Counties in Oklahoma by frequent mental distress in adults, local model estimate, 2023

Adair County had the highest frequent mental distress in adults, local model estimate of 77 counties in 2023, at 21.2%. Cimarron County had the lowest, at 14.4%. The median was 18%. Source: the Centers for Disease Control and Prevention.

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Highest21.2Adair County
Lowest14.4Cimarron County
Median1877 counties

Map of counties, 2023

Adair County: 21.2 %Alfalfa County: 16.2 %Atoka County: 18.8 %Beaver County: 16.2 %Beckham County: 18.7 %Blaine County: 17.4 %Bryan County: 18.9 %Caddo County: 19 %Canadian County: 17.3 %Carter County: 18.4 %Cherokee County: 19.6 %Choctaw County: 19.3 %Cimarron County: 14.4 %Cleveland County: 17.5 %Coal County: 20 %Comanche County: 18.9 %Cotton County: 18 %Craig County: 19.7 %Creek County: 17.9 %Custer County: 18.4 %Delaware County: 18.5 %Dewey County: 17.5 %Ellis County: 16.5 %Garfield County: 16.9 %Garvin County: 18.7 %Grady County: 17.7 %Grant County: 16.8 %Greer County: 17.6 %Harmon County: 17.2 %Harper County: 16.2 %Haskell County: 18.8 %Hughes County: 19.3 %Jackson County: 17.5 %Jefferson County: 18.5 %Johnston County: 19.8 %Kay County: 18.6 %Kingfisher County: 17 %Kiowa County: 18.4 %Latimer County: 19.9 %Le Flore County: 19.8 %Lincoln County: 18 %Logan County: 16.9 %Love County: 18 %McClain County: 17.1 %McCurtain County: 19.5 %McIntosh County: 18.9 %Major County: 16.9 %Marshall County: 17.8 %Mayes County: 19 %Murray County: 17.5 %Muskogee County: 20.1 %Noble County: 17.3 %Nowata County: 18.7 %Okfuskee County: 19.9 %Oklahoma County: 17.4 %Okmulgee County: 19.5 %Osage County: 17.4 %Ottawa County: 19.8 %Pawnee County: 18.2 %Payne County: 19.1 %Pittsburg County: 18.2 %Pontotoc County: 17.9 %Pottawatomie County: 19.2 %Pushmataha County: 19.2 %Roger Mills County: 17.1 %Rogers County: 16.9 %Seminole County: 20.3 %Sequoyah County: 20.3 %Stephens County: 17.9 %Texas County: 16.9 %Tillman County: 17.2 %Tulsa County: 17.9 %Wagoner County: 16.7 %Washington County: 17.2 %Washita County: 17.2 %Woods County: 17.9 %Woodward County: 17.4 %
  • Under 17
  • 17 to 18
  • 18 to 19
  • 19 to 20
  • 20 and over
%, 2023. Source: CDC, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2023

