Data / Rankings / Frequent mental distress in adults, local model estimate / Cities in Texas

Cities in Texas by frequent mental distress in adults, local model estimate, 2023

Gatesville, TX had the highest frequent mental distress in adults, local model estimate of 255 cities in 2023, at 23.6%. West University Place, TX had the lowest, at 10.6%. The median was 17.7%. Source: the Centers for Disease Control and Prevention.

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Highest23.6Gatesville, TX
Lowest10.6West University Place, TX
Median17.7255 cities

Top 40 cities, 2023

Gatesville, TX: 23.6 %Gatesville, TX23.6Nacogdoches, TX: 22.7 %Nacogdoches, TX22.7College Station, TX: 22.6 %College Station, TX22.6Stephenville, TX: 22.4 %Stephenville, TX22.4San Marcos, TX: 22.3 %San Marcos, TX22.3Huntsville, TX: 20.9 %Huntsville, TX20.9Killeen, TX: 20.7 %Killeen, TX20.7Port Arthur, TX: 20.4 %Port Arthur, TX20.4Waco, TX: 20.4 %Waco, TX20.4Marshall, TX: 20.2 %Marshall, TX20.2Dayton, TX: 20.1 %Dayton, TX20.1Paris, TX: 20.1 %Paris, TX20.1Mineral Wells, TX: 20 %Mineral Wells, TX20San Elizario, TX: 20 %San Elizario, TX20Bellmead, TX: 19.9 %Bellmead, TX19.9Belton, TX: 19.9 %Belton, TX19.9Donna, TX: 19.9 %Donna, TX19.9Haltom City, TX: 19.9 %Haltom City, TX19.9Seagoville, TX: 19.8 %Seagoville, TX19.8Alton, TX: 19.7 %Alton, TX19.7Bonham, TX: 19.7 %Bonham, TX19.7Canyon, TX: 19.7 %Canyon, TX19.7Texarkana, TX: 19.7 %Texarkana, TX19.7Forest Hill, TX: 19.5 %Forest Hill, TX19.5Kilgore, TX: 19.5 %Kilgore, TX19.5Mount Pleasant, TX: 19.5 %Mount Pleasant, TX19.5Sweetwater, TX: 19.5 %Sweetwater, TX19.5Terrell, TX: 19.5 %Terrell, TX19.5White Settlement, TX: 19.5 %White Settlement, TX19.5Corsicana, TX: 19.4 %Corsicana, TX19.4Denton, TX: 19.4 %Denton, TX19.4Gainesville, TX: 19.4 %Gainesville, TX19.4Lufkin, TX: 19.4 %Lufkin, TX19.4Orange, TX: 19.4 %Orange, TX19.4Palestine, TX: 19.4 %Palestine, TX19.4Bryan, TX: 19.3 %Bryan, TX19.3Copperas Cove, TX: 19.3 %Copperas Cove, TX19.3Kaufman, TX: 19.3 %Kaufman, TX19.3Brownwood, TX: 19.2 %Brownwood, TX19.2Longview, TX: 19.2 %Longview, TX19.2Gatesville, TX: 23.6 %Gatesville, TX23.6Nacogdoches, TX: 22.7 %Nacogdoches, TX22.7College Station, TX: 22.6 %College Station, TX22.6Stephenville, TX: 22.4 %Stephenville, TX22.4San Marcos, TX: 22.3 %San Marcos, TX22.3Huntsville, TX: 20.9 %Huntsville, TX20.9Killeen, TX: 20.7 %Killeen, TX20.7Port Arthur, TX: 20.4 %Port Arthur, TX20.4Waco, TX: 20.4 %Waco, TX20.4Marshall, TX: 20.2 %Marshall, TX20.2Dayton, TX: 20.1 %Dayton, TX20.1Paris, TX: 20.1 %Paris, TX20.1Mineral Wells, TX: 20 %Mineral Wells, TX20San Elizario, TX: 20 %San Elizario, TX20Bellmead, TX: 19.9 %Bellmead, TX19.9Belton, TX: 19.9 %Belton, TX19.9Donna, TX: 19.9 %Donna, TX19.9Haltom City, TX: 19.9 %Haltom City, TX19.9Seagoville, TX: 19.8 %Seagoville, TX19.8Alton, TX: 19.7 %Alton, TX19.7Bonham, TX: 19.7 %Bonham, TX19.7Canyon, TX: 19.7 %Canyon, TX19.7Texarkana, TX: 19.7 %Texarkana, TX19.7Forest Hill, TX: 19.5 %Forest Hill, TX19.5Kilgore, TX: 19.5 %Kilgore, TX19.5Mount Pleasant, TX: 19.5 %Mount Pleasant, TX19.5Sweetwater, TX: 19.5 %Sweetwater, TX19.5Terrell, TX: 19.5 %Terrell, TX19.5White Settlement, TX: 19.5 %White Settlement, TX19.5Corsicana, TX: 19.4 %Corsicana, TX19.4Denton, TX: 19.4 %Denton, TX19.4Gainesville, TX: 19.4 %Gainesville, TX19.4Lufkin, TX: 19.4 %Lufkin, TX19.4Orange, TX: 19.4 %Orange, TX19.4Palestine, TX: 19.4 %Palestine, TX19.4Bryan, TX: 19.3 %Bryan, TX19.3Copperas Cove, TX: 19.3 %Copperas Cove, TX19.3Kaufman, TX: 19.3 %Kaufman, TX19.3Brownwood, TX: 19.2 %Brownwood, TX19.2Longview, TX: 19.2 %Longview, TX19.2
%. Source: CDC, PLACES: Local Data for Better Health, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), frequent mental distress in adults, crude prevalence. Retrieved 2026-10-12.

