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

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

Kusilvak Census Area had the highest frequent mental distress in adults, local model estimate of 3144 counties in 2022, at 26.2%. Custer County had the lowest, at 11%. The median was 17.2%. Source: the Centers for Disease Control and Prevention.

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Highest26.2Kusilvak Census Area
Lowest11Custer County
Median17.23144 counties

Map of counties, 2022

%, 2022. 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, 2022

Kusilvak Census Area: 26.2 %Kusilvak Census Area26.2Apache County: 25.7 %Apache County25.7Madison County: 25.7 %Madison County25.7McKinley County: 25.1 %McKinley County25.1Glacier County: 25 %Glacier County25Sioux County: 24.8 %Sioux County24.8Radford city: 24.7 %Radford city24.7Hancock County: 23.9 %Hancock County23.9East Carroll Parish: 23.8 %East Carroll Parish23.8Nome Census Area: 23.8 %Nome Census Area23.8Evangeline Parish: 23.7 %Evangeline Parish23.7Lincoln Parish: 23.6 %Lincoln Parish23.6Cabell County: 23.4 %Cabell County23.4Roosevelt County: 23.4 %Roosevelt County23.4Bethel Census Area: 23.3 %Bethel Census Area23.3Oglala Lakota County: 23.3 %Oglala Lakota County23.3Holmes County: 23.2 %Holmes County23.2Logan County: 23.2 %Logan County23.2McDowell County: 23.2 %McDowell County23.2Mingo County: 23.2 %Mingo County23.2Wyoming County: 23.2 %Wyoming County23.2Hardin County: 23.1 %Hardin County23.1Chester County: 23 %Chester County23Todd County: 22.9 %Todd County22.9Avoyelles Parish: 22.7 %Avoyelles Parish22.7Lake County: 22.6 %Lake County22.6Lincoln County: 22.6 %Lincoln County22.6Madison Parish: 22.6 %Madison Parish22.6Adair County: 22.5 %Adair County22.5Buffalo County: 22.5 %Buffalo County22.5Clay County: 22.5 %Clay County22.5Kenedy County: 22.5 %Kenedy County22.5Natchitoches Parish: 22.5 %Natchitoches Parish22.5Poinsett County: 22.5 %Poinsett County22.5Warren County: 22.5 %Warren County22.5Harrisonburg city: 22.4 %Harrisonburg city22.4Lewis County: 22.4 %Lewis County22.4Roane County: 22.4 %Roane County22.4Scott County: 22.4 %Scott County22.4Wayne County: 22.4 %Wayne County22.4Kusilvak Census Area: 26.2 %Kusilvak Census Area26.2Apache County: 25.7 %Apache County25.7Madison County: 25.7 %Madison County25.7McKinley County: 25.1 %McKinley County25.1Glacier County: 25 %Glacier County25Sioux County: 24.8 %Sioux County24.8Radford city: 24.7 %Radford city24.7Hancock County: 23.9 %Hancock County23.9East Carroll Parish: 23.8 %East Carroll Parish23.8Nome Census Area: 23.8 %Nome Census Area23.8Evangeline Parish: 23.7 %Evangeline Parish23.7Lincoln Parish: 23.6 %Lincoln Parish23.6Cabell County: 23.4 %Cabell County23.4Roosevelt County: 23.4 %Roosevelt County23.4Bethel Census Area: 23.3 %Bethel Census Area23.3Oglala Lakota County: 23.3 %Oglala Lakota County23.3Holmes County: 23.2 %Holmes County23.2Logan County: 23.2 %Logan County23.2McDowell County: 23.2 %McDowell County23.2Mingo County: 23.2 %Mingo