Adair County: 21.2 %Adair County21.2Seminole County: 20.3 %Seminole County20.3Sequoyah County: 20.3 %Sequoyah County20.3Muskogee County: 20.1 %Muskogee County20.1Coal County: 20 %Coal County20Latimer County: 19.9 %Latimer County19.9Okfuskee County: 19.9 %Okfuskee County19.9Johnston County: 19.8 %Johnston County19.8Le Flore County: 19.8 %Le Flore County19.8Ottawa County: 19.8 %Ottawa County19.8Craig County: 19.7 %Craig County19.7Cherokee County: 19.6 %Cherokee County19.6McCurtain County: 19.5 %McCurtain County19.5Okmulgee County: 19.5 %Okmulgee County19.5Choctaw County: 19.3 %Choctaw County19.3Hughes County: 19.3 %Hughes County19.3Pottawatomie County: 19.2 %Pottawatomie County19.2Pushmataha County: 19.2 %Pushmataha County19.2Payne County: 19.1 %Payne County19.1Caddo County: 19 %Caddo County19Mayes County: 19 %Mayes County19Bryan County: 18.9 %Bryan County18.9Comanche County: 18.9 %Comanche County18.9McIntosh County: 18.9 %McIntosh County18.9Atoka County: 18.8 %Atoka County18.8Haskell County: 18.8 %Haskell County18.8Beckham County: 18.7 %Beckham County18.7Garvin County: 18.7 %Garvin County18.7Nowata County: 18.7 %Nowata County18.7Kay County: 18.6 %Kay County18.6Delaware County: 18.5 %Delaware County18.5Jefferson County: 18.5 %Jefferson County18.5Carter County: 18.4 %Carter County18.4Custer County: 18.4 %Custer County18.4Kiowa County: 18.4 %Kiowa County18.4Pawnee County: 18.2 %Pawnee County18.2Pittsburg County: 18.2 %Pittsburg County18.2Cotton County: 18 %Cotton County18Lincoln County: 18 %Lincoln County18Love County: 18 %Love County18Adair County: 21.2 %Adair County21.2Seminole County: 20.3 %Seminole County20.3Sequoyah County: 20.3 %Sequoyah County20.3Muskogee County: 20.1 %Muskogee County20.1Coal County: 20 %Coal County20Latimer County: 19.9 %Latimer County19.9Okfuskee County: 19.9 %Okfuskee County19.9Johnston County: 19.8 %Johnston County19.8Le Flore County: 19.8 %Le Flore County19.8Ottawa County: 19.8 %Ottawa County19.8Craig County: 19.7 %Craig County19.7Cherokee County: 19.6 %Cherokee County19.6McCurtain County: 19.5 %McCurtain County19.5Okmulgee County: 19.5 %Okmulgee County19.5Choctaw County: 19.3 %Choctaw County19.3Hughes County: 19.3 %Hughes County19.3Pottawatomie County: 19.2 %Pottawatomie County19.2Pushmataha County: 19.2 %Pushmataha County19.2Payne County: 19.1 %Payne County19.1Caddo County: 19 %Caddo County19Mayes County: 19 %Mayes County19Bryan County: 18.9 %Bryan County18.9Comanche County: 18.9 %Comanche County18.9McIntosh County: 18.9 %McIntosh County18.9Atoka County: 18.8 %Atoka County18.8Haskell County: 18.8 %Haskell County18.8Beckham County: 18.7 %Beckham County18.7Garvin County: 18.7 %Garvin County18.7Nowata County: 18.7 %Nowata County18.7Kay County: 18.6 %Kay County18.6Delaware County: 18.5 %Delaware County18.5Jefferson County: 18.5 %Jefferson County18.5Carter County: 18.4 %Carter County18.4Custer County: 18.4 %Custer County18.4Kiowa County: 18.4 %Kiowa County18.4Pawnee County: 18.2 %Pawnee County18.2Pittsburg County: 18.2 %Pittsburg County18.2Cotton County: 18 %Cotton County18Lincoln County: 18 %Lincoln County18Love County: 18 %Love County18
%. Source: CDC, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence. Retrieved 2026-10-12.

