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

San Marcos, TX had the highest frequent mental distress in adults, local model estimate of 255 cities in 2021, at 23.8%. West University Place, TX had the lowest, at 10.6%. The median was 17.4%. Source: the Centers for Disease Control and Prevention.

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Highest23.8San Marcos, TX
Lowest10.6West University Place, TX
Median17.4255 cities

Top 40 cities, 2021

San Marcos, TX: 23.8 %San Marcos, TX23.8Nacogdoches, TX: 23.3 %Nacogdoches, TX23.3College Station, TX: 23 %College Station, TX23Gatesville, TX: 22.4 %Gatesville, TX22.4Waco, TX: 21.5 %Waco, TX21.5Balch Springs, TX: 21.4 %Balch Springs, TX21.4Stephenville, TX: 21 %Stephenville, TX21Huntsville, TX: 20.9 %Huntsville, TX20.9Bellmead, TX: 20.7 %Bellmead, TX20.7Rio Grande City, TX: 20.7 %Rio Grande City, TX20.7Killeen, TX: 20.5 %Killeen, TX20.5Roma, TX: 20.4 %Roma, TX20.4Seagoville, TX: 20.4 %Seagoville, TX20.4Lubbock, TX: 20.2 %Lubbock, TX20.2Alton, TX: 20.1 %Alton, TX20.1Donna, TX: 20.1 %Donna, TX20.1San Elizario, TX: 20.1 %San Elizario, TX20.1Jacksonville, TX: 20 %Jacksonville, TX20Palmview, TX: 20 %Palmview, TX20Bryan, TX: 19.9 %Bryan, TX19.9Paris, TX: 19.9 %Paris, TX19.9Raymondville, TX: 19.9 %Raymondville, TX19.9Canyon, TX: 19.8 %Canyon, TX19.8Freeport, TX: 19.8 %Freeport, TX19.8Galena Park, TX: 19.8 %Galena Park, TX19.8Athens, TX: 19.7 %Athens, TX19.7Forest Hill, TX: 19.7 %Forest Hill, TX19.7Palestine, TX: 19.7 %Palestine, TX19.7Gainesville, TX: 19.5 %Gainesville, TX19.5Kaufman, TX: 19.4 %Kaufman, TX19.4Denton, TX: 19.3 %Denton, TX19.3Hidalgo, TX: 19.3 %Hidalgo, TX19.3Pharr, TX: 19.3 %Pharr, TX19.3Port Arthur, TX: 19.3 %Port Arthur, TX19.3Marshall, TX: 19.2 %Marshall, TX19.2Socorro, TX: 19.2 %Socorro, TX19.2Texarkana, TX: 19.2 %Texarkana, TX19.2Greenville, TX: 19.1 %Greenville, TX19.1Lufkin, TX: 19.1 %Lufkin, TX19.1Mercedes, TX: 19.1 %Mercedes, TX19.1San Marcos, TX: 23.8 %San Marcos, TX23.8Nacogdoches, TX: 23.3 %Nacogdoches, TX23.3College Station, TX: 23 %College Station, TX23Gatesville, TX: 22.4 %Gatesville, TX22.4Waco, TX: 21.5 %Waco, TX21.5Balch Springs, TX: 21.4 %Balch Springs, TX21.4Stephenville, TX: 21 %Stephenville, TX21Huntsville, TX: 20.9 %Huntsville, TX20.9Bellmead, TX: 20.7 %Bellmead, TX20.7Rio Grande City, TX: 20.7 %Rio Grande City, TX20.7Killeen, TX: 20.5 %Killeen, TX20.5Roma, TX: 20.4 %Roma, TX20.4Seagoville, TX: 20.4 %Seagoville, TX20.4Lubbock, TX: 20.2 %Lubbock, TX20.2Alton, TX: 20.1 %Alton, TX20.1Donna, TX: 20.1 %Donna, TX20.1San Elizario, TX: 20.1 %San Elizario, TX20.1Jacksonville, TX: 20 %Jacksonville, TX20Palmview, TX: 20 %Palmview, TX20Bryan, TX: 19.9 %Bryan, TX19.9Paris, TX: 19.9 %Paris, TX19.9Raymondville, TX: 19.9 %Raymondville, TX19.9Canyon, TX: 19.8 %Canyon, TX19.8Freeport, TX: 19.8 %Freeport, TX19.8Galena Park, TX: 19.8 %Galena Park, TX19.8Athens, TX: 19.7 %Athens, TX19.7Forest Hill, TX: 19.7 %Forest Hill, TX19.7Palestine, TX: 19.7 %Palestine, TX19.7Gainesville, TX: 19.5 %Gainesville, TX19.5Kaufman, TX: 19.4 %Kaufman, TX19.4Denton, TX: 19.3 %Denton, TX19.3Hidalgo, TX: 19.3 %Hidalgo, TX19.3Pharr, TX: 19.3 %Pharr, TX19.3Port Arthur, TX: 19.3 %Port Arthur, TX19.3Marshall, TX: 19.2 %Marshall, TX19.2Socorro, TX: 19.2 %Socorro, TX19.2Texarkana, TX: 19.2 %Texarkana, TX19.2Greenville, TX: 19.1 %Greenville, TX19.1Lufkin, TX: 19.1 %Lufkin, TX19.1Mercedes, TX: 19.1 %Mercedes, TX19.1
%. 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