County23.2Wyoming County: 23.2 %Wyoming County23.2Hardin County: 23.1 %Hardin County23.1Chester County: 23 %Chester County23Todd County: 22.9 %Todd County22.9Avoyelles Parish: 22.7 %Avoyelles Parish22.7Lake County: 22.6 %Lake County22.6Lincoln County: 22.6 %Lincoln County22.6Madison Parish: 22.6 %Madison Parish22.6Adair County: 22.5 %Adair County22.5Buffalo County: 22.5 %Buffalo County22.5Clay County: 22.5 %Clay County22.5Kenedy County: 22.5 %Kenedy County22.5Natchitoches Parish: 22.5 %Natchitoches Parish22.5Poinsett County: 22.5 %Poinsett County22.5Warren County: 22.5 %Warren County22.5Harrisonburg city: 22.4 %Harrisonburg city22.4Lewis County: 22.4 %Lewis County22.4Roane County: 22.4 %Roane County22.4Scott County: 22.4 %Scott County22.4Wayne County: 22.4 %Wayne County22.4
%. 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
1Kusilvak Census Area26.2+0.2 pts
2Apache County25.7+3.9 pts
2Madison County25.7+5.7 pts
4McKinley County25.1+3.6 pts
5Glacier County25+4.9 pts
6Sioux County24.8+3.9 pts
7Radford city24.7+1.9 pts
8Hancock County23.9+3.2 pts
9East Carroll Parish23.8+0.6 pts
9Nome Census Area23.8+4.2 pts
11Evangeline Parish23.7+2.5 pts
12Lincoln Parish23.6+3 pts
13Cabell County23.4+3.4 pts
13Roosevelt County23.4+3.1 pts
15Bethel Census Area23.3+0.9 pts
15Oglala Lakota County23.3+0.5 pts
17Holmes County23.2+3.5 pts
17Logan County23.2+1.8 pts
17McDowell County23.2+1.6 pts
17Mingo County23.2+1.4 pts
17Wyoming County23.2+2.6 pts
22Hardin County23.1+4.7 pts
23Chester County23+3.3 pts
24Todd County22.9-0.2 pts
25Avoyelles Parish22.7+2.3 pts
26Lake County22.6+2.3 pts
26Lincoln County22.6+1.5 pts
26Madison Parish22.6+1 pts
29Adair County22.5+1.2 pts
29Buffalo County22.5+2.4 pts
29Clay County22.5+2.4 pts
29Kenedy County22.5+6.1 pts
29Natchitoches Parish22.5+2.4 pts
29Poinsett County22.5+2.9 pts
29Warren County22.5+3.4 pts
36Harrisonburg city22.4+1.3 pts
36Lewis County22.4+2.8 pts
36Roane County22.4+2.8 pts
36Scott County22.4+1.7 pts
36Wayne County22.4+2.6 pts
41Mississippi County22.3+2.9 pts
42Jackson County22.2+2.8 pts
42Lawrence County22.2+3 pts
42Morehouse Parish22.2+2 pts
42Navajo County22.2+3.5 pts
42Northwest Arctic Borough22.2+2.1 pts
42Ritchie County22.2+3.4 pts
42St. Bernard Parish22.2+2.3 pts
49Buena Vista city22.1+2.5 pts
49Desha County22.1+2.5 pts
49Vinton County22.1+3.2 pts
52Greene County22+3.5 pts
52Lauderdale County22+1.9 pts
52Marshall County22+3.3 pts
52Wirt County22+2.8 pts
52Wolfe County22-0.7 pts
57Barbour County21.9+1.7 pts
57Coffee County21.9+3.8 pts
57DeKalb County21.9+3.1 pts
57Fayette County21.9+2 pts
57Payne County21.9+1.9 pts
57Sequatchie County21.9+2.5 pts
63Carroll County21.8+3.6 pts
63Chattahoochee County21.8+2 pts
63Claiborne Parish21.8+1.9 pts
63Concordia Parish21.8+0.9 pts
63Crittenden County21.8+2.4 pts
63Hopewell city21.8+2.9 pts
63Macon County21.8+1.4 pts
63Phillips County21.8+2.5 pts
63St. Francis County21.8+2.6 pts
63Sumter County21.8+1.7 pts
63Upshur County21.8+2.4 pts
63Vernon Parish21.8+2.1 pts
75Bienville Parish21.7+2.1 pts
