Counties in Washington by depression in adults, local model estimate

Cowlitz County had the highest depression in adults, local model estimate of 39 counties in 2022, at 29.9%. King County had the lowest, at 23%. The median was 25.8%. Source: the Centers for Disease Control and Prevention.

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Highest29.9Cowlitz County
Lowest23King County
Median25.839 counties

Map of counties, 2022

Adams County: 23.1 %Asotin County: 27 %Benton County: 25.8 %Chelan County: 24 %Clallam County: 26.5 %Clark County: 25.9 %Columbia County: 25.5 %Cowlitz County: 29.9 %Douglas County: 24.5 %Ferry County: 26.5 %Franklin County: 25.1 %Garfield County: 25.5 %Grant County: 24.8 %Grays Harbor County: 27.2 %Island County: 25.6 %Jefferson County: 23.5 %King County: 23 %Kitsap County: 26.5 %Kittitas County: 28.6 %Klickitat County: 24.7 %Lewis County: 28 %Lincoln County: 25 %Mason County: 24.8 %Okanogan County: 27.6 %Pacific County: 27.4 %Pend Oreille County: 25.4 %Pierce County: 26.1 %San Juan County: 23.6 %Skagit County: 27.9 %Skamania County: 26.4 %Snohomish County: 24.5 %Spokane County: 29.4 %Stevens County: 25.4 %Thurston County: 29 %Wahkiakum County: 25.2 %Walla Walla County: 25.9 %Whatcom County: 28.7 %Whitman County: 29.7 %Yakima County: 24.4 %
  • Under 25
  • 25 to 26
  • 26 to 27
  • 27 to 28
  • 28 and over
%, 2022. 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.

All counties, 2022

Cowlitz County: 29.9 %Cowlitz County29.9Whitman County: 29.7 %Whitman County29.7Spokane County: 29.4 %Spokane County29.4Thurston County: 29 %Thurston County29Whatcom County: 28.7 %Whatcom County28.7Kittitas County: 28.6 %Kittitas County28.6Lewis County: 28 %Lewis County28Skagit County: 27.9 %Skagit County27.9Okanogan County: 27.6 %Okanogan County27.6Pacific County: 27.4 %Pacific County27.4Grays Harbor County: 27.2 %Grays Harbor County27.2Asotin County: 27 %Asotin County27Clallam County: 26.5 %Clallam County26.5Ferry County: 26.5 %Ferry County26.5Kitsap County: 26.5 %Kitsap County26.5Skamania County: 26.4 %Skamania County26.4Pierce County: 26.1 %Pierce County26.1Clark County: 25.9 %Clark County25.9Walla Walla County: 25.9 %Walla Walla County25.9Benton County: 25.8 %Benton County25.8Island County: 25.6 %Island County25.6Columbia County: 25.5 %Columbia County25.5Garfield County: 25.5 %Garfield County25.5Pend Oreille County: 25.4 %Pend Oreille County25.4Stevens County: 25.4 %Stevens County25.4Wahkiakum County: 25.2 %Wahkiakum County25.2Franklin County: 25.1 %Franklin County25.1Lincoln County: 25 %Lincoln County25Grant County: 24.8 %Grant County24.8Mason County: 24.8 %Mason County24.8Klickitat County: 24.7 %Klickitat County24.7Douglas County: 24.5 %Douglas County24.5Snohomish County: 24.5 %Snohomish County24.5Yakima County: 24.4 %Yakima County24.4Chelan County: 24 %Chelan County24San Juan County: 23.6 %San Juan County23.6Jefferson County: 23.5 %Jefferson County23.5Adams County: 23.1 %Adams County23.1King County: 23 %King County23Cowlitz County: 29.9 %Cowlitz County29.9Whitman County: 29.7 %Whitman County29.7Spokane County: 29.4 %Spokane County29.4Thurston County: 29 %Thurston County29Whatcom County: 28.7 %Whatcom County28.7Kittitas County: 28.6 %Kittitas County28.6Lewis County: 28 %Lewis County28Skagit County: 27.9 %Skagit County27.9Okanogan County: 27.6 %Okanogan County27.6Pacific County: 27.4 %Pacific County27.4Grays Harbor County: 27.2 %Grays Harbor County27.2Asotin County: 27 %Asotin County27Clallam County: 26.5 %Clallam County26.5Ferry County: 26.5 %Ferry County26.5Kitsap County: 26.5 %Kitsap County26.5Skamania County: 26.4 %Skamania County26.4Pierce County: 26.1 %Pierce County26.1Clark County: 25.9 %Clark County25.9Walla Walla County: 25.9 %Walla Walla County25.9Benton County: 25.8 %Benton County25.8Island County: 25.6 %Island County25.6Columbia County: 25.5 %Columbia County25.5Garfield County: 25.5 %Garfield County25.5Pend Oreille County: 25.4 %Pend Oreille County25.4Stevens County: 25.4 %Stevens County25.4Wahkiakum County: 25.2 %Wahkiakum County25.2Franklin County: 25.1 %Franklin County25.1Lincoln County: 25 %Lincoln County25Grant County: 24.8 %Grant County24.8Mason County: 24.8 %Mason County24.8Klickitat County: 24.7 %Klickitat County24.7Douglas County: 24.5 %Douglas County24.5Snohomish County: 24.5 %Snohomish County24.5Yakima County: 24.4 %Yakima County24.4Chelan County: 24 %Chelan County24San Juan County: 23.6 %San Juan County23.6Jefferson County: 23.5 %Jefferson County23.5Adams County: 23.1 %Adams County23.1King County: 23 %King County23
%. 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

