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 2022, at 24.4%. West University Place, TX had the lowest, at 11.2%. The median was 18.3%. Source: the Centers for Disease Control and Prevention.

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Highest24.4San Marcos, TX
Lowest11.2West University Place, TX
Median18.3255 cities

Top 40 cities, 2022

San Marcos, TX: 24.4 %San Marcos, TX24.4Nacogdoches, TX: 24.3 %Nacogdoches, TX24.3Gatesville, TX: 24 %Gatesville, TX24College Station, TX: 23.8 %College Station, TX23.8Stephenville, TX: 23.4 %Stephenville, TX23.4Huntsville, TX: 22.6 %Huntsville, TX22.6Killeen, TX: 22.2 %Killeen, TX22.2Waco, TX: 22.1 %Waco, TX22.1Alton, TX: 21.6 %Alton, TX21.6Belton, TX: 21.6 %Belton, TX21.6Jacksonville, TX: 21.5 %Jacksonville, TX21.5Bellmead, TX: 21 %Bellmead, TX21Freeport, TX: 20.9 %Freeport, TX20.9Galena Park, TX: 20.9 %Galena Park, TX20.9Roma, TX: 20.8 %Roma, TX20.8Dayton, TX: 20.6 %Dayton, TX20.6Kaufman, TX: 20.6 %Kaufman, TX20.6Mount Pleasant, TX: 20.6 %Mount Pleasant, TX20.6Paris, TX: 20.6 %Paris, TX20.6Balch Springs, TX: 20.5 %Balch Springs, TX20.5Gainesville, TX: 20.5 %Gainesville, TX20.5South Houston, TX: 20.5 %South Houston, TX20.5Baytown, TX: 20.4 %Baytown, TX20.4Marshall, TX: 20.4 %Marshall, TX20.4San Elizario, TX: 20.4 %San Elizario, TX20.4Seagoville, TX: 20.3 %Seagoville, TX20.3Terrell, TX: 20.3 %Terrell, TX20.3Corsicana, TX: 20.2 %Corsicana, TX20.2Mineral Wells, TX: 20.2 %Mineral Wells, TX20.2Port Arthur, TX: 20.2 %Port Arthur, TX20.2White Settlement, TX: 20.2 %White Settlement, TX20.2Hereford, TX: 20.1 %Hereford, TX20.1Humble, TX: 20.1 %Humble, TX20.1Raymondville, TX: 20.1 %Raymondville, TX20.1Rio Grande City, TX: 20.1 %Rio Grande City, TX20.1Canyon, TX: 20 %Canyon, TX20Copperas Cove, TX: 20 %Copperas Cove, TX20Elgin, TX: 20 %Elgin, TX20Orange, TX: 20 %Orange, TX20Bryan, TX: 19.9 %Bryan, TX19.9San Marcos, TX: 24.4 %San Marcos, TX24.4Nacogdoches, TX: 24.3 %Nacogdoches, TX24.3Gatesville, TX: 24 %Gatesville, TX24College Station, TX: 23.8 %College Station, TX23.8Stephenville, TX: 23.4 %Stephenville, TX23.4Huntsville, TX: 22.6 %Huntsville, TX22.6Killeen, TX: 22.2 %Killeen, TX22.2Waco, TX: 22.1 %Waco, TX22.1Alton, TX: 21.6 %Alton, TX21.6Belton, TX: 21.6 %Belton, TX21.6Jacksonville, TX: 21.5 %Jacksonville, TX21.5Bellmead, TX: 21 %Bellmead, TX21Freeport, TX: 20.9 %Freeport, TX20.9Galena Park, TX: 20.9 %Galena Park, TX20.9Roma, TX: 20.8 %Roma, TX20.8Dayton, TX: 20.6 %Dayton, TX20.6Kaufman, TX: 20.6 %Kaufman, TX20.6Mount Pleasant, TX: 20.6 %Mount Pleasant, TX20.6Paris, TX: 20.6 %Paris, TX20.6Balch Springs, TX: 20.5 %Balch Springs, TX20.5Gainesville, TX: 20.5 %Gainesville, TX20.5South Houston, TX: 20.5 %South Houston, TX20.5Baytown, TX: 20.4 %Baytown, TX20.4Marshall, TX: 20.4 %Marshall, TX20.4San Elizario, TX: 20.4 %San Elizario, TX20.4Seagoville, TX: 20.3 %Seagoville, TX20.3Terrell, TX: 