Full ranking

RankCities2023 (%)Change on 2022
1Gatesville, TX23.6-0.4 pts
2Nacogdoches, TX22.7-1.6 pts
3College Station, TX22.6-1.2 pts
4Stephenville, TX22.4-1 pts
5San Marcos, TX22.3-2.1 pts
6Huntsville, TX20.9-1.7 pts
7Killeen, TX20.7-1.5 pts
8Port Arthur, TX20.4+0.2 pts
8Waco, TX20.4-1.7 pts
10Marshall, TX20.2-0.2 pts
11Dayton, TX20.1-0.5 pts
11Paris, TX20.1-0.5 pts
13Mineral Wells, TX20-0.2 pts
13San Elizario, TX20-0.4 pts
15Bellmead, TX19.9-1.1 pts
15Belton, TX19.9-1.7 pts
15Donna, TX19.90 pts
15Haltom City, TX19.90 pts
19Seagoville, TX19.8-0.5 pts
20Alton, TX19.7-1.9 pts
20Bonham, TX19.7-0.1 pts
20Canyon, TX19.7-0.3 pts
20Texarkana, TX19.7-0.2 pts
24Forest Hill, TX19.5-0.2 pts
24Kilgore, TX19.5-0.3 pts
24Mount Pleasant, TX19.5-1.1 pts
24Sweetwater, TX19.5-0.3 pts
24Terrell, TX19.5-0.8 pts
24White Settlement, TX19.5-0.7 pts
30Corsicana, TX19.4-0.8 pts
30Denton, TX19.40 pts
30Gainesville, TX19.4-1.1 pts
30Lufkin, TX19.4+0.2 pts
30Orange, TX19.4-0.6 pts
30Palestine, TX19.4-0.5 pts
36Bryan, TX19.3-0.6 pts
36Copperas Cove, TX19.3-0.7 pts
36Kaufman, TX19.3-1.3 pts
39Brownwood, TX19.2-0.6 pts
39Longview, TX19.2-0.1 pts
41Jacksonville, TX19.1-2.4 pts
41Providence Village, TX19.1-0.2 pts
43Rio Grande City, TX19-1.1 pts
43Roma, TX19-1.8 pts
45Balch Springs, TX18.9-1.6 pts
45Beaumont, TX18.90 pts
45Denison, TX18.9-0.4 pts
45Henderson, TX18.9-0.2 pts
45Horizon City, TX18.9-0.3 pts
45Raymondville, TX18.9-1.2 pts
51Abilene, TX18.8-0.9 pts
51Sulphur Springs, TX18.8-0.5 pts
51Wichita Falls, TX18.8-0.6 pts
54Cleburne, TX18.7-0.2 pts
54Ennis, TX18.7-0.6 pts
54Freeport, TX18.7-2.2 pts
54Mesquite, TX18.7-0.5 pts
54Princeton, TX18.70 pts
59Bay City, TX18.6-1.2 pts
59Burkburnett, TX18.6+0.7 pts
59Crowley, TX18.6+0.2 pts
59Groves, TX18.6+0.1 pts
59Lancaster, TX18.6-0.7 pts
59Pampa, TX18.6-1.2 pts
59Sanger, TX18.6+0.4 pts
59Texas City, TX18.6-1 pts
67Azle, TX18.5-0.3 pts
67Baytown, TX18.5-1.9 pts
67Borger, TX18.5+0.2 pts
67Dickinson, TX18.5+0.2 pts
67Dumas, TX18.5-1.1 pts
67Fort Worth, TX18.5-0.1 pts
67Glenn Heights, TX18.5-0.2 pts
67Greenville, TX18.5-0.9 pts
67Josephine, TX18.5-0.5 pts
67Lubbock, TX18.5-1.2 pts
67Palmview, TX18.5-1.2 pts
67Pharr, TX18.5-0.9 pts
67Plainview, TX18.5-1.3 pts
67San Juan, TX18.5-0.8 pts
67Sherman, TX18.5-0.7 pts
67Temple, TX18.5-1.3 pts
83Alvin, TX18.4-0.7 pts
