Data / Rankings / Frequent mental distress in adults, local model estimate / US counties

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

Oglala Lakota County had the highest frequent mental distress in adults, local model estimate of 2956 counties in 2023, at 25.7%. Sumter County had the lowest, at 11.5%. The median was 17.2%. Source: the Centers for Disease Control and Prevention.

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Highest25.7Oglala Lakota County
Lowest11.5Sumter County
Median17.22956 counties

Map of counties, 2023

%, 2023. Hatched areas have no value for this period. 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. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2023

Oglala Lakota County: 25.7 %Oglala Lakota County25.7Todd County: 24.8 %Todd County24.8Kusilvak Census Area: 24.5 %Kusilvak Census Area24.5Mingo County: 24.1 %Mingo County24.1McDowell County: 23.8 %McDowell County23.8Lake County: 23.4 %Lake County23.4Radford city: 23.4 %Radford city23.4McKinley County: 23.3 %McKinley County23.3East Carroll Parish: 23.2 %East Carroll Parish23.2Glacier County: 23.2 %Glacier County23.2Hancock County: 23.2 %Hancock County23.2Buffalo County: 23.1 %Buffalo County23.1Logan County: 23.1 %Logan County23.1Scott County: 23.1 %Scott County23.1Madison County: 22.7 %Madison County22.7Barbour County: 22.6 %Barbour County22.6Lincoln County: 22.5 %Lincoln County22.5Madison Parish: 22.5 %Madison Parish22.5Roosevelt County: 22.5 %Roosevelt County22.5Wyoming County: 22.4 %Wyoming County22.4Clay County: 22.3 %Clay County22.3Raleigh County: 22.3 %Raleigh County22.3Big Horn County: 22.2 %Big Horn County22.2Calhoun County: 22.2 %Calhoun County22.2Sioux County: 22.2 %Sioux County22.2Braxton County: 22 %Braxton County22Cabell County: 21.9 %Cabell County21.9Avoyelles Parish: 21.8 %Avoyelles Parish21.8Fayette County: 21.8 %Fayette County21.8Lauderdale County: 21.8 %Lauderdale County21.8Macon County: 21.8 %Macon County21.8Roane County: 21.8 %Roane County21.8Wayne County: 21.8 %Wayne County21.8Isabella County: 21.7 %Isabella County21.7Lincoln Parish: 21.7 %Lincoln Parish21.7Webster County: 21.7 %Webster County21.7Acadia Parish: 21.6 %Acadia Parish21.6Berkeley County: 21.6 %Berkeley County21.6Bethel Census Area: 21.6 %Bethel Census Area21.6Boone County: 21.6 %Boone County21.6Oglala Lakota County: 25.7 %Oglala Lakota County25.7Todd County: 24.8 %Todd County24.8Kusilvak Census Area: 24.5 %Kusilvak Census Area24.5Mingo County: 24.1 %Mingo County24.1McDowell County: 23.8 %McDowell County23.8Lake County: 23.4 %Lake County23.4Radford city: 23.4 %Radford city23.4McKinley County: 23.3 %McKinley County23.3East Carroll Parish: 23.2 %East Carroll Parish23.2Glacier County: 23.2 %Glacier County23.2Hancock County: 23.2 %Hancock County23.2Buffalo County: 23.1 %Buffalo County23.1Logan County: 23.1 %Logan County23.1Scott County: 23.1 %Scott County23.1Madison County: 22.7 %Madison County22.7Barbour County: 22.6 %Barbour County22.6Lincoln County: 22.5 %Lincoln County22.5Madison Parish: 22.5 %Madison Parish22.5Roosevelt County: 22.5 %Roosevelt County22.5Wyoming County: 22.4 %Wyoming County22.4Clay County: 22.3 %Clay County22.3Raleigh County: 