20.3 %Terrell, TX20.3Corsicana, TX: 20.2 %Corsicana, TX20.2Mineral Wells, TX: 20.2 %Mineral Wells, TX20.2Port Arthur, TX: 20.2 %Port Arthur, TX20.2White Settlement, TX: 20.2 %White Settlement, TX20.2Hereford, TX: 20.1 %Hereford, TX20.1Humble, TX: 20.1 %Humble, TX20.1Raymondville, TX: 20.1 %Raymondville, TX20.1Rio Grande City, TX: 20.1 %Rio Grande City, TX20.1Canyon, TX: 20 %Canyon, TX20Copperas Cove, TX: 20 %Copperas Cove, TX20Elgin, TX: 20 %Elgin, TX20Orange, TX: 20 %Orange, TX20Bryan, TX: 19.9 %Bryan, TX19.9
%. 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

RankCities2022 (%)Change on 2021
1San Marcos, TX24.4+0.6 pts
2Nacogdoches, TX24.3+1 pts
3Gatesville, TX24+1.6 pts
4College Station, TX23.8+0.8 pts
5Stephenville, TX23.4+2.4 pts
6Huntsville, TX22.6+1.7 pts
7Killeen, TX22.2+1.7 pts
8Waco, TX22.1+0.6 pts
9Alton, TX21.6+1.5 pts
9Belton, TX21.6+2.8 pts
11Jacksonville, TX21.5+1.5 pts
12Bellmead, TX21+0.3 pts
13Freeport, TX20.9+1.1 pts
13Galena Park, TX20.9+1.1 pts
15Roma, TX20.8+0.4 pts
16Dayton, TX20.6+2.3 pts
16Kaufman, TX20.6+1.2 pts
16Mount Pleasant, TX20.6+1.5 pts
16Paris, TX20.6+0.7 pts
20Balch Springs, TX20.5-0.9 pts
20Gainesville, TX20.5+1 pts
20South Houston, TX20.5+1.4 pts
23Baytown, TX20.4+2.1 pts
23Marshall, TX20.4+1.2 pts
23San Elizario, TX20.4+0.3 pts
26Seagoville, TX20.3-0.1 pts
26Terrell, TX20.3+1.6 pts
28Corsicana, TX20.2+1.7 pts
28Mineral Wells, TX20.2+1.1 pts
28Port Arthur, TX20.2+0.9 pts
28White Settlement, TX20.2+2.1 pts
32Hereford, TX20.1+2.4 pts
32Humble, TX20.1+2.1 pts
32Raymondville, TX20.1+0.2 pts
32Rio Grande City, TX20.1-0.6 pts
36Canyon, TX20+0.2 pts
36Copperas Cove, TX20+1.1 pts
36Elgin, TX20+2 pts
36Orange, TX20+1.4 pts
40Bryan, TX19.90 pts
40Donna, TX19.9-0.2 pts
40Haltom City, TX19.9+1.3 pts
40Palestine, TX19.9+0.2 pts
40Texarkana, TX19.9+0.7 pts
45Bay City, TX19.8+1.7 pts
45Bonham, TX19.8+1.3 pts
45Brownwood, TX19.8+0.9 pts
45Kilgore, TX19.8+0.9 pts
45Pampa, TX19.8+1.2 pts
45Plainview, TX19.8+1.9 pts
45San Benito, TX19.8+1.2 pts
45Sweetwater, TX19.8+1.6 pts
45Temple, TX19.8+2 pts
54Abilene, TX19.7+1.3 pts
54Forest Hill, TX19.70 pts
54Kingsville, TX19.7+0.8 pts
54Levelland, TX19.7+1.1 pts
54Lubbock, TX19.7-0.5 pts
54Palmview, TX19.7-0.3 pts
60Brownsville, TX19.6+1.2 pts
60Dumas, TX19.6+1.9 pts
60Harker Heights, TX19.6+2.3 pts
60Pasadena, TX19.6+1.3 pts
60Socorro, TX19.6+0.4 pts
60Texas City, TX19.6+1.5 pts
66Denton, TX19.4+0.1 pts
66Greenville, TX19.4+0.3 pts
66Pharr, TX19.4+0.1 pts
66Wichita Falls, TX19.4+0.5 pts
70Clute, TX19.3+1 pts
70Denison, TX19.3+1.4 pts
70Ennis, TX19.3+0.7 pts
70Lancaster, TX19.3+0.8 pts
70Longview, TX19.3+0.4 pts
70Providence Village, TX19.3+1.9 pts
70San Juan, TX19.3+0.4 pts
70Sulphur Springs, TX19.3+0.7 pts
78Horizon City, TX19.2+1.9 pts
78Lufkin, TX19.2+0.1 pts
78Lumberton, TX19.2+1.5 pts
78Mesquite, TX19.2+0.8 pts
78Sherman, TX19.2+0.3 pts
83Alvin, TX19.1+0.8 pts
