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

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

Newton County had the highest frequent mental distress in adults, local model estimate of 253 counties in 2023, at 20.3%. Terrell County had the lowest, at 12.8%. The median was 17.5%. Source: the Centers for Disease Control and Prevention.

Highest20.3Newton County
Lowest12.8Terrell County
Median17.5253 counties

Top 40 counties, 2023

Newton County: 20.3 %Newton County20.3Gaines County: 20.1 %Gaines County20.1Liberty County: 20.1 %Liberty County20.1Nacogdoches County: 19.8 %Nacogdoches County19.8Angelina County: 19.6 %Angelina County19.6Cochran County: 19.6 %Cochran County19.6Coryell County: 19.6 %Coryell County19.6Hudspeth County: 19.6 %Hudspeth County19.6Brazos County: 19.5 %Brazos County19.5San Augustine County: 19.5 %San Augustine County19.5Starr County: 19.5 %Starr County19.5Walker County: 19.5 %Walker County19.5Jasper County: 19.4 %Jasper County19.4Shelby County: 19.4 %Shelby County19.4Erath County: 19.3 %Erath County19.3Tyler County: 19.3 %Tyler County19.3Dimmit County: 19.2 %Dimmit County19.2Potter County: 19.2 %Potter County19.2Wilbarger County: 19.2 %Wilbarger County19.2Zavala County: 19.2 %Zavala County19.2Falls County: 19.1 %Falls County19.1Lamar County: 19 %Lamar County19Orange County: 19 %Orange County19Bell County: 18.9 %Bell County18.9Camp County: 18.9 %Camp County18.9Dallam County: 18.9 %Dallam County18.9Jack County: 18.9 %Jack County18.9Madison County: 18.9 %Madison County18.9Navarro County: 18.9 %Navarro County18.9Upshur County: 18.9 %Upshur County18.9Waller County: 18.9 %Waller County18.9Gregg County: 18.8 %Gregg County18.8Polk County: 18.8 %Polk County18.8Zapata County: 18.8 %Zapata County18.8Swisher County: 18.7 %Swisher County18.7Titus County: 18.7 %Titus County18.7Bowie County: 18.6 %Bowie County18.6Cass County: 18.6 %Cass County18.6Dawson County: 18.6 %Dawson County18.6Harrison County: 18.6 %Harrison County18.6
%. 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
1Newton County20.3-0.5 pts
2Gaines County20.1+0.2 pts
2Liberty County20.1-1.5 pts
4Nacogdoches County19.8-0.2 pts
5Angelina County19.6-0.6 pts
5Cochran County19.6-1.6 pts
5Coryell County19.6-1.9 pts
5Hudspeth County19.6-2 pts
9Brazos County19.5+0.5 pts
9San Augustine County19.5+0.2 pts
9Starr County19.5-1.8 pts
9Walker County19.5-1 pts
13Jasper County19.4-0.4 pts
13Shelby County19.4-0.8 pts
15Erath County19.3-1.8 pts
15Tyler County19.3+1 pts
17Dimmit County19.2-1.6 pts
17Potter County19.2-1.1 pts
17Wilbarger County19.2-0.8 pts
17Zavala County19.2-1.1 pts
21Falls County19.1-0.7 pts
22Lamar County19-0.4 pts
22Orange County190 pts
24Bell County18.9-0.7 pts
24Camp County18.9+0.2 pts
24Dallam County18.9-0.2 pts
24Jack County18.9+0.3 pts
24Madison County18.9-0.2 pts
24Navarro County18.9-0.2 pts
24Upshur County18.9-1.2 pts
24Waller County18.9-0.3 pts
32Gregg County18.8-0.5 pts
32Polk County18.80 pts
32Zapata County18.8-2.6 pts
35Swisher County18.7-0.1 pts
35Titus County18.7-0.7 pts
37Bowie County18.6-0.2 pts
37Cass County18.6-0.6 pts
37Dawson County18.6-1.4 pts
37Harrison County18.6+0.1 pts
37Jefferson County18.60 pts
37Nolan County18.6-0.8 pts
37Terry County18.6-1.5 pts
37Wichita County18.6-0.6 pts
45Cherokee County18.5-0.8 pts
45Hardin County18.5-0.2 pts
45Hunt County18.5-0.5 pts
45Morris County18.5+0.1 pts
45Upton County18.5-0.7 pts
50Anderson County18.4+0.3 pts
50Deaf Smith County18.4-2.7 pts
50Fannin County18.4+0.1 pts
50Foard County18.4-0.5 pts
50Gray County18.4-1 pts
50Jones County18.4-1.1 pts
50McLennan County18.4-1.4 pts
50Moore County18.4-1.4 pts
50Rusk County18.4+0.4 pts
50San Jacinto County18.4+0.2 pts
50Taylor County18.4-0.8 pts
50Willacy County18.4-1.4 pts
62Childress County18.3-1 pts
62Garza County18.3-0.6 pts
62Hale County18.3-1.6 pts
62Kaufman County18.3-1 pts
62La Salle County18.3-2.4 pts
62Mitchell County18.3-1.1 pts