22.3 %Raleigh County22.3Big Horn County: 22.2 %Big Horn County22.2Calhoun County: 22.2 %Calhoun County22.2Sioux County: 22.2 %Sioux County22.2Braxton County: 22 %Braxton County22Cabell County: 21.9 %Cabell County21.9Avoyelles Parish: 21.8 %Avoyelles Parish21.8Fayette County: 21.8 %Fayette County21.8Lauderdale County: 21.8 %Lauderdale County21.8Macon County: 21.8 %Macon County21.8Roane County: 21.8 %Roane County21.8Wayne County: 21.8 %Wayne County21.8Isabella County: 21.7 %Isabella County21.7Lincoln Parish: 21.7 %Lincoln Parish21.7Webster County: 21.7 %Webster County21.7Acadia Parish: 21.6 %Acadia Parish21.6Berkeley County: 21.6 %Berkeley County21.6Bethel Census Area: 21.6 %Bethel Census Area21.6Boone County: 21.6 %Boone County21.6
%. 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
1Oglala Lakota County25.7+2.4 pts
2Todd County24.8+1.9 pts
3Kusilvak Census Area24.5-1.7 pts
4Mingo County24.1+0.9 pts
5McDowell County23.8+0.6 pts
6Lake County23.4+0.8 pts
6Radford city23.4-1.3 pts
8McKinley County23.3-1.8 pts
9East Carroll Parish23.2-0.6 pts
9Glacier County23.2-1.8 pts
9Hancock County23.2-0.7 pts
12Buffalo County23.1+0.6 pts
12Logan County23.1-0.1 pts
12Scott County23.1+0.7 pts
15Madison County22.7-3 pts
16Barbour County22.6+0.7 pts
17Lincoln County22.5-0.1 pts
17Madison Parish22.5-0.1 pts
17Roosevelt County22.5-0.9 pts
20Wyoming County22.4-0.8 pts
21Clay County22.3-0.2 pts
21Raleigh County22.3+1.4 pts
23Big Horn County22.2+1.6 pts
23Calhoun County22.2+0.9 pts
23Sioux County22.2-2.6 pts
26Braxton County22+1 pts
27Cabell County21.9-1.5 pts
28Avoyelles Parish21.8-0.9 pts
28Fayette County21.8-0.1 pts
28Lauderdale County21.8-0.2 pts
28Macon County21.80 pts
28Roane County21.8-0.6 pts
28Wayne County21.8-0.6 pts
34Isabella County21.7+1.3 pts
34Lincoln Parish21.7-1.9 pts
34Webster County21.7+1.2 pts
37Acadia Parish21.6+0.7 pts
37Berkeley County21.6+2.8 pts
37Bethel Census Area21.6-1.7 pts
37Boone County21.6+0.3 pts
37Lewis County21.6+0.4 pts
37Mason County21.6+0.4 pts
37Upshur County21.6-0.2 pts
44Campbell County21.5+0.7 pts
44Holmes County21.5-1.7 pts
44Ritchie County21.5-0.7 pts
44Summers County21.5+0.7 pts
44Weakley County21.5-0.1 pts
44Ziebach County21.5+0.9 pts
50Caldwell Parish21.4+0.3 pts
50Gilmer County21.4+0.9 pts
50Grundy County21.4+0.7 pts
50Marion County21.4+1.2 pts
50Trousdale County21.4+0.2 pts
55Concordia Parish21.3-0.5 pts
55Evangeline Parish21.3-2.4 pts
55Mercer County21.3+0.4 pts
55St. Landry Parish21.3-0.2 pts
55Wetzel County21.30 pts
60Adair County21.2-1.3 pts
60Apache County21.2-4.5 pts
60Chester County21.2-1.8 pts
60Cocke County21.2-0.5 pts
60Corson County21.2+2.1 pts
60Doddridge County21.2+0.8 pts
60Lawrence County21.2+0.2 pts
60Preston County21.2-0.1 pts
68Claiborne Parish21.1-0.7 pts
68Dewey County21.1+1.2 pts
68Franklin Parish21.1-0.5 pts
68Harrisonburg city21.1-1.3 pts
72Bledsoe County21+0.4 pts
72Hardy County21+0.1 pts
72Jackson County21-1.2 pts
72Morehouse Parish21-1.2 pts
72Natchitoches Parish21-1.5 pts
72Overton County21+0.3 pts
72Perry County210 pts
72Pike County21-0.6 pts
72Red River Parish21-0.1 pts
72Scioto County21-0.7 pts
72Taylor County21-0.6 pts
83Athens County20.9+1.3 pts
83Bienville Parish20.9-0.8 pts