Full ranking

RankCounties2023 (%)Change on 2022
1Adair County21.2-1.3 pts
2Seminole County20.3-0.1 pts
2Sequoyah County20.3-0.8 pts
4Muskogee County20.1+0.6 pts
5Coal County20-0.9 pts
6Latimer County19.9-1.4 pts
6Okfuskee County19.9-1 pts
8Johnston County19.8-1.2 pts
8Le Flore County19.8-1.5 pts
8Ottawa County19.8-1.6 pts
11Craig County19.7-1.3 pts
12Cherokee County19.6-1.7 pts
13McCurtain County19.5-2 pts
13Okmulgee County19.5-1.1 pts
15Choctaw County19.3-0.7 pts
15Hughes County19.3-1.5 pts
17Pottawatomie County19.2-1.4 pts
17Pushmataha County19.2-0.7 pts
19Payne County19.1-2.8 pts
20Caddo County19-2 pts
20Mayes County19-1.1 pts
22Bryan County18.9-1 pts
22Comanche County18.9-1.1 pts
22McIntosh County18.9-0.8 pts
25Atoka County18.8-1.7 pts
25Haskell County18.8-2.1 pts
27Beckham County18.7-0.5 pts
27Garvin County18.7-1 pts
27Nowata County18.7-0.6 pts
30Kay County18.6+0.1 pts
31Delaware County18.5-0.9 pts
31Jefferson County18.5-1.1 pts
33Carter County18.4-0.9 pts
33Custer County18.4-1.1 pts
33Kiowa County18.4-1.4 pts
36Pawnee County18.2-0.3 pts
36Pittsburg County18.2-1.5 pts
38Cotton County18-1.7 pts
38Lincoln County18-1.5 pts
38Love County18-0.1 pts
41Creek County17.9-1 pts
41Pontotoc County17.9-2.3 pts
41Stephens County17.9-0.6 pts
41Tulsa County17.9+0.5 pts
41Woods County17.9-1.4 pts
46Marshall County17.8-1.5 pts
47Grady County17.7-1.2 pts
48Greer County17.6-2 pts
49Cleveland County17.5-1.2 pts
49Dewey County17.5-1.2 pts
49Jackson County17.5-1.2 pts
49Murray County17.5-0.9 pts
53Blaine County17.4-1.3 pts
53Oklahoma County17.4-1.3 pts
53Osage County17.4-1 pts
53Woodward County17.4-1.6 pts
57Canadian County17.3+0.2 pts
57Noble County17.3-0.8 pts
59Harmon County17.2+0.2 pts
59Tillman County17.2-1 pts
59Washington County17.2-1.8 pts
59Washita County17.2-1.4 pts
63McClain County17.1-1.1 pts
63Roger Mills County17.1-0.6 pts
65Kingfisher County17-1 pts
66Garfield County16.9-2.2 pts
66Logan County16.9-1.4 pts
66Major County16.9-0.4 pts
66Rogers County16.9-0.6 pts
66Texas County16.9-1.6 pts
71Grant County16.8-2.5 pts
72Wagoner County16.7-1.4 pts
73Ellis County16.5-0.7 pts
74Alfalfa County16.2-0.2 pts
74Beaver County16.2-0.5 pts
74Harper County16.2-0.8 pts
77Cimarron County14.4-1 pts

Other periods

About this ranking

Percentage of adults who say their mental health was not good on 14 or more of the past 30 days. 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), frequent mental distress 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

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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), frequent mental distress in adults, crude prevalence (Counties in Oklahoma by frequent mental distress in adults, local model estimate, 2023) [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), frequent mental distress in adults, crude prevalence, Counties in Oklahoma by frequent mental distress in adults, local model estimate, 2023. Centers for Disease Control and Prevention, 4 Dec. 2025, https://www.cdc.gov/places/. Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/oklahoma-counties. 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), frequent mental distress in adults, crude prevalence. Counties in Oklahoma by frequent mental distress in adults, local model estimate, 2023. Dataset. Accessed October 12, 2026. https://www.cdc.gov/places/. Also distributed by Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/oklahoma-counties.

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), frequent mental distress in adults, crude prevalence, Counties in Oklahoma by frequent mental distress in adults, local model estimate, 2023 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/oklahoma-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_oklahoma_by_2023,
  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), frequent mental distress in adults, crude prevalence: Counties in Oklahoma by frequent mental distress in adults, local model estimate, 2023}},
  year = {2025},
  howpublished = {Data set},
  url = {https://www.cdc.gov/places/},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/oklahoma-counties. 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), frequent mental distress 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), frequent mental distress in adults, crude prevalence: Counties in Oklahoma by frequent mental distress in adults, local model estimate, 2023
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-frequent-mental-distress-rate-county-estimate/oklahoma-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/oklahoma-counties.
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), frequent mental distress 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 Oklahoma by frequent mental distress in adults, local model estimate using official data, and cite the source.
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Questions

Which county has the highest frequent mental distress in adults, local model estimate?

Adair County, with 21.2% in 2023, according to the Centers for Disease Control and Prevention.

Which county has the lowest frequent mental distress in adults, local model estimate?

Cimarron County, with 14.4% in 2023.

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), frequent mental distress in adults, crude prevalence. Retrieved 2026-10-12.

Frequent mental distress in adults, local model estimate: other rankings

Counties in Oklahoma: more rankings