62Palo Pinto County18.3-0.1 pts
69Andrews County18.2-1.1 pts
69Hidalgo County18.2-2.2 pts
69Hopkins County18.2+0.3 pts
69Houston County18.2+0.2 pts
69Lubbock County18.2-0.2 pts
69Red River County18.2-0.3 pts
75Delta County18.1+1.2 pts
75Limestone County18.1-1.3 pts
75Panola County18.1-1 pts
75Van Zandt County18.1-1.2 pts
79Chambers County18-0.5 pts
79Collingsworth County18-0.6 pts
79Eastland County18-0.5 pts
79Ector County18-1.2 pts
79Frio County18-1.4 pts
79Howard County18-0.6 pts
79Johnson County18-0.8 pts
79Karnes County18-0.4 pts
79Kleberg County18-1.8 pts
79Lynn County18-1.2 pts
79Maverick County18-2 pts
79Ochiltree County18-0.6 pts
91Gonzales County17.9-0.5 pts
91Henderson County17.9-0.6 pts
91Hutchinson County17.9+0.1 pts
91Jim Hogg County17.9-0.2 pts
91Marion County17.9+0.2 pts
91Montague County17.9+0.5 pts
91Oldham County17.9-0.2 pts
91Reeves County17.9-1.3 pts
91Ward County17.9-1.4 pts
91Wise County17.9-0.6 pts
101Crosby County17.8-0.9 pts
101Grayson County17.8-0.9 pts
101Grimes County17.8-0.5 pts
101Hill County17.8-0.8 pts
101Hockley County17.8-1.1 pts
101Lee County17.8-0.3 pts
101Live Oak County17.8-0.1 pts
101Martin County17.8-1.1 pts
101Wheeler County17.8-0.4 pts
110Bailey County17.7+0.7 pts
110Baylor County17.7+1.1 pts
110Brown County17.7-0.2 pts
110Donley County17.7-1.2 pts
110Freestone County17.7-0.2 pts
110Hardeman County17.7-0.2 pts
110Haskell County17.7-1 pts
110Smith County17.7-1.2 pts
110Stephens County17.7-1.1 pts
110Trinity County17.7+0.6 pts
120Crane County17.6-0.9 pts
120Lamb County17.6-1.4 pts
120Robertson County17.60 pts
123Bee County17.5-1.3 pts
123Briscoe County17.5-1.8 pts
123Brooks County17.5-1.2 pts
123Caldwell County17.5-0.9 pts
123Cooke County17.5-0.4 pts
123El Paso County17.5-0.8 pts
123Jackson County17.5-0.9 pts
123Knox County17.5-0.4 pts
123San Patricio County17.5-0.7 pts
123Scurry County17.5-1.5 pts
123Tarrant County17.5+0.6 pts
134Cottle County17.4-1.8 pts
134Duval County17.4-1.5 pts
134Leon County17.4-1 pts
134Matagorda County17.4-1.6 pts
134Pecos County17.4-0.5 pts
134Tom Green County17.4-1.1 pts
134Victoria County17.4-1.4 pts
134Winkler County17.4-1.4 pts
142Callahan County17.3+0.1 pts
142Ellis County17.3-0.6 pts
142Floyd County17.3-1.7 pts
142Hall County17.3-0.2 pts
142Lampasas County17.3-0.8 pts
142Milam County17.3-0.3 pts
142San Saba County17.3-0.5 pts
142Wharton County17.3-1.3 pts
142Yoakum County17.3-2.9 pts
142Young County17.3-1.2 pts
152Archer County17.2+0.2 pts
152Culberson County17.2-0.8 pts
152DeWitt County17.20 pts
152Hansford County17.2+0.2 pts
152Jim Wells County17.2-1.3 pts
152Midland County17.2+0.4 pts
152Randall County17.2-0.6 pts
152Val Verde County17.2-1 pts
152Webb County17.2-0.5 pts
161Dallas County17.1-0.2 pts
162Atascosa County17-0.6 pts
162Bastrop County170 pts
162Coleman County170 pts
162Hamilton County17-1 pts
162Hays County17-1.2 pts
162King County17-2 pts
162McCulloch County17-0.9 pts
162McMullen County17-1.4 pts
162Refugio County17+0.1 pts
162Uvalde County17-1.3 pts
172Coke County16.9-1.7 pts
172Concho County16.9-1.3 pts
172Lavaca County16.9-0.5 pts
172Parker County16.90 pts
176Austin County16.8-0.6 pts
176Clay County16.8+0.5 pts
176Comanche County16.8-1.2 pts
176Runnels County16.8-0.6 pts
176Sabine County16.8-1.2 pts
181Bexar County16.7-1.3 pts
181Burleson County16.7-0.9 pts
181Kenedy County16.7-5.8 pts
181Lipscomb County16.7-0.6 pts
181Parmer County16.7-2.2 pts
181Wood County16.7+0.4 pts
187Carson County16.6+0.2 pts
187Castro County16.6-0.9 pts
187Galveston County16.6+0.3 pts
187Rains County16.6-0.7 pts
187Real County16.6-1.3 pts
187Stonewall County16.6-0.8 pts
193Bosque County16.5-1.6 pts
193Cameron County16.5-3.3 pts
193Crockett County16.50 pts
193Harris County16.5-2.2 pts
193Nueces County16.5-2.7 pts
193Somervell County16.5+1.3 pts
193Throckmorton County16.5+0.1 pts
200Dickens County16.4-0.2 pts
200Guadalupe County16.4-0.3 pts
200Montgomery County16.4-1.7 pts
