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

Athens, OH had the highest frequent mental distress in adults, local model estimate of 3211 cities in 2022, at 31.4%. Laguna Woods, CA had the lowest, at 8.1%. The median was 17.2%. Source: the Centers for Disease Control and Prevention.

Highest31.4Athens, OH

Lowest8.1Laguna Woods, CA

Median17.23211 cities

Top 40 cities, 2022

%. 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	2022 (%)	Change on 2021
1	Athens, OH	31.4	+2.6 pts
1	Kiryas Joel, NY	31.4	+3.9 pts
3	Oxford, OH	30.6	+2.7 pts
4	New Square, NY	30.4	+2.2 pts
5	State College, PA	27.4	-0.5 pts
6	Morgantown, WV	27.2	+2.2 pts
7	Cheney, WA	27.1	+2.8 pts
8	Rexburg, ID	27	+1.6 pts
9	Boone, NC	26.7	+0.9 pts
10	Kent, OH	26.4	+2.8 pts
10	Martin, TN	26.4	+1 pts
12	Pullman, WA	26	-0.2 pts
13	West Lafayette, IN	25.9	+1.6 pts
14	Bowling Green, OH	25.6	+1.1 pts
14	Mount Pleasant, MI	25.6	-0.1 pts
16	Jacksonville, AL	25.4	+3 pts
17	East Lansing, MI	25	-0.4 pts
17	Huntington, WV	25	+2 pts
17	Radford, VA	25	+0.6 pts
20	Statesboro, GA	24.9	-0.6 pts
21	Portsmouth, OH	24.8	+3.2 pts
22	Ruston, LA	24.7	+1.4 pts
23	Blacksburg, VA	24.6	+1.5 pts
23	Mendota, CA	24.6	+1.3 pts
25	San Marcos, TX	24.4	+0.6 pts
26	Nacogdoches, TX	24.3	+1 pts
26	Whitewater, WI	24.3	+2.1 pts
28	Harrisonburg, VA	24.2	+1.4 pts
28	Muncie, IN	24.2	+2.3 pts
28	Natchitoches, LA	24.2	+0.5 pts
31	College Park, MD	24.1	+2.1 pts
31	Melvindale, MI	24.1	+3.4 pts
33	Gatesville, TX	24	+1.6 pts
34	Bloomsburg, PA	23.9	-1.2 pts
35	College Station, TX	23.8	+0.8 pts
35	Hamtramck, MI	23.8	+0.3 pts
35	Magnolia, AR	23.8	+2.8 pts
35	Stillwater, OK	23.8	-0.3 pts
35	Warren, OH	23.8	+3.8 pts
40	Hammond, LA	23.7	+0.5 pts
40	Indiana, PA	23.7	-2.5 pts
42	Dayton, OH	23.5	+1 pts
42	Morristown, TN	23.5	+2.6 pts
42	Troy, AL	23.5	+1.6 pts
42	Tuscaloosa, AL	23.5	+1 pts
46	Florida City, FL	23.4	n/a
46	Stephenville, TX	23.4	+2.4 pts
46	Tahlequah, OK	23.4	+1.5 pts
49	Crowley, LA	23.3	+0.3 pts
49	Youngstown, OH	23.3	+2.2 pts
51	Inkster, MI	23.2	+2.3 pts
51	Opelousas, LA	23.2	+0.7 pts
53	Parkersburg, WV	23.1	+2.3 pts
53	West Chester, PA	23.1	+2.9 pts
55	Bloomington, IN	23	-0.3 pts
55	Conway, AR	23	+2.6 pts
55	Cookeville, TN	23	+1.1 pts
55	Provo, UT	23	+0.8 pts
55	Warrensburg, MO	23	+0.8 pts
60	Ashtabula, OH	22.9	+2.9 pts
60	Canton, OH	22.9	+3.3 pts
60	Cudahy, CA	22.9	+2.8 pts
60	Milledgeville, GA	22.9	+1 pts
60	Russellville, AR	22.9	+1.4 pts
65	Steubenville, OH	22.8	+2.1 pts
66	Arvin, CA	22.7	+0.3 pts
66	Flagstaff, AZ	22.7	+2.7 pts
66	Flint, MI	22.7	+1.3 pts
66	Knoxville, TN	22.7	+1.6 pts
66	Menomonie, WI	22.7	+3.2 pts
66	Minden, LA	22.7	+0.7 pts
72	Airway Heights, WA	22.6	+1.9 pts
72	Fayetteville, AR	22.6	+1.2 pts
72	Gainesville, FL	22.6	n/a
72	Huntsville, TX	22.6	+1.7 pts
72	Kalamazoo, MI	22.6	+1 pts
72	Kirksville, MO	22.6	-1 pts
72	McMinnville, TN	22.6	+1.9 pts
72	Poplar Bluff, MO	22.6	+1 pts
72	Portland, TN	22.6	+1.6 pts
72	Toledo, OH	22.6	+1.8 pts
82	Arcata, CA	22.5	0 pts
82	Clarksburg, WV	22.5	+2.3 pts
82	Durant, OK	22.5	+1.8 pts
82	Maryville, MO	22.5	+1.4 pts
82	Okmulgee, OK	22.5	+0.9 pts
87	Auburn, AL	22.4	-0.4 pts
87	Clarksville, TN	22.4	+2.1 pts
87	Lima, OH	22.4	+2.3 pts
87	Martinsburg, WV	22.4	+0.9 pts
87	McFarland, CA	22.4	+0.3 pts
87	Murray, KY	22.4	-1.2 pts
93	Bell Gardens, CA	22.3	+1.7 pts
93	Cambridge, OH	22.3	+3 pts
93	Forrest City, AR	22.3	+2.1 pts
93	Lindsay, CA	22.3	-0.5 pts
