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

Kenedy County had the highest frequent mental distress in adults, local model estimate of 254 counties in 2022, at 22.5%. Terrell County had the lowest, at 12.9%. The median was 18.3%. Source: the Centers for Disease Control and Prevention.

Highest22.5Kenedy County
Lowest12.9Terrell County
Median18.3254 counties

Top 40 counties, 2022

Kenedy County: 22.5 %Kenedy County22.5Hudspeth County: 21.6 %Hudspeth County21.6Liberty County: 21.6 %Liberty County21.6Coryell County: 21.5 %Coryell County21.5Zapata County: 21.4 %Zapata County21.4Starr County: 21.3 %Starr County21.3Cochran County: 21.2 %Cochran County21.2Deaf Smith County: 21.1 %Deaf Smith County21.1Erath County: 21.1 %Erath County21.1Dimmit County: 20.8 %Dimmit County20.8Newton County: 20.8 %Newton County20.8La Salle County: 20.7 %La Salle County20.7Walker County: 20.5 %Walker County20.5Hidalgo County: 20.4 %Hidalgo County20.4Potter County: 20.3 %Potter County20.3Zavala County: 20.3 %Zavala County20.3Angelina County: 20.2 %Angelina County20.2Shelby County: 20.2 %Shelby County20.2Yoakum County: 20.2 %Yoakum County20.2Terry County: 20.1 %Terry County20.1Upshur County: 20.1 %Upshur County20.1Dawson County: 20 %Dawson County20Maverick County: 20 %Maverick County20Nacogdoches County: 20 %Nacogdoches County20Wilbarger County: 20 %Wilbarger County20Gaines County: 19.9 %Gaines County19.9Hale County: 19.9 %Hale County19.9Cameron County: 19.8 %Cameron County19.8Falls County: 19.8 %Falls County19.8Jasper County: 19.8 %Jasper County19.8Kleberg County: 19.8 %Kleberg County19.8McLennan County: 19.8 %McLennan County19.8Moore County: 19.8 %Moore County19.8Willacy County: 19.8 %Willacy County19.8Bell County: 19.6 %Bell County19.6Jones County: 19.5 %Jones County19.5Frio County: 19.4 %Frio County19.4Gray County: 19.4 %Gray County19.4Lamar County: 19.4 %Lamar County19.4Limestone County: 19.4 %Limestone County19.4
%. 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