83Amarillo, TX18.4-0.2 pts
83Kingsville, TX18.4-1.3 pts
86Humble, TX18.3-1.8 pts
86Levelland, TX18.3-1.4 pts
88Arlington, TX18.2-0.1 pts
88Harker Heights, TX18.2-1.4 pts
88Iowa Colony, TX18.2-0.2 pts
88La Marque, TX18.2-0.5 pts
88Lavon, TX18.2+0.1 pts
88Tyler, TX18.2-0.6 pts
94Andrews, TX18.1-0.8 pts
94Big Spring, TX18.1-0.8 pts
94Hereford, TX18.1-2 pts
94Royse City, TX18.1-0.2 pts
94Saginaw, TX18.1+0.3 pts
94Waxahachie, TX18.1-0.7 pts
100Athens, TX18-1 pts
100Odessa, TX18-0.8 pts
100Socorro, TX18-1.6 pts
100Taylor, TX18-0.3 pts
104Alamo, TX17.9-1 pts
104Brenham, TX17.9-0.1 pts
104Clute, TX17.9-1.4 pts
104Edinburg, TX17.9-1 pts
104Elgin, TX17.9-2.1 pts
104Lumberton, TX17.9-1.3 pts
104Mercedes, TX17.9-0.8 pts
104Mont Belvieu, TX17.9+0.4 pts
104Nederland, TX17.9+0.3 pts
104Victoria, TX17.9-1.2 pts
104Watauga, TX17.9+0.1 pts
115Anna, TX17.8+0.6 pts
115Beeville, TX17.8-1.3 pts
115Burleson, TX17.8+0.3 pts
115Dallas, TX17.8-0.5 pts
115Forney, TX17.8-0.6 pts
115Hidalgo, TX17.8-1.3 pts
115Hutto, TX17.8+0.2 pts
115Pasadena, TX17.8-1.8 pts
115San Angelo, TX17.8-0.5 pts
115South Houston, TX17.8-2.7 pts
115Weatherford, TX17.8-0.7 pts
126Ingleside, TX17.7-1.1 pts
126Rosenberg, TX17.7-0.6 pts
126Seguin, TX17.7-1 pts
126Snyder, TX17.7-1.3 pts
130Conroe, TX17.6-0.9 pts
130Galena Park, TX17.6-3.3 pts
130Grand Prairie, TX17.6-0.4 pts
130Lewisville, TX17.6+0.3 pts
130Lockhart, TX17.6-0.9 pts
130Manor, TX17.6-0.5 pts
130Midland, TX17.6-0.3 pts
130Red Oak, TX17.6-0.4 pts
138Little Elm, TX17.5+0.3 pts
139Converse, TX17.4-0.7 pts
139Kyle, TX17.4-0.6 pts
139Santa Fe, TX17.4+0.1 pts
142Alice, TX17.3-1.2 pts
142Angleton, TX17.3-0.3 pts
142Fate, TX17.3+0.5 pts
142Galveston, TX17.3-0.7 pts
142Garland, TX17.3-0.3 pts
142Lake Jackson, TX17.3-0.1 pts
142Laredo, TX17.3-1.6 pts
142Robinson, TX17.3-0.7 pts
142Robstown, TX17.3-1.3 pts
151Cedar Hill, TX17.2-0.1 pts
151Duncanville, TX17.2-0.3 pts
151El Campo, TX17.2-1.3 pts
151El Paso, TX17.2-0.4 pts
151Melissa, TX17.2+1 pts
151Portland, TX17.2-0.5 pts
151San Antonio, TX17.2-1.1 pts
151San Benito, TX17.2-2.6 pts
151Weslaco, TX17.2-1.2 pts
160Houston, TX17.1-1.7 pts
160Hurst, TX17.1+0.7 pts
160Kennedale, TX17.1-0.4 pts
163Euless, TX170 pts
163La Porte, TX17-1.5 pts
163Liberty Hill, TX17-0.7 pts
163Midlothian, TX17+0.7 pts
167Austin, TX16.9-0.4 pts
167Port Neches, TX16.9+0.6 pts