RankCities2021 (%)
1San Marcos, TX23.8
2Nacogdoches, TX23.3
3College Station, TX23
4Gatesville, TX22.4
5Waco, TX21.5
6Balch Springs, TX21.4
7Stephenville, TX21
8Huntsville, TX20.9
9Bellmead, TX20.7
9Rio Grande City, TX20.7
11Killeen, TX20.5
12Roma, TX20.4
12Seagoville, TX20.4
14Lubbock, TX20.2
15Alton, TX20.1
15Donna, TX20.1
15San Elizario, TX20.1
18Jacksonville, TX20
18Palmview, TX20
20Bryan, TX19.9
20Paris, TX19.9
20Raymondville, TX19.9
23Canyon, TX19.8
23Freeport, TX19.8
23Galena Park, TX19.8
26Athens, TX19.7
26Forest Hill, TX19.7
26Palestine, TX19.7
29Gainesville, TX19.5
30Kaufman, TX19.4
31Denton, TX19.3
31Hidalgo, TX19.3
31Pharr, TX19.3
31Port Arthur, TX19.3
35Marshall, TX19.2
35Socorro, TX19.2
35Texarkana, TX19.2
38Greenville, TX19.1
38Lufkin, TX19.1
38Mercedes, TX19.1
38Mineral Wells, TX19.1
38Mount Pleasant, TX19.1
38South Houston, TX19.1
44Brownwood, TX18.9
44Copperas Cove, TX18.9
44Kilgore, TX18.9
44Kingsville, TX18.9
44Longview, TX18.9
44San Juan, TX18.9
44Sherman, TX18.9
44Wichita Falls, TX18.9
52Belton, TX18.8
53Terrell, TX18.7
54Ennis, TX18.6
54Haltom City, TX18.6
54Laredo, TX18.6
54Levelland, TX18.6
54Orange, TX18.6
54Pampa, TX18.6
54San Benito, TX18.6
54Sulphur Springs, TX18.6
62Bonham, TX18.5
62Cleburne, TX18.5
62Corsicana, TX18.5
62Lancaster, TX18.5
62Robstown, TX18.5
62Webster, TX18.5
68Abilene, TX18.4
68Beeville, TX18.4
68Brownsville, TX18.4
68Mesquite, TX18.4
72Alvin, TX18.3
72Amarillo, TX18.3
72Baytown, TX18.3
72Beaumont, TX18.3
72Clute, TX18.3
72Dayton, TX18.3
72Pasadena, TX18.3
79Sweetwater, TX18.2
79Tyler, TX18.2
81Alamo, TX18.1
81Bay City, TX18.1
81El Campo, TX18.1
81Texas City, TX18.1
81White Settlement, TX18.1
86Big Spring, TX18
86Borger, TX18
86Edinburg, TX18
86Elgin, TX18
86Glenn Heights, TX18
86Humble, TX18
86San Antonio, TX18
93Burkburnett, TX17.9
93Crowley, TX17.9
93Dallas, TX17.9
93Denison, TX17.9
93Henderson, TX17.9
93Plainview, TX17.9
93Taylor, TX17.9
100Corpus Christi, TX17.8
100Fort Worth, TX17.8
100Ingleside, TX17.8
100Princeton, TX17.8
100Rosenberg, TX17.8
100Sanger, TX17.8
100Temple, TX17.8
100Victoria, TX17.8
108Dumas, TX17.7
108Hereford, TX17.7
108Hutto, TX17.7
108Lumberton, TX17.7
108Snyder, TX17.7
108Waxahachie, TX17.7
114Andrews, TX17.6
114Del Rio, TX17.6
114Harlingen, TX17.6
114Houston, TX17.6
114Universal City, TX17.6
119Conroe, TX17.5
119Converse, TX17.5
119Eagle Pass, TX17.5
119Manor, TX17.5
119San Angelo, TX17.5
119Seguin, TX17.5
125Arlington, TX17.4
125Brenham, TX17.4
125Garland, TX17.4
125Live Oak, TX17.4
125Providence Village, TX17.4
130Alice, TX17.3
130Angleton, TX17.3
130Grand Prairie, TX17.3
130Harker Heights, TX17.3
130Horizon City, TX17.3
130La Marque, TX17.3
130La Porte, TX17.3
130Odessa, TX17.3
138Dickinson, TX17.2
138El Paso, TX17.2
138Mission, TX17.2
138Richmond, TX17.2
138Weatherford, TX17.2
143Duncanville, TX17.1
143Groves, TX17.1
143Port Lavaca, TX17.1
143Watauga, TX17.1
147Galveston, TX17
147Lavon, TX17
147Lewisville, TX17
147Lockhart, TX17
147Red Oak, TX17
147Weslaco, TX17
153Kyle, TX16.9
153Saginaw, TX16.9
155Austin, TX16.8
155Irving, TX16.8
155Kennedale, TX16.8
155McAllen, TX16.8
159Anna, TX16.7
159Burleson, TX16.7
159Josephine, TX16.7
159Santa Fe, TX16.7