83Haywood County20.9-0.5 pts
83Jackson County20.9+2 pts
83Kanawha County20.9+0.8 pts
83McNairy County20.9-0.5 pts
83Monongalia County20.9-0.2 pts
83Pleasants County20.9+0.1 pts
83Webster Parish20.9-0.7 pts
83Whitman County20.9-0.6 pts
83Wirt County20.9-1.1 pts
94Claiborne County20.8-0.9 pts
94DeKalb County20.8-1.1 pts
94Greenbrier County20.8+0.7 pts
94Morgan County20.8-0.6 pts
94Northwest Arctic Borough20.8-1.4 pts
94Randolph County20.8+0.4 pts
94Richland Parish20.8-0.6 pts
94St. Bernard Parish20.8-1.4 pts
94Tangipahoa Parish20.8-0.2 pts
94Treutlen County20.8+1.2 pts
94Wood County20.80 pts
105Allen Parish20.7-0.2 pts
105Atkinson County20.7+0.9 pts
105Desha County20.7-1.4 pts
105Dyer County20.7-0.8 pts
105Hardeman County20.7+0.1 pts
105Hopewell city20.7-1.1 pts
105Mellette County20.7+1.8 pts
105Nicholas County20.7+0.5 pts
105Sequatchie County20.7-1.2 pts
105Warren County20.7-1.8 pts
105Wayne County20.7-0.7 pts
105White County20.7-1 pts
117Catahoula Parish20.6+1 pts
117Chattahoochee County20.6-1.2 pts
117Decatur County20.60 pts
117Fentress County20.6-0.8 pts
117Hamblen County20.6+0.1 pts
117Hardin County20.6+1.2 pts
117Jackson County20.6+1 pts
117Lewis County20.6-1.8 pts
117Nome Census Area20.6-3.2 pts
117Pocahontas County20.6-0.2 pts
117Rhea County20.6-0.8 pts
117Sabine Parish20.6-0.4 pts
129Benton County20.5+0.6 pts
129Cannon County20.5-0.5 pts
129Clark County20.5-1 pts
129Hickman County20.5-0.3 pts
129Iberia Parish20.5-1 pts
129Jefferson Davis Parish20.5+0.3 pts
129Marshall County20.5+0.5 pts
129Pemiscot County20.5+0.1 pts
129Poinsett County20.5-2 pts
129Prince Edward County20.5-0.8 pts
129Putnam County20.5-0.4 pts
129San Juan County20.5-0.2 pts
129St. Helena Parish20.5+0.1 pts
129Vernon Parish20.5-1.3 pts
143Bedford County20.4-0.9 pts
143Bennett County20.4+2.2 pts
143Coffee County20.4+1.2 pts
143Henderson County20.4-0.5 pts
143Jenkins County20.4-0.1 pts
143Johnson County20.4+0.4 pts
143Lafourche Parish20.4-1.3 pts
143Lawrence County20.4-1.8 pts
143Meigs County20.4+1.2 pts
143Monroe County20.4-0.4 pts
143Monroe County20.4+0.2 pts
143Obion County20.4-0.1 pts
143St. Martin Parish20.4-0.1 pts
143St. Mary Parish20.4-1.2 pts
143Tyler County20.4+0.5 pts
143Union County20.4-0.2 pts
143Washington Parish20.4-0.3 pts
160De Soto Parish20.3+0.7 pts
160Harrison County20.3+0.8 pts
160Humphreys County20.3-0.7 pts
160Jackson County20.3-0.2 pts
160Meigs County20.3-1.2 pts
160Newton County20.3-0.5 pts
160Randolph County20.3-0.7 pts
160Seminole County20.3-0.1 pts
160Sequoyah County20.3-0.8 pts
160Tunica County20.30 pts
160Vermilion Parish20.3+0.2 pts
171Butler County20.2+0.8 pts
171Carroll County20.2-1.6 pts
171Carter County20.2-0.7 pts
171Clay County20.2-0.1 pts
171Crittenden County20.2-1.6 pts
171Delaware County20.2-1.5 pts
171Dillon County20.2-1.4 pts
171Gibson County20.2-1.1 pts
171Grant Parish20.2-0.4 pts
171Hancock County20.2+0.2 pts
171Hill County20.2+1.9 pts
171Marion County20.2+0.6 pts
171McDonald County20.2-0.2 pts
171Norton city20.2-0.6 pts
171Phillips County20.2-1.6 pts
171Rosebud County20.2+0.3 pts
187Bulloch County20.1+0.7 pts
187Bullock County20.1-1.4 pts
187Clinch County20.1-1 pts
187Gaines County20.1+0.2 pts
187Grainger County20.1-1.6 pts
