US cities by frequent mental distress in adults, local model estimate, 2023

Kiryas Joel, NY had the highest frequent mental distress in adults, local model estimate of 3101 cities in 2023, at 29.4%. Laguna Woods, CA had the lowest, at 9.1%. The median was 17.1%. Source: the Centers for Disease Control and Prevention.

Highest29.4Kiryas Joel, NY

Lowest9.1Laguna Woods, CA

Median17.13101 cities

Top 40 cities, 2023

%. 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

Rank	Cities	2023 (%)	Change on 2022
1	Kiryas Joel, NY	29.4	-2 pts
2	New Square, NY	28.6	-1.8 pts
3	Athens, OH	27.9	-3.5 pts
4	Morgantown, WV	26.5	-0.7 pts
5	Boone, NC	26.1	-0.6 pts
5	Oxford, OH	26.1	-4.5 pts
7	Hamtramck, MI	25.2	+1.4 pts
7	Mount Pleasant, MI	25.2	-0.4 pts
7	Rexburg, ID	25.2	-1.8 pts
10	East Lansing, MI	25.1	+0.1 pts
11	Martin, TN	24.9	-1.5 pts
12	Melvindale, MI	24.5	+0.4 pts
13	Pullman, WA	24.4	-1.6 pts
14	Huntington, WV	24	-1 pts
14	Inkster, MI	24	+0.8 pts
14	Statesboro, GA	24	-0.9 pts
14	West Lafayette, IN	24	-1.9 pts
18	Kent, OH	23.9	-2.5 pts
18	Radford, VA	23.9	-1.1 pts
20	Portsmouth, OH	23.8	-1 pts
21	Martinsburg, WV	23.7	+1.3 pts
22	Cheney, WA	23.6	-3.5 pts
22	Gatesville, TX	23.6	-0.4 pts
24	Flint, MI	23.5	+0.8 pts
25	Parkersburg, WV	23.4	+0.3 pts
25	Ruston, LA	23.4	-1.3 pts
27	Crowley, LA	23.3	0 pts
28	Muncie, IN	23.2	-1 pts
29	Hammond, LA	23.1	-0.6 pts
30	Arvin, CA	23	+0.3 pts
30	Bowling Green, OH	23	-2.6 pts
30	Kalamazoo, MI	23	+0.4 pts
33	Beckley, WV	22.8	+1 pts
34	Fairmont, WV	22.7	+0.7 pts
34	Nacogdoches, TX	22.7	-1.6 pts
34	Opelousas, LA	22.7	-0.5 pts
37	Arcata, CA	22.6	+0.1 pts
37	College Station, TX	22.6	-1.2 pts
37	Detroit, MI	22.6	+0.8 pts
37	Mendota, CA	22.6	-2 pts
41	Jackson, MI	22.5	+1.4 pts
41	Jacksonville, AL	22.5	-2.9 pts
41	McFarland, CA	22.5	+0.1 pts
41	Natchitoches, LA	22.5	-1.7 pts
41	Saginaw, MI	22.5	+0.2 pts
46	Bloomington, IN	22.4	-0.6 pts
46	Central Falls, RI	22.4	+0.3 pts
46	Stephenville, TX	22.4	-1 pts
49	Blacksburg, VA	22.3	-2.3 pts
49	Chowchilla, CA	22.3	+1.5 pts
49	San Marcos, TX	22.3	-2.1 pts
52	Clarksburg, WV	22.2	-0.3 pts
52	Twentynine Palms, CA	22.2	0 pts
54	Minden, LA	22.1	-0.6 pts
54	Portland, TN	22.1	-0.5 pts
56	Knoxville, TN	22	-0.7 pts
56	Milledgeville, GA	22	-0.9 pts
56	Morristown, TN	22	-1.5 pts
56	New Bedford, MA	22	+0.9 pts
60	Clearlake, CA	21.9	+0.5 pts
60	Cookeville, TN	21.9	-1.1 pts
60	Harrisonburg, VA	21.9	-2.3 pts
60	Jennings, MO	21.9	+1.2 pts
60	Monroe, LA	21.9	-0.4 pts
60	Oroville, CA	21.9	+1.2 pts
60	Warrensburg, MO	21.9	-1.1 pts
67	Abbeville, LA	21.8	0 pts
67	California City, CA	21.8	+1.9 pts
67	College Park, MD	21.8	-2.3 pts
67	Fall River, MA	21.8	+1.1 pts
67	Lawrenceburg, TN	21.8	-0.4 pts
67	Macomb, IL	21.8	-0.1 pts
67	McMinnville, TN	21.8	-0.8 pts
74	Canton, OH	21.7	-1.2 pts
74	Poplar Bluff, MO	21.7	-0.9 pts
74	Whitewater, WI	21.7	-2.6 pts
77	Dayton, OH	21.6	-1.9 pts
77	Lincoln Park, MI	21.6	+0.9 pts
77	Magnolia, AR	21.6	-2.2 pts
77	Warren, OH	21.6	-2.2 pts
77	Youngstown, OH	21.6	-1.7 pts
82	Conway, SC	21.5	+1.4 pts
82	Dearborn, MI	21.5	+1.1 pts
82	Lewiston, ME	21.5	+1.8 pts
82	Palatka, FL	21.5	+0.2 pts
82	Port Huron, MI	21.5	+0.8 pts
82	Provo, UT	21.5	-1.5 pts
82	Terre Haute, IN	21.5	-0.1 pts
89	Brockton, MA	21.4	+1.2 pts
89	Clarksville, TN	21.4	-1 pts
89	Lima, OH	21.4	-1 pts
89	Logan, UT	21.4	-0.8 pts