159Uvalde, TX16.7
164Azle, TX16.6
164Leander, TX16.6
164Mont Belvieu, TX16.6
164Royse City, TX16.6
168Cedar Hill, TX16.5
168Deer Park, TX16.5
168Rockport, TX16.5
168Selma, TX16.5
172Euless, TX16.4
172Melissa, TX16.4
174Midland, TX16.3
174Port Neches, TX16.3
176Hurst, TX16.2
176Leon Valley, TX16.2
176Northlake, TX16.2
176Robinson, TX16.2
176Round Rock, TX16.2
181DeSoto, TX16.1
181Fate, TX16.1
181Forney, TX16.1
181Midlothian, TX16.1
181Wylie, TX16.1
186Hewitt, TX16
186Little Elm, TX16
186The Colony, TX16
186Tomball, TX16
190Nederland, TX15.9
190Stafford, TX15.9
192New Braunfels, TX15.8
192Portland, TX15.8
194Addison, TX15.7
194Liberty Hill, TX15.7
194North Richland Hills, TX15.7
194Pflugerville, TX15.7
198Carrollton, TX15.5
198Cedar Park, TX15.5
198Corinth, TX15.5
198Granbury, TX15.5
198Katy, TX15.5
198Kerrville, TX15.5
198Mansfield, TX15.5
198McKinney, TX15.5
206Bastrop, TX15.4
206Lake Jackson, TX15.4
206Pleasanton, TX15.4
209Manvel, TX15.3
209Roanoke, TX15.3
209Seabrook, TX15.3
212Cibolo, TX15.2
212Farmers Branch, TX15.2
212Iowa Colony, TX15.2
212Sachse, TX15.2
216Rowlett, TX15.1
217Bedford, TX15
217Boerne, TX15
217Buda, TX15
217Grapevine, TX15
221Schertz, TX14.9
222Rockwall, TX14.7
223League City, TX14.5
224Benbrook, TX14.4
224Richardson, TX14.4
224University Park, TX14.4
227Lago Vista, TX14.3
227Pearland, TX14.3
229Allen, TX14.2
230Celina, TX14.1
231Dripping Springs, TX14
231Georgetown, TX14
231Prosper, TX14
234Fredericksburg, TX13.9
234Missouri City, TX13.9
236Frisco, TX13.8
236Helotes, TX13.8
238Friendswood, TX13.7
238Plano, TX13.7
240Murphy, TX13.5
241Keller, TX13.3
242Flower Mound, TX13.2
242Heath, TX13.2
244Highland Village, TX12.9
245Fulshear, TX12.8
245Trophy Club, TX12.8
247Coppell, TX12.7
248Southlake, TX12.1
248Sugar Land, TX12.1
250Colleyville, TX12

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, 2021) [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, 2021. 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?period=2021. 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, 2021. 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?period=2021.

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, 2021 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/texas-cities?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{centers_cities_in_texas_by_2021,
  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, 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-frequent-mental-distress-rate-county-estimate/texas-cities?period=2021. 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, 2021
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?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/texas-cities?period=2021.
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.
rank_places {"indicator":"adult_frequent_mental_distress_rate_modelled","level":"municipality","within":"Texas","limit":10}
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Questions

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

San Marcos, TX, with 23.8% in 2021, 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 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, 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