83Beeville, TX19.1+0.7 pts
83Henderson, TX19.1+1.2 pts
83Hidalgo, TX19.1-0.2 pts
83Victoria, TX19.1+1.3 pts
88Athens, TX19-0.7 pts
88Josephine, TX19+2.3 pts
88Snyder, TX19+1.3 pts
91Alamo, TX18.9+0.8 pts
91Andrews, TX18.9+1.3 pts
91Beaumont, TX18.9+0.6 pts
91Big Spring, TX18.9+0.9 pts
91Cleburne, TX18.9+0.4 pts
91Edinburg, TX18.9+0.9 pts
91Laredo, TX18.9+0.3 pts
98Azle, TX18.8+2.2 pts
98Houston, TX18.8+1.2 pts
98Ingleside, TX18.8+1 pts
98Odessa, TX18.8+1.5 pts
98Tyler, TX18.8+0.6 pts
98Waxahachie, TX18.8+1.1 pts
104Glenn Heights, TX18.7+0.7 pts
104Harlingen, TX18.7+1.1 pts
104La Marque, TX18.7+1.4 pts
104Mercedes, TX18.7-0.4 pts
104Princeton, TX18.7+0.9 pts
104Seguin, TX18.7+1.2 pts
110Amarillo, TX18.6+0.3 pts
110Fort Worth, TX18.6+0.8 pts
110Robstown, TX18.6+0.1 pts
113Alice, TX18.5+1.2 pts
113Conroe, TX18.5+1 pts
113El Campo, TX18.5+0.4 pts
113Groves, TX18.5+1.4 pts
113La Porte, TX18.5+1.2 pts
113Lockhart, TX18.5+1.5 pts
113Weatherford, TX18.5+1.3 pts
120Crowley, TX18.4+0.5 pts
120Forney, TX18.4+2.3 pts
120Iowa Colony, TX18.4+3.2 pts
120Weslaco, TX18.4+1.4 pts
124Arlington, TX18.3+0.9 pts
124Borger, TX18.3+0.3 pts
124Corpus Christi, TX18.3+0.5 pts
124Dallas, TX18.3+0.4 pts
124Dickinson, TX18.3+1.1 pts
124Rosenberg, TX18.3+0.5 pts
124Royse City, TX18.3+1.7 pts
124San Angelo, TX18.3+0.8 pts
124San Antonio, TX18.3+0.3 pts
124Taylor, TX18.3+0.4 pts
124Uvalde, TX18.3+1.6 pts
124Webster, TX18.3-0.2 pts
136Eagle Pass, TX18.2+0.7 pts
136Sanger, TX18.2+0.4 pts
138Converse, TX18.1+0.6 pts
138Lavon, TX18.1+1.1 pts
138Manor, TX18.1+0.6 pts
141Brenham, TX18+0.6 pts
141Del Rio, TX18+0.4 pts
141Galveston, TX18+1 pts
141Grand Prairie, TX18+0.7 pts
141Kyle, TX18+1.1 pts
141Red Oak, TX18+1 pts
141Robinson, TX18+1.8 pts
148Burkburnett, TX17.90 pts
148Midland, TX17.9+1.6 pts
150Saginaw, TX17.8+0.9 pts
150Watauga, TX17.8+0.7 pts
152Liberty Hill, TX17.7+2 pts
152Pleasanton, TX17.7+2.3 pts
152Portland, TX17.7+1.9 pts
155Angleton, TX17.6+0.3 pts
155El Paso, TX17.6+0.4 pts
155Garland, TX17.6+0.2 pts
155Hutto, TX17.6-0.1 pts
155Nederland, TX17.6+1.7 pts
155Richmond, TX17.6+0.4 pts
161Burleson, TX17.5+0.8 pts
161Deer Park, TX17.5+1 pts
161Duncanville, TX17.5+0.4 pts
161Kennedale, TX17.5+0.7 pts
161Mont Belvieu, TX17.5+0.9 pts
166Lake Jackson, TX17.4+2 pts
166Manvel, TX17.4+2.1 pts
166Tomball, TX17.4+1.4 pts
169Austin, TX17.3+0.5 pts
169Cedar Hill, TX17.3+0.8 pts
169Lewisville, TX17.3+0.3 pts
169Santa Fe, TX17.3+0.6 pts
173Anna, TX17.2+0.5 pts
173Little Elm, TX17.2+1.2 pts
173McAllen, TX17.2+0.4 pts
173Mission, TX17.20 pts
177Cibolo, TX17.1+1.9 pts
177Universal City, TX17.1-0.5 pts
179Addison, TX17+1.3 pts
179Euless, TX17+0.6 pts
179Round Rock, TX17+0.8 pts
179Seabrook, TX17+1.7 pts
183Bastrop, TX16.9+1.5 pts
183Live Oak, TX16.9-0.5 pts
183Port Lavaca, TX16.9-0.2 pts
183Selma, TX16.9+0.4 pts
187Fate, TX16.8+0.7 pts
187Irving, TX16.80 pts