RankCounties2022 (%)Change on 2021
1Kenedy County22.5+6.1 pts
2Hudspeth County21.6+2.2 pts
2Liberty County21.6+2.7 pts
4Coryell County21.5+3.2 pts
5Zapata County21.4+3.1 pts
6Starr County21.3+1.9 pts
7Cochran County21.2+2 pts
8Deaf Smith County21.1+3.9 pts
8Erath County21.1+2.7 pts
10Dimmit County20.8+1.8 pts
10Newton County20.8+1.6 pts
12La Salle County20.7+3.8 pts
13Walker County20.5+1.8 pts
14Hidalgo County20.4+2.4 pts
15Potter County20.3+1.8 pts
15Zavala County20.3+2.1 pts
17Angelina County20.2+1.7 pts
17Shelby County20.2+1.7 pts
17Yoakum County20.2+3.5 pts
20Terry County20.1+1.8 pts
20Upshur County20.1+2.3 pts
22Dawson County20+1.4 pts
22Maverick County20+2.4 pts
22Nacogdoches County20+0.7 pts
22Wilbarger County20+1.4 pts
26Gaines County19.9+1.1 pts
26Hale County19.9+2.6 pts
28Cameron County19.8+2.9 pts
28Falls County19.8+1 pts
28Jasper County19.8+1.2 pts
28Kleberg County19.8+2 pts
28McLennan County19.8+1.7 pts
28Moore County19.8+2.8 pts
28Willacy County19.8+1.6 pts
35Bell County19.6+1.8 pts
36Jones County19.5+2.3 pts
37Frio County19.4+1.8 pts
37Gray County19.4+2.1 pts
37Lamar County19.4+1.8 pts
37Limestone County19.4+2 pts
37Mitchell County19.4+2.4 pts
37Nolan County19.4+1.9 pts
37Titus County19.4+1.6 pts
44Andrews County19.3+2 pts
44Briscoe County19.3+2.4 pts
44Cherokee County19.3+1.6 pts
44Childress County19.3+2.1 pts
44Gregg County19.3+1.6 pts
44Kaufman County19.3+2.5 pts
44San Augustine County19.3+1.5 pts
44Van Zandt County19.3+2.5 pts
44Ward County19.3+2.1 pts
53Cass County19.2+1.6 pts
53Cottle County19.2+2.1 pts
53Ector County19.2+2.1 pts
53Lynn County19.2+2.1 pts
53Nueces County19.2+2.3 pts
53Reeves County19.2+1.8 pts
53Taylor County19.2+1.9 pts
53Upton County19.2+2.6 pts
53Waller County19.2+1.7 pts
53Wichita County19.2+1.1 pts
63Dallam County19.1+0.2 pts
63Madison County19.1+1.4 pts
63Navarro County19.1+1.6 pts
63Panola County19.1+1.7 pts
67Brazos County19+0.1 pts
67Floyd County19+3.2 pts
67Hunt County19+1.7 pts
67King County19+1 pts
67Lamb County19+1.6 pts
67Matagorda County19+2 pts
67Orange County19+0.9 pts
67Presidio County19+1.1 pts
67Scurry County19+2 pts
76Donley County18.9+2 pts
76Duval County18.9+2.7 pts
76Foard County18.9+1.6 pts
76Garza County18.9+2.3 pts
76Hockley County18.9+1.4 pts
76Martin County18.9+2.4 pts
76Parmer County18.9+2.8 pts
76Smith County18.9+2.3 pts
84Bee County18.8+1.9 pts
84Bowie County18.8+1.4 pts
84Johnson County18.8+2.3 pts
84Polk County18.8+1.6 pts
84Stephens County18.8+2.5 pts
84Swisher County18.8+0.3 pts
84Victoria County18.8+1.9 pts
84Winkler County18.8+2.2 pts
92Brooks County18.7+1.7 pts
92Camp County18.7+1.5 pts
92Crosby County18.7+1.7 pts
92Grayson County18.7+2.2 pts
92Hardin County18.7+1.5 pts
92Harris County18.7+2.5 pts
92Haskell County18.7+1.6 pts
99Coke County18.6+2.6 pts
99Collingsworth County18.6+1.3 pts
99Hill County18.6+2.1 pts
99Howard County18.6+1.5 pts
99Jack County18.6+0.8 pts
99Jefferson County18.6+1.3 pts
99Ochiltree County18.6+1.6 pts
99Wharton County18.6+1.9 pts
107Chambers County18.5+1.8 pts
107Crane County18.5+2.7 pts
107Eastland County18.5+1.1 pts
107Harrison County18.5+1.4 pts
107Henderson County18.5+1.2 pts
107Jim Wells County18.5+2.1 pts
107Red River County18.5+1.4 pts
107Tom Green County18.5+2.2 pts
107Wise County18.5+1.7 pts
107Young County18.5+2.4 pts
117Caldwell County18.4+1.4 pts
117Gonzales County18.4+1.3 pts
117Jackson County18.4+2 pts
117Karnes County18.4+1.4 pts
117Leon County18.4+1.7 pts
117Lubbock County18.4-0.2 pts
117McMullen County18.4+3 pts
117Morris County18.4+1.5 pts
117Palo Pinto County18.4+1.5 pts
126El Paso County18.3+1.6 pts
126Fannin County18.3+1.3 pts
126Grimes County18.3+1.3 pts
126Tyler County18.3+0.8 pts
126Uvalde County18.3+1.5 pts
131Concho County18.2+3.1 pts
131Hays County18.2+1.7 pts
131San Jacinto County18.2+1.1 pts
131San Patricio County18.2+1.4 pts
131Val Verde County18.2+1 pts
131Wheeler County18.2+1 pts
137Anderson County18.1+1 pts
137Bosque County18.1+2.3 pts
137Edwards County18.1+2.5 pts
137Jim Hogg County18.1+1.2 pts
137Lampasas County18.1+2.1 pts
137Lee County18.1+1.4 pts
137Montgomery County18.1+2.8 pts
137Oldham County18.1+1.7 pts
137Sherman County18.1+1.9 pts
146Bexar County18+1.3 pts
146Comanche County18+2.5 pts
146Culberson County18+0.7 pts
146Hamilton County18+1.3 pts