167Uvalde, TX16.9-1.4 pts
170Corpus Christi, TX16.8-1.5 pts
170DeSoto, TX16.8+0.3 pts
170North Richland Hills, TX16.8+0.3 pts
170Pleasanton, TX16.8-0.9 pts
174Brownsville, TX16.7-2.9 pts
174Del Rio, TX16.7-1.3 pts
176Eagle Pass, TX16.6-1.6 pts
176Mansfield, TX16.6-0.1 pts
176Round Rock, TX16.6-0.4 pts
176Webster, TX16.6-1.7 pts
180Bastrop, TX16.5-0.4 pts
180Port Lavaca, TX16.5-0.4 pts
180Wylie, TX16.5+0.1 pts
183Addison, TX16.4-0.6 pts
183Bedford, TX16.4+0.5 pts
183Cibolo, TX16.4-0.7 pts
183Harlingen, TX16.4-2.3 pts
183Pflugerville, TX16.4-0.4 pts
183Richmond, TX16.4-1.2 pts
183Universal City, TX16.4-0.7 pts
190Corinth, TX16.30 pts
190Deer Park, TX16.3-1.2 pts
190McAllen, TX16.3-0.9 pts
190Mission, TX16.3-0.9 pts
190Stafford, TX16.3-0.4 pts
195Farmers Branch, TX16.2+0.1 pts
195Irving, TX16.2-0.6 pts
195Manvel, TX16.2-1.2 pts
195Roanoke, TX16.2+0.3 pts
195Selma, TX16.2-0.7 pts
200Richardson, TX16.1-0.5 pts
200The Colony, TX16.1+0.4 pts
202Kerrville, TX16+0.1 pts
202Live Oak, TX16-0.9 pts
202New Braunfels, TX16-0.2 pts
202Northlake, TX160 pts
202Seabrook, TX16-1 pts
207Leander, TX15.9+0.1 pts
207Leon Valley, TX15.9-0.7 pts
207Rowlett, TX15.9-0.2 pts
210Buda, TX15.8+0.6 pts
210Tomball, TX15.8-1.6 pts
212Benbrook, TX15.7+0.1 pts
212Celina, TX15.7-0.1 pts
212McKinney, TX15.7+0.2 pts
212Schertz, TX15.7-0.6 pts
216Granbury, TX15.6-0.4 pts
216Grapevine, TX15.6+0.1 pts
218Boerne, TX15.50 pts
218League City, TX15.5-0.2 pts
220Carrollton, TX15.3-0.1 pts
221Cedar Park, TX15.1-0.4 pts
221Hewitt, TX15.1-0.8 pts
221Rockwall, TX15.1-0.1 pts
221Sachse, TX15.1+0.4 pts
225Rockport, TX150 pts
226Lago Vista, TX14.9-0.1 pts
226University Park, TX14.9+0.5 pts
228Pearland, TX14.8-0.4 pts
228Prosper, TX14.8-0.1 pts
230Katy, TX14.7-0.8 pts
231Allen, TX14.6+0.3 pts
231Missouri City, TX14.6-0.1 pts
233Friendswood, TX14.5-0.4 pts
234Fulshear, TX14.2+0.3 pts
234Georgetown, TX14.2-0.2 pts
234Highland Village, TX14.2+0.4 pts
234Keller, TX14.2+0.5 pts
234Murphy, TX14.2+0.1 pts
234Trophy Club, TX14.2+0.6 pts
240Flower Mound, TX14.1+0.3 pts
240Fredericksburg, TX14.1-0.3 pts
242Heath, TX14+0.7 pts
242Plano, TX14+0.2 pts
244Frisco, TX13.9+0.5 pts
245Dripping Springs, TX13.8-1.1 pts
246Fairview, TX13.4+0.2 pts
246Helotes, TX13.40 pts
248Coppell, TX13+0.3 pts
249Fair Oaks Ranch, TX12.9+0.5 pts
250Southlake, TX12.7+0.2 pts