187Hampshire County20.1-0.4 pts
187Hawkins County20.1+0.2 pts
187Houston County20.1-0.1 pts
187Jeff Davis County20.1-0.5 pts
187Lee County20.1-1.2 pts
187Liberty County20.1-1.5 pts
187McMinn County20.1+1.1 pts
187Miller County20.1-1.3 pts
187Mississippi County20.1-2.2 pts
187Muskogee County20.1+0.6 pts
187Ohio County20.1+2.1 pts
187Polk County20.1-0.2 pts
187Robeson County20.1-0.3 pts
187Smith County20.1-0.1 pts
187Terrebonne Parish20.1-0.1 pts
207Beauregard Parish20-0.3 pts
207Chattooga County20+0.8 pts
207Coal County20-0.9 pts
207Coffee County20-1.9 pts
207Columbia County20-0.4 pts
207Crockett County20-0.8 pts
207Dunklin County20+0.1 pts
207Grant County20-1 pts
207Greene County20-2 pts
207Jackson County20-0.2 pts
207Kern County20+1.2 pts
207Marshall County20-2 pts
207Montgomery County20-1.3 pts
207Tipton County20-0.3 pts
221Anderson County19.9+1.6 pts
221Berrien County19.9+1.1 pts
221Cook County19.9+0.7 pts
221Greene County19.9-0.9 pts
221Hardin County19.9-3.2 pts
221LaGrange County19.9-0.2 pts
221Latimer County19.9-1.4 pts
221Mississippi County19.9-1.6 pts
221Okfuskee County19.9-1 pts
221Pickett County19.9-0.9 pts
221Rapides Parish19.9-1 pts
221Ripley County19.9-1.1 pts
221St. Francis County19.9-1.9 pts
221Turner County19.9+0.1 pts
221Unicoi County19.9-1.1 pts
221Winn Parish19.9-0.4 pts
237Adams County19.8-1.7 pts
237Assumption Parish19.8-1.3 pts
237Ben Hill County19.8-0.2 pts
237Blaine County19.8+0.4 pts
237Bradford County19.8-0.4 pts
237Buena Vista city19.8-2.3 pts
237Cross County19.8-0.4 pts
237Drew County19.8-1 pts
237Emanuel County19.8-0.2 pts
237Franklin County19.8-1.2 pts
237Galax city19.8-0.8 pts
237Giles County19.80 pts
237Hamilton County19.8-0.5 pts
237Henry County19.8-0.4 pts

Showing the top 250 of 2956. 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. 188 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 (US counties 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, US counties 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/us-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. US counties 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-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, US counties 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-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_us_counties_by_frequent_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: US counties 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-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: US counties 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/us-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/us-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  -
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Questions

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

Oglala Lakota County, with 25.7% in 2023, according to the Centers for Disease Control and Prevention.

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

Sumter County, with 11.5% 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. 188 counties have no value for 2023 and are not ranked.

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

US counties: more rankings