200Reagan County16.4-0.8 pts
200Washington County16.4-0.6 pts
205Franklin County16.3+1.1 pts
205Hartley County16.3+0.8 pts
205Sutton County16.3-1.3 pts
208Armstrong County16.2-0.5 pts
208Colorado County16.2-0.9 pts
208Goliad County16.20 pts
208Kimble County16.2-0.4 pts
208Motley County16.2+0.7 pts
208Presidio County16.2-2.8 pts
208Shackelford County16.2-1.3 pts
208Sherman County16.2-1.9 pts
216Brazoria County16.1-0.4 pts
216Burnet County16.1-0.9 pts
216Calhoun County16.1+0.4 pts
216Fisher County16.1-0.9 pts
216Irion County16.1-0.7 pts
216Roberts County16.1-0.5 pts
222Medina County16-1 pts
222Sterling County16-1.2 pts
222Wilson County16-1.1 pts
225Hemphill County15.9-1.2 pts
225Travis County15.9-0.6 pts
227Denton County15.8+0.5 pts
228Aransas County15.7-1.4 pts
229Bandera County15.5+0.2 pts
229Edwards County15.5-2.6 pts
229Hood County15.5+0.9 pts
229Mills County15.5-0.4 pts
229Rockwall County15.5-0.5 pts
229Schleicher County15.5-2.2 pts
229Williamson County15.5+0.2 pts
236Fayette County15.4-0.1 pts
236Glasscock County15.4+0.4 pts
236Kerr County15.4-1.1 pts
236Kinney County15.4-1.2 pts
240Menard County15.3+0.5 pts
241Borden County15+1.4 pts
242Kent County14.9-0.8 pts
243Blanco County14.7-1.2 pts
243Comal County14.7-1.1 pts
245Collin County14.6+1.1 pts
246Llano County14.5-0.7 pts
247Gillespie County14.4-1.2 pts
248Brewster County14.30 pts
248Fort Bend County14.3-0.2 pts
248Jeff Davis County14.3-0.7 pts

Showing the top 250 of 253. 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 counties are compared on one definition. 1 counties with data in other periods have no value for 2023 and are left out rather than filled from another source. 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

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), frequent mental distress in adults, crude prevalence (Counties 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, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence, Counties in Texas 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/texas-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 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-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 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-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_texas_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 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-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 Texas 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/texas-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/texas-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  -
Embed this chart

Paste this code into a web page or a blog post. The chart shows the latest figures as they are published, with the source and a link back to this page.

Sites that read oEmbed links, such as WordPress, can show the chart when you paste the link to this page.

Use this data in your AI agent

Invokely serves this figure to AI assistants through MCP and to code through a REST API, with the source and citation attached. Ask your assistant:

Rank Counties 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":"province","within":"Texas","limit":10}
GET https://invokely.ai/api/v1/rank?indicator=adult_frequent_mental_distress_rate_modelled&level=province&within=Texas&limit=10

Connect Claude, ChatGPT or Cursor in one step. The trial answers 25 calls a day without an account.

Questions

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

Newton County, with 20.3% in 2023, according to the Centers for Disease Control and Prevention.

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

Terrell County, with 12.8% 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. 1 counties have no value for 2023 and are not ranked.

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

Counties in Texas: more rankings