75Claiborne County21.7+2.5 pts
75Cocke County21.7+2.7 pts
75Delaware County21.7+3.5 pts
75Grainger County21.7+2.9 pts
75Johnson County21.7+1.9 pts
75Lafourche Parish21.7+2.4 pts
75Scioto County21.7+3.2 pts
75White County21.7+2.8 pts
84Dillon County21.6+1.7 pts
84Franklin Parish21.6+1.4 pts
84Hudspeth County21.6+2.2 pts
84Liberty County21.6+2.7 pts
84Pike County21.6+2.8 pts
84St. Mary Parish21.6+2.8 pts
84Taylor County21.6+3.4 pts
84Weakley County21.6+1.9 pts
84Webster Parish21.6+1.5 pts
84White County21.6+2.8 pts
84Wilcox County21.6+1.8 pts
95Adams County21.5+3.4 pts
95Bullock County21.5+1.9 pts
95Clark County21.5+2.2 pts
95Coryell County21.5+3.2 pts
95Dyer County21.5+2.9 pts
95Fayette County21.5+3.8 pts
95Iberia Parish21.5+2.2 pts
95McCurtain County21.5+1.9 pts
95Meigs County21.5+3.1 pts
95Mississippi County21.5+2 pts
95St. Landry Parish21.5+1.4 pts
95Whitman County21.5+0.4 pts
107Fentress County21.4+2.3 pts
107Haywood County21.4+2.4 pts
107Hocking County21.4+3.9 pts
107Martin County21.4+1.8 pts
107McNairy County21.4+2.5 pts
107Miller County21.4+2.6 pts
107Morgan County21.4+2.1 pts
107Ottawa County21.4+1.9 pts
107Perry County21.4+0.3 pts
107Rhea County21.4+2.5 pts
107Richland Parish21.4+1.1 pts
107San Juan County21.4+3 pts
107Wayne County21.4+2.8 pts
107Zapata County21.4+3.1 pts
121Bedford County21.3+2.7 pts
121Boone County21.3+0.7 pts
121Calhoun County21.3+1.5 pts
121Cherokee County21.3+1.4 pts
121Craighead County21.3+2.8 pts
121Gibson County21.3+2.9 pts
121Latimer County21.3+2.5 pts
121Lawrence County21.3+3.3 pts
121Le Flore County21.3+1.9 pts
121Lee County21.3+2.2 pts
121Montgomery County21.3+2.8 pts
121Preston County21.3+3 pts
121Prince Edward County21.3+2.2 pts
121Starr County21.3+1.9 pts
121Tensas Parish21.3+2.4 pts
121West Carroll Parish21.3+2.1 pts
121Wetzel County21.3+2.5 pts
138Cochran County21.2+2 pts
138Fulton County21.2+2.6 pts
138Lewis County21.2+1.9 pts
138Mason County21.2+1.6 pts
138Trousdale County21.2+2.4 pts
143Assumption Parish21.1+1.8 pts
143Caldwell Parish21.1+1.2 pts
143Clinch County21.1+0.7 pts
143Deaf Smith County21.1+3.9 pts
143DeKalb County21.1+1.6 pts
143Erath County21.1+2.7 pts
143Guernsey County21.1+3.6 pts
143Menominee County21.1+3.5 pts
143Monongalia County21.1+2.4 pts
143Red River Parish21.1+2.4 pts
143Riley County21.1+3.4 pts
143Ross County21.1+3.1 pts
143Rutherford County21.1+3 pts
143Sequoyah County21.1+1.4 pts
143Trumbull County21.1+4.6 pts
158Braxton County21+1.2 pts
158Buchanan County21+2.3 pts
158Caddo County21+2.3 pts
158Cannon County21+2.3 pts
158Clinton County21+3.6 pts
158Craig County21+2.3 pts
158Franklin County21+1.4 pts
158Grant County21+3 pts
158Highland County21+3 pts
158Humphreys County21+3 pts
158Jackson Parish21+2.7 pts
158Jefferson County21+2.6 pts
158Johnston County21+2.4 pts
158Lawrence County21+2 pts
158Lee County21-0.5 pts
158Lincoln County21+2.8 pts
158Perry County21+1.7 pts
158Randolph County21+2 pts
158Ripley County21+1.8 pts
158Sabine Parish21+2.2 pts
158Tangipahoa Parish21+1.1 pts
158Tuscaloosa County21+2.2 pts