89	Shelbyville, TN	21.4	-0.6 pts
94	Ashtabula, OH	21.3	-1.6 pts
94	Clarkston, GA	21.3	-0.3 pts
94	Forrest City, AR	21.3	-1 pts
94	Gainesville, FL	21.3	-1.3 pts
94	Rolla, MO	21.3	-0.4 pts
94	Springfield, TN	21.3	-0.9 pts
94	Tuscaloosa, AL	21.3	-2.2 pts
101	Athens, TN	21.2	-0.3 pts
101	Crossville, TN	21.2	-1 pts
101	Douglas, GA	21.2	+0.8 pts
101	Kirksville, MO	21.2	-1.4 pts
101	Marysville, CA	21.2	+0.5 pts
101	Red Bluff, CA	21.2	+0.2 pts
101	Shafter, CA	21.2	+0.6 pts
101	Wasco, CA	21.2	+0.9 pts
101	Whitehall, OH	21.2	-0.8 pts
101	Ypsilanti, MI	21.2	-0.8 pts
111	Airway Heights, WA	21.1	-1.5 pts
111	Dyersburg, TN	21.1	-0.1 pts
111	Johnson City, TN	21.1	-0.7 pts
111	Kelso, WA	21.1	+0.2 pts
111	Lewisburg, TN	21.1	-0.8 pts
111	Madera, CA	21.1	-0.2 pts
111	Mansfield, OH	21.1	-1.2 pts
111	Russellville, AR	21.1	-1.8 pts
111	South Charleston, WV	21.1	+0.3 pts
111	Springfield, MA	21.1	+0.1 pts
111	Stillwater, OK	21.1	-2.7 pts
111	Taylor, MI	21.1	+1 pts
111	Wayne, MI	21.1	+0.6 pts
111	West Memphis, AR	21.1	-1 pts
125	Adelanto, CA	21	-0.2 pts
125	Barstow, CA	21	-0.2 pts
125	Baton Rouge, LA	21	-1.2 pts
125	Bridgeton, NJ	21	-0.2 pts
125	Dearborn Heights, MI	21	+0.7 pts
125	Monmouth, OR	21	-0.8 pts
125	New Iberia, LA	21	-1.1 pts
125	Paris, TN	21	-0.3 pts
125	Parlier, CA	21	-0.6 pts
125	Tahlequah, OK	21	-2.4 pts
125	Union City, TN	21	-0.2 pts
125	Zanesville, OH	21	-0.5 pts
137	Anderson, CA	20.9	0 pts
137	Avenal, CA	20.9	+0.5 pts
137	Bogalusa, LA	20.9	-1.3 pts
137	Cleveland, TN	20.9	-0.8 pts
137	Corcoran, CA	20.9	-0.6 pts
137	DeKalb, IL	20.9	+0.4 pts
137	Elizabethton, TN	20.9	-0.7 pts
137	Florida City, FL	20.9	-2.5 pts
137	Huntsville, TX	20.9	-1.7 pts
137	Lenoir City, TN	20.9	-0.9 pts
137	New Brunswick, NJ	20.9	-1.2 pts
137	Paragould, AR	20.9	-1.1 pts
137	Sault Ste. Marie, MI	20.9	0 pts
137	Springfield, OH	20.9	-1.3 pts
137	St. Albans, WV	20.9	+1.2 pts
137	Troy, AL	20.9	-2.6 pts
137	Waterville, ME	20.9	+0.7 pts
154	Adrian, MI	20.8	+0.3 pts
154	Cambridge, OH	20.8	-1.5 pts
154	Camden, NJ	20.8	-0.7 pts
154	Carbondale, IL	20.8	-0.5 pts
154	Connersville, IN	20.8	+1.2 pts
154	Cudahy, CA	20.8	-2.1 pts
154	Ellensburg, WA	20.8	-0.9 pts
154	Farmersville, CA	20.8	-0.3 pts
154	Fayetteville, AR	20.8	-1.8 pts
154	Hartford, CT	20.8	-0.4 pts
154	Ironton, OH	20.8	-1.2 pts
154	Klamath Falls, OR	20.8	-0.5 pts
154	La Vergne, TN	20.8	-0.1 pts
154	Marion, IN	20.8	-0.4 pts
154	Muskegon, MI	20.8	-0.6 pts
154	Newark, DE	20.8	+0.3 pts
154	Shasta Lake, CA	20.8	+0.8 pts
154	Spring Lake, NC	20.8	+0.6 pts
154	Springfield, OR	20.8	-0.7 pts
154	Steubenville, OH	20.8	-2 pts
154	Syracuse, NY	20.8	-0.7 pts
154	Yelm, WA	20.8	-0.8 pts
176	Alliance, OH	20.7	-1 pts
176	Bellefontaine Neighbors, MO	20.7	+1.1 pts
176	Eastpointe, MI	20.7	+0.4 pts
176	Ferguson, MO	20.7	+0.6 pts
176	Gary, IN	20.7	-0.3 pts
176	Killeen, TX	20.7	-1.5 pts
176	Memphis, TN	20.7	-1.1 pts
176	Monroe, GA	20.7	+0.2 pts
176	North Las Vegas, NV	20.7	+2.2 pts
176	Oneonta, NY	20.7	-1.2 pts
176	Pontiac, MI	20.7	+0.1 pts
176	Texarkana, AR	20.7	-1 pts
176	Thibodaux, LA	20.7	-0.6 pts
176	Valdosta, GA	20.7	0 pts
176	Wheeling, WV	20.7	+0.5 pts
191	Akron, OH	20.6	-1.5 pts
191	Alexandria, LA	20.6	-0.3 pts
191	Amherst Town, MA	20.6	-1 pts
191	Burton, MI	20.6	+0.9 pts
191	Corvallis, OR	20.6	-1.5 pts
191	Grandview, MO	20.6	+0.3 pts