146Houston County18+0.5 pts
146Rusk County18+0.8 pts
146Sabine County18+1.6 pts
153Brown County17.9+1.3 pts
153Cooke County17.9+1.5 pts
153Ellis County17.9+2 pts
153Freestone County17.9+1.2 pts
153Hardeman County17.9+1.8 pts
153Hopkins County17.9+0.8 pts
153Knox County17.9+1.3 pts
153Live Oak County17.9+0.9 pts
153McCulloch County17.9+1.5 pts
153Pecos County17.9+1.1 pts
153Real County17.9+1.8 pts
164Hutchinson County17.8+1.2 pts
164Randall County17.8+1.9 pts
164San Saba County17.8+1.2 pts
167Marion County17.7+0.8 pts
167Schleicher County17.7+2.5 pts
167Webb County17.7+0.4 pts
170Atascosa County17.6+1.6 pts
170Burleson County17.6+1.8 pts
170Milam County17.6+1.2 pts
170Robertson County17.6+0.9 pts
170Sutton County17.6+2.3 pts
175Castro County17.5+1.9 pts
175Hall County17.5+1.2 pts
175Shackelford County17.5+2.3 pts
178Austin County17.4+1.7 pts
178Lavaca County17.4+1.5 pts
178Montague County17.4+0.8 pts
178Runnels County17.4+1.3 pts
178Stonewall County17.4+1.8 pts
183Dallas County17.3+0.8 pts
183Lipscomb County17.3+2.1 pts
183Rains County17.3+1.5 pts
186Callahan County17.2+1.3 pts
186DeWitt County17.2+0.9 pts
186Reagan County17.2+2 pts
186Sterling County17.2+1.9 pts
190Aransas County17.1+1.6 pts
190Colorado County17.1+1.4 pts
190Hemphill County17.1+1.8 pts
190Trinity County17.10 pts
190Wilson County17.1+1.8 pts
195Archer County17+1 pts
195Bailey County17+0.7 pts
195Bastrop County17+1.5 pts
195Burnet County17+1.8 pts
195Coleman County17+1.1 pts
195Fisher County17+2 pts
195Hansford County170 pts
195Medina County17+2 pts
195Washington County17+1.2 pts
204Delta County16.9+0.2 pts
204Parker County16.9+1.1 pts
204Refugio County16.9+0.9 pts
204Tarrant County16.9+0.9 pts
208Irion County16.8+1.4 pts
208Midland County16.8+0.9 pts
210Armstrong County16.7+2.1 pts
210Guadalupe County16.7+1.3 pts
212Baylor County16.6+0.8 pts
212Dickens County16.6+1 pts
212Kimble County16.6+1.7 pts
212Kinney County16.6+1.3 pts
212Roberts County16.6+1.7 pts
217Brazoria County16.5+1.6 pts
217Crockett County16.5+2.2 pts
217Kerr County16.5+1.9 pts
217Travis County16.5+1.5 pts
221Carson County16.4+1.1 pts
221Throckmorton County16.4+0.7 pts
223Clay County16.3+0.9 pts
223Galveston County16.3+1.2 pts
223Wood County16.3+0.5 pts
226Goliad County16.2+0.9 pts
227Loving County16.1+2 pts
228Rockwall County16+1.8 pts
229Blanco County15.9+1.5 pts
229Mills County15.9+1.1 pts
231Comal County15.8+1.6 pts
232Calhoun County15.7+0.5 pts
232Kent County15.7+2.1 pts
234Gillespie County15.6+2.1 pts
235Fayette County15.5+0.8 pts
235Hartley County15.5+1.2 pts
235Motley County15.5+0.9 pts
238Bandera County15.3+1.1 pts
238Denton County15.3+1 pts
238Williamson County15.3+0.8 pts
241Franklin County15.2+0.5 pts
241Llano County15.2+1.6 pts
241Mason County15.2+2.1 pts
241Somervell County15.2-0.1 pts
245Glasscock County15-1.1 pts
245Jeff Davis County15+0.4 pts
247Menard County14.8+0.9 pts
248Hood County14.6+0.2 pts
249Fort Bend County14.5+1.3 pts
250Brewster County14.3+0.9 pts

Showing the top 250 of 254. 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. 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, 2022) [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, 2022. 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?period=2022. 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, 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-counties?period=2022.

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

BibTeX
@misc{centers_counties_in_texas_by_2022,
  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, 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-counties?period=2022. 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, 2022
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?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/texas-counties?period=2022.
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 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}
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Questions

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

Kenedy County, with 22.5% in 2022, 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 12.9% 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, 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 Texas: more rankings