RankCounties2022 (%)Change on 2021
1Cowlitz County29.9+3 pts
2Whitman County29.7+0.2 pts
3Spokane County29.4+2 pts
4Thurston County29+2.5 pts
5Whatcom County28.7-0.3 pts
6Kittitas County28.6+2.7 pts
7Lewis County28+2.5 pts
8Skagit County27.9+2.1 pts
9Okanogan County27.6+2.7 pts
10Pacific County27.4+3.6 pts
11Grays Harbor County27.2+0.1 pts
12Asotin County27+0.6 pts
13Clallam County26.5+1.5 pts
13Ferry County26.5+0.8 pts
13Kitsap County26.5+1.4 pts
16Skamania County26.4+0.4 pts
17Pierce County26.1+0.3 pts
18Clark County25.9+1.7 pts
18Walla Walla County25.9+0.5 pts
20Benton County25.8+1.1 pts
21Island County25.6+2.4 pts
22Columbia County25.5+1.2 pts
22Garfield County25.5-0.8 pts
24Pend Oreille County25.4-0.3 pts
24Stevens County25.4-0.1 pts
26Wahkiakum County25.2+0.7 pts
27Franklin County25.1+0.5 pts
28Lincoln County25+0.4 pts
29Grant County24.8-0.1 pts
29Mason County24.8-0.4 pts
31Klickitat County24.7+0.8 pts
32Douglas County24.5+0.3 pts
32Snohomish County24.5-2.9 pts
34Yakima County24.4+2.2 pts
35Chelan County24-1.6 pts
36San Juan County23.6+1.2 pts
37Jefferson County23.5-1.2 pts
38Adams County23.1+0.4 pts
39King County23+0.5 pts

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 Washington by depression in adults, local model estimate, 2022) [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 Washington by depression in adults, local model estimate, 2022. Centers for Disease Control and Prevention, 4 Dec. 2025, https://www.cdc.gov/places/. Invokely, https://invokely.ai/rankings/adult-depression-rate-county-estimate/washington-counties?period=2022. 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 Washington by depression in adults, local model estimate, 2022. Dataset. Accessed October 12, 2026. https://www.cdc.gov/places/. Also distributed by Invokely, https://invokely.ai/rankings/adult-depression-rate-county-estimate/washington-counties?period=2022.

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 Washington by depression in adults, local model estimate, 2022 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-depression-rate-county-estimate/washington-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_washington_by_2022,
  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 Washington by depression in adults, local model estimate, 2022}},
  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/washington-counties?period=2022. 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 Washington by depression in adults, local model estimate, 2022
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/washington-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-depression-rate-county-estimate/washington-counties?period=2022.
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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Questions

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

Cowlitz County, with 29.9% in 2022, according to the Centers for Disease Control and Prevention.

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

King County, with 23% in 2022.

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 Washington: more rankings