93	Mansfield, OH	22.3	+3.2 pts
93	Monroe, LA	22.3	+0.9 pts
93	Saginaw, MI	22.3	+0.7 pts
100	Baton Rouge, LA	22.2	+1.5 pts
100	Bogalusa, LA	22.2	+0.8 pts
100	Crossville, TN	22.2	+2.2 pts
100	Darby, PA	22.2	+2.9 pts
100	Killeen, TX	22.2	+1.7 pts
100	Lawrenceburg, TN	22.2	+3.2 pts
100	Logan, UT	22.2	-0.7 pts
100	Miami, OK	22.2	+1.5 pts
100	Springfield, OH	22.2	+2.1 pts
100	Springfield, TN	22.2	+2.2 pts
100	Twentynine Palms, CA	22.2	+0.3 pts
100	Weatherford, OK	22.2	+0.2 pts
112	Akron, OH	22.1	+1.7 pts
112	Central Falls, RI	22.1	+1.3 pts
112	Corvallis, OR	22.1	+1.6 pts
112	Elyria, OH	22.1	+3.3 pts
112	New Brunswick, NJ	22.1	-1.1 pts
112	New Iberia, LA	22.1	+0.9 pts
112	Waco, TX	22.1	+0.6 pts
112	West Memphis, AR	22.1	+0.3 pts
120	Cleveland, OH	22	+1.7 pts
120	Fairmont, WV	22	+1 pts
120	Hamilton, OH	22	+3.1 pts
120	Ironton, OH	22	+3.1 pts
120	Lorain, OH	22	+2.8 pts
120	Millington, TN	22	+3.2 pts
120	Paragould, AR	22	+2.6 pts
120	Shelbyville, TN	22	+1.4 pts
120	Whitehall, OH	22	+1.1 pts
120	Ypsilanti, MI	22	-1.3 pts
130	Jonesboro, AR	21.9	+2.2 pts
130	Lewisburg, TN	21.9	+1.2 pts
130	Macomb, IL	21.9	-0.8 pts
130	Norwood, OH	21.9	+2.9 pts
130	Oneonta, NY	21.9	+2.8 pts
135	Abbeville, LA	21.8	+1.8 pts
135	Beckley, WV	21.8	+1.5 pts
135	Detroit, MI	21.8	+1.2 pts
135	Franklin, OH	21.8	+3.2 pts
135	Johnson City, TN	21.8	+2.6 pts
135	Lenoir City, TN	21.8	+1 pts
135	Memphis, TN	21.8	+1.7 pts
135	Monmouth, OR	21.8	-1.5 pts
135	Painesville, OH	21.8	+1.7 pts
135	Searcy, AR	21.8	+1.4 pts
135	Tallahassee, FL	21.8	n/a
135	Wilmington, OH	21.8	+2.5 pts
147	Alliance, OH	21.7	+3.1 pts
147	Bellefontaine, OH	21.7	+3.4 pts
147	Chester, PA	21.7	+0.6 pts
147	Cleveland, TN	21.7	+1.6 pts
147	Ellensburg, WA	21.7	-1.1 pts
147	Middletown, OH	21.7	+2.5 pts
147	Rolla, MO	21.7	+1.8 pts
147	Texarkana, AR	21.7	+1.4 pts
155	Ada, OK	21.6	+1.4 pts
155	Alton, TX	21.6	+1.5 pts
155	Amherst Town, MA	21.6	n/a
155	Barberton, OH	21.6	+2.4 pts
155	Belton, TX	21.6	+2.8 pts
155	Camden, AR	21.6	+1.2 pts
155	Carrollton, GA	21.6	+0.8 pts
155	Clarkston, GA	21.6	-0.7 pts
155	Clemson, SC	21.6	+0.7 pts
155	Elizabethton, TN	21.6	+1.4 pts
155	Jacksonville, AR	21.6	+1.8 pts
155	King City, CA	21.6	+1.2 pts
155	Parlier, CA	21.6	+0.4 pts
155	Prichard, AL	21.6	-0.6 pts
155	Siloam Springs, AR	21.6	+0.3 pts
155	Terre Haute, IN	21.6	+1.9 pts
155	Yelm, WA	21.6	+1.2 pts
172	Athens, TN	21.5	+1.3 pts
172	Blytheville, AR	21.5	+1.1 pts
172	Camden, NJ	21.5	-0.5 pts
172	Center Point, AL	21.5	+1.1 pts
172	Corcoran, CA	21.5	+1.6 pts
172	Hartsville, TN	21.5	+3 pts
172	Jacksonville, TX	21.5	+1.5 pts
172	Manchester, TN	21.5	+3.7 pts
172	McAlester, OK	21.5	+2.1 pts
172	Richmond, KY	21.5	-1.8 pts
172	Springfield, MO	21.5	+0.8 pts
172	Springfield, OR	21.5	+1.5 pts
172	Syracuse, NY	21.5	-0.4 pts
172	Zanesville, OH	21.5	+1.3 pts
186	Clearlake, CA	21.4	+0.3 pts
186	Ithaca, NY	21.4	+0.8 pts
186	Lebanon, OR	21.4	+2.5 pts
186	Muskegon, MI	21.4	+0.7 pts
186	Ontario, OR	21.4	+0.8 pts
186	West Carrollton, OH	21.4	+1.9 pts
186	Williamsburg, VA	21.4	+2 pts
193	Carbondale, IL	21.3	-1.2 pts
193	Cincinnati, OH	21.3	+2.4 pts
193	Coolidge, AZ	21.3	+3 pts
193	East Ridge, TN	21.3	+3.5 pts
193	Jackson, TN	21.3	+1.7 pts
193	Klamath Falls, OR	21.3	+0.7 pts
193	Lebanon, MO	21.3	+2.4 pts
193	Madera, CA	21.3	+1.1 pts
193	Malvern, AR	21.3	+2.1 pts
193	Palatka, FL	21.3	n/a
193	Paris, TN	21.3	+0.8 pts
193	Pine Bluff, AR	21.3	+0.6 pts
193	Piqua, OH	21.3	+3.1 pts