187Pflugerville, TX16.8+1.1 pts
190Mansfield, TX16.7+1.2 pts
190Stafford, TX16.7+0.8 pts
192Leon Valley, TX16.6+0.4 pts
192Richardson, TX16.6+2.2 pts
194DeSoto, TX16.5+0.4 pts
194North Richland Hills, TX16.5+0.8 pts
196Hurst, TX16.4+0.2 pts
196Wylie, TX16.4+0.3 pts
198Corinth, TX16.3+0.8 pts
198Midlothian, TX16.3+0.2 pts
198Port Neches, TX16.30 pts
198Schertz, TX16.3+1.4 pts
202Melissa, TX16.2-0.2 pts
202New Braunfels, TX16.2+0.4 pts
204Farmers Branch, TX16.1+0.9 pts
204Rowlett, TX16.1+1 pts
206Granbury, TX16+0.5 pts
206Northlake, TX16-0.2 pts
208Bedford, TX15.9+0.9 pts
208Hewitt, TX15.9-0.1 pts
208Kerrville, TX15.9+0.4 pts
208Roanoke, TX15.9+0.6 pts
212Celina, TX15.8+1.7 pts
212Leander, TX15.8-0.8 pts
214League City, TX15.7+1.2 pts
214The Colony, TX15.7-0.3 pts
216Benbrook, TX15.6+1.2 pts
217Boerne, TX15.5+0.5 pts
217Cedar Park, TX15.50 pts
217Grapevine, TX15.5+0.5 pts
217Katy, TX15.50 pts
217McKinney, TX15.50 pts
222Carrollton, TX15.4-0.1 pts
223Buda, TX15.2+0.2 pts
223Pearland, TX15.2+0.9 pts
223Rockwall, TX15.2+0.5 pts
226Lago Vista, TX15+0.7 pts
226Rockport, TX15-1.5 pts
228Dripping Springs, TX14.9+0.9 pts
228Friendswood, TX14.9+1.2 pts
228Prosper, TX14.9+0.9 pts
231Missouri City, TX14.7+0.8 pts
231Sachse, TX14.7-0.5 pts
233Fredericksburg, TX14.4+0.5 pts
233Georgetown, TX14.4+0.4 pts
233University Park, TX14.40 pts
236Allen, TX14.3+0.1 pts
237Murphy, TX14.1+0.6 pts
238Fulshear, TX13.9+1.1 pts
239Flower Mound, TX13.8+0.6 pts
239Highland Village, TX13.8+0.9 pts
239Plano, TX13.8+0.1 pts
242Keller, TX13.7+0.4 pts
243Trophy Club, TX13.6+0.8 pts
244Frisco, TX13.4-0.4 pts
244Helotes, TX13.4-0.4 pts
246Heath, TX13.3+0.1 pts
247Fairview, TX13.2+1.5 pts
248Coppell, TX12.70 pts
248Lakeway, TX12.7+0.9 pts
250Southlake, TX12.5+0.4 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, 2022) [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, 2022. 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=2022. 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, 2022. 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=2022.

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, 2022 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/texas-cities?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{centers_cities_in_texas_by_2022,
  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, 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-frequent-mental-distress-rate-county-estimate/texas-cities?period=2022. 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, 2022
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=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/texas-cities?period=2022.
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 24.4% in 2022, 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 11.2% 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, 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