191	Hopewell, VA	20.6	-0.6 pts
191	Jackson, TN	20.6	-0.7 pts
191	Lindsay, CA	20.6	-1.7 pts
191	Maryville, MO	20.6	-1.9 pts
191	Miami, OK	20.6	-1.6 pts
191	Okmulgee, OK	20.6	-1.9 pts
191	Owosso, MI	20.6	+1.2 pts
191	Susanville, CA	20.6	+0.7 pts
191	Toledo, OH	20.6	-2 pts
191	Weatherford, OK	20.6	-1.6 pts
191	Woonsocket, RI	20.6	+1.2 pts
208	Aberdeen, WA	20.5	+0.7 pts
208	Battle Ground, WA	20.5	+1.7 pts
208	Conneaut, OH	20.5	-0.5 pts
208	Elmira, NY	20.5	+0.2 pts
208	Eureka, CA	20.5	+1.2 pts
208	Hamilton, OH	20.5	-1.5 pts
208	Harper Woods, MI	20.5	+0.8 pts
208	Hartsville, TN	20.5	-1 pts
208	Jonesboro, AR	20.5	-1.4 pts
208	King City, CA	20.5	-1.1 pts
208	North Adams, MA	20.5	+0.5 pts
208	Richmond, IN	20.5	+0.9 pts
220	Albany, GA	20.4	+0.1 pts
220	Athens, GA	20.4	-0.2 pts
220	Bell Gardens, CA	20.4	-1.9 pts
220	Blythe, CA	20.4	+0.7 pts
220	Carrollton, GA	20.4	-1.2 pts
220	Center Point, AL	20.4	-1.1 pts
220	Charleston, IL	20.4	-0.3 pts
220	Clemson, SC	20.4	-1.2 pts
220	Durant, OK	20.4	-2.1 pts
220	Fort Pierce, FL	20.4	-0.5 pts
220	Gresham, OR	20.4	-0.7 pts
220	Lebanon, OR	20.4	-1 pts
220	Manchester, TN	20.4	-1.1 pts
220	Millington, TN	20.4	-1.6 pts
220	Morgan City, LA	20.4	-0.7 pts
220	Murfreesboro, TN	20.4	-0.3 pts
220	Muskogee, OK	20.4	-0.7 pts
220	Painesville, OH	20.4	-1.4 pts
220	Pittsburg, KS	20.4	+0.1 pts
220	Platteville, WI	20.4	0 pts
220	Port Arthur, TX	20.4	+0.2 pts
220	Romulus, MI	20.4	+0.4 pts
220	Searcy, AR	20.4	-1.4 pts
220	Sevierville, TN	20.4	+0.3 pts
220	Waco, TX	20.4	-1.7 pts
220	West Plains, MO	20.4	-0.3 pts
246	Baker, LA	20.3	-0.6 pts
246	Blytheville, AR	20.3	-1.2 pts
246	Burlington, VT	20.3	-0.2 pts
246	Clinton, TN	20.3	+0.2 pts
246	Elkton, MD	20.3	+0.5 pts

Showing the top 250 of 3101. The Excel download has every row.

Other periods

2023
2022
2021

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. 110 cities 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, 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 (US cities 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, US cities 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/us-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. US cities 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/us-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, US cities 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/us-cities (Accessed: 12 October 2026).

BibTeX

@misc{centers_us_cities_by_frequent_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: US cities 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/us-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: US cities 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/us-cities
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/us-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 US cities 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":"United States","limit":10}
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Questions

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

Kiryas Joel, NY, with 29.4% in 2023, according to the Centers for Disease Control and Prevention.

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

Laguna Woods, CA, with 9.1% 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. 110 cities have no value for 2023 and are not ranked.