193	Ravenna, OH	21.3	+3.2 pts
193	Russellville, AL	21.3	+2.1 pts
193	Shelton, WA	21.3	+0.9 pts
193	Thibodaux, LA	21.3	+1.2 pts
210	Adelanto, CA	21.2	-0.5 pts
210	Barstow, CA	21.2	+0.6 pts
210	Bridgeton, NJ	21.2	-0.1 pts
210	Dyersburg, TN	21.2	+0.9 pts
210	East Cleveland, OH	21.2	+1.4 pts
210	Fairborn, OH	21.2	+2.1 pts
210	Fort Smith, AR	21.2	+1.6 pts
210	Hartford, CT	21.2	+0.4 pts
210	Hopewell, VA	21.2	+1.9 pts
210	Marion, IN	21.2	+1.1 pts
210	Marion, OH	21.2	+2 pts
210	Riverdale, IL	21.2	+2.7 pts
210	Union City, TN	21.2	+0.2 pts
210	Washington Court House, OH	21.2	+2.6 pts
224	Farmersville, CA	21.1	+0.2 pts
224	Florence, AL	21.1	+1.4 pts
224	Gallup, NM	21.1	+2.8 pts
224	Gresham, OR	21.1	+0.8 pts
224	Jackson, MI	21.1	-0.7 pts
224	Kerman, CA	21.1	+1.3 pts
224	Marietta, OH	21.1	+1.5 pts
224	Morgan City, LA	21.1	+1.4 pts
224	Muskogee, OK	21.1	+1.2 pts
224	New Bedford, MA	21.1	+1.9 pts
224	San Luis, AZ	21.1	+1.1 pts
235	Bell, CA	21	+1.9 pts
235	Belle Glade, FL	21	n/a
235	Bellmead, TX	21	+0.3 pts
235	Conneaut, OH	21	+3.1 pts
235	Gary, IN	21	+1.8 pts
235	Independence, OR	21	+2.1 pts
235	Moberly, MO	21	+1.5 pts
235	Red Bluff, CA	21	+0.5 pts
235	Riverside, OH	21	+1.7 pts
235	Sandusky, OH	21	+2.2 pts
235	Springfield, MA	21	-0.7 pts
235	Talladega, AL	21	-0.2 pts
235	Williamsport, PA	21	+0.5 pts
248	Alexandria, LA	20.9	+0.4 pts
248	Anderson, CA	20.9	+1.2 pts
248	Baker, LA	20.9	+1.9 pts

Showing the top 250 of 3211. 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. 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, 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, US cities 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/us-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. US cities 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/us-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, US cities 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/us-cities?period=2022 (Accessed: 12 October 2026).

BibTeX

@misc{centers_us_cities_by_frequent_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: US cities 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/us-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: US cities 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/us-cities?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/us-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  -

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.

Embed code

<iframe src="https://invokely.ai/embed/rankings/adult-frequent-mental-distress-rate-county-estimate/us-cities?period=2022" width="760" height="500" title="US cities by frequent mental distress in adults, local model estimate, 2022, chart from Invokely" loading="lazy" style="border:0;width:100%;max-width:760px" referrerpolicy="strict-origin-when-cross-origin"></iframe>

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 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}
GET https://invokely.ai/api/v1/rank?indicator=adult_frequent_mental_distress_rate_modelled&level=municipality&within=United%20States&limit=10

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

Questions

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

Athens, OH, with 31.4% in 2022, according to the Centers for Disease Control and Prevention.

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

Laguna Woods, CA, with 8.1% 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.