158Unicoi County21+3.1 pts
181Acadia Parish20.9+0.7 pts
181Allen Parish20.9+1.9 pts
181Arkansas County20.9+3.3 pts
181Carter County20.9+2.5 pts
181Cleveland County20.9+3.3 pts
181Coal County20.9+1.8 pts
181Conway County20.9+2.6 pts
181Hardy County20.9+2.4 pts
181Harlan County20.9-0.8 pts
181Haskell County20.9+1.9 pts
181Henderson County20.9+1.5 pts
181Independence County20.9+2.5 pts
181Mercer County20.9+0.7 pts
181Nodaway County20.9+2.1 pts
181Okfuskee County20.9+0.8 pts
181Oktibbeha County20.9+3 pts
181Putnam County20.9+1.5 pts
181Raleigh County20.9+1.4 pts
181Rapides Parish20.9+1.9 pts
200Audrain County20.8+2.4 pts
200Campbell County20.8+1.2 pts
200Crockett County20.8+2.2 pts
200Dillingham Census Area20.8+1.5 pts
200Dimmit County20.8+1.8 pts
200Drew County20.8+2.1 pts
200Franklin County20.8+2.8 pts
200Greene County20.8+2.6 pts
200Hickman County20.8+2.2 pts
200Hughes County20.8+2 pts
200Iberville Parish20.8+2.3 pts
200Lafayette County20.8+2.1 pts
200Malheur County20.8+2.2 pts
200Monroe County20.8+2.4 pts
200Morrow County20.8+4.4 pts
200Newton County20.8+1.6 pts
200Norton city20.8+2.3 pts
200Pickett County20.8+2.8 pts
200Pleasants County20.8+2.9 pts
200Pocahontas County20.8+2.1 pts
200Summers County20.8+1.9 pts
200Wood County20.8+2.7 pts
222Clay County20.7-1 pts
222Clay County20.7+2.1 pts
222Grundy County20.7+1.5 pts
222La Salle County20.7+3.8 pts
222LaSalle Parish20.7+2.3 pts
222Macon County20.7+1.8 pts
222Mahnomen County20.7+2.7 pts
222Overton County20.7+1.7 pts
222Pike County20.7+0.7 pts
222Russell County20.7+1.8 pts
222San Juan County20.7+1.8 pts
222Washington County20.7+3.1 pts
222Washington Parish20.7+0.9 pts
222Williamsburg city20.7+2.8 pts
236Big Horn County20.6+1.2 pts
236Bledsoe County20.6+2.1 pts
236Bradley County20.6+2.2 pts
236Danville city20.6+2.9 pts
236Decatur County20.6+2.5 pts
236Galax city20.6+2.5 pts
236Grant Parish20.6+1.6 pts
236Hardee County20.6n/a
236Hardeman County20.6+1.6 pts
236Jeff Davis County20.6+2.3 pts
236Knott County20.6-0.5 pts
236Leflore County20.6+2.4 pts
236Lucas County20.6+3.1 pts
236Macon County20.6+2.4 pts
236Madison County20.6+2.2 pts

Showing the top 250 of 3144. 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 (US counties 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, US counties 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/us-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. US counties 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-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, US counties 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-counties?period=2022 (Accessed: 12 October 2026).

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

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

Kusilvak Census Area, with 26.2% in 2022, according to the Centers for Disease Control and Prevention.

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

Custer County, with 11% 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

US counties: more rankings