021. Accessed 12 Oct. 2026.

Chicago (author-date)

Centers for Disease Control and Prevention. 2025. PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), depression in adults, crude prevalence. Counties in Texas by depression in adults, local model estimate, 2021. Dataset. Accessed October 12, 2026. https://www.cdc.gov/places/. Also distributed by Invokely, https://invokely.ai/rankings/adult-depression-rate-county-estimate/texas-counties?period=2021.

Harvard

Centers for Disease Control and Prevention (2025) PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), depression in adults, crude prevalence, Counties in Texas by depression in adults, local model estimate, 2021 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-depression-rate-county-estimate/texas-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_texas_by_2021,
  author = {{Centers for Disease Control and Prevention}},
  title = {{PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), depression in adults, crude prevalence: Counties in Texas by depression in adults, local model estimate, 2021}},
  year = {2025},
  howpublished = {Data set},
  url = {https://www.cdc.gov/places/},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/adult-depression-rate-county-estimate/texas-counties?period=2021. Publisher attribution: Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), depression in adults, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.},
}
RIS
TY  - DATA
AU  - Centers for Disease Control and Prevention
TI  - PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), depression in adults, crude prevalence: Counties in Texas by depression in adults, local model estimate, 2021
PY  - 2025
DA  - 2025/12/04
PB  - Centers for Disease Control and Prevention
DB  - Invokely
UR  - https://www.cdc.gov/places/
L2  - https://invokely.ai/rankings/adult-depression-rate-county-estimate/texas-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-depression-rate-county-estimate/texas-counties?period=2021.
N1  - Publisher attribution: Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), depression in adults, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.
ER  - 
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Rank Counties in Texas by depression in adults, local model estimate using official data, and cite the source.
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Questions

Which county has the highest depression in adults, local model estimate?

Angelina County, with 25.6% in 2021, according to the Centers for Disease Control and Prevention.

Which county has the lowest depression in adults, local model estimate?

Fort Bend County, with 17% in 2021.

Where does this ranking come from?

Every value comes from one source and one period, so the places are comparable: Centers for Disease Control and Prevention, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), depression in adults, crude prevalence. Retrieved 2026-10-12.

Depression in adults, local model estimate: other rankings

Counties in Texas: more rankings