Showing the top 250 of 255. The Excel download has every row.

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 cities 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, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j 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

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, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), frequent mental distress in adults, crude prevalence (Cities in Texas 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, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), frequent mental distress in adults, crude prevalence, Cities in Texas by frequent mental distress in adults, local model estimate, 2023. Centers for Disease Control and Prevention, 12 Dec. 2025, https://www.cdc.gov/places/. Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/texas-cities. Accessed 12 Oct. 2026.

Chicago (author-date)

Centers for Disease Control and Prevention. 2025. PLACES: Local Data for Better Health, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), frequent mental distress in adults, crude prevalence. Cities in Texas 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/texas-cities.

Harvard

Centers for Disease Control and Prevention (2025) PLACES: Local Data for Better Health, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), frequent mental distress in adults, crude prevalence, Cities in Texas 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/texas-cities (Accessed: 12 October 2026).

BibTeX
@misc{centers_cities_in_texas_by_2023,
  author = {{Centers for Disease Control and Prevention}},
  title = {{PLACES: Local Data for Better Health, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), frequent mental distress in adults, crude prevalence: Cities in Texas 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/texas-cities. Publisher attribution: Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j 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, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), frequent mental distress in adults, crude prevalence: Cities in Texas by frequent mental distress in adults, local model estimate, 2023
PY  - 2025
DA  - 2025/12/12
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/texas-cities
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/texas-cities.
N1  - Publisher attribution: Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j 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 Cities in Texas by frequent mental distress in adults, local model estimate using official data, and cite the source.
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Questions

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

Gatesville, TX, with 23.6% in 2023, according to the Centers for Disease Control and Prevention.

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

West University Place, TX, with 10.6% 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, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), frequent mental distress in adults, crude prevalence. Retrieved 2026-10-12.

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

Cities in Texas: more rankings