Counties in Virginia by frequent mental distress in adults, local model estimate, 2023

Radford city had the highest frequent mental distress in adults, local model estimate of 133 counties in 2023, at 23.4%. Fairfax County had the lowest, at 12.2%. The median was 17.2%. Source: the Centers for Disease Control and Prevention.

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Highest23.4Radford city
Lowest12.2Fairfax County
Median17.2133 counties

Map of counties, 2023

Accomack County: 16.9 %Albemarle County: 14.3 %Alleghany County: 17.5 %Amelia County: 18 %Amherst County: 17.5 %Appomattox County: 17.5 %Arlington County: 13.4 %Augusta County: 16.9 %Bath County: 17.7 %Bedford County: 15.9 %Bland County: 16.8 %Botetourt County: 15.7 %Brunswick County: 18.2 %Buchanan County: 19.6 %Buckingham County: 18.1 %Campbell County: 17.2 %Caroline County: 17.4 %Carroll County: 17.8 %Charles City County: 16.8 %Charlotte County: 18.6 %Chesterfield County: 16.1 %Clarke County: 14.9 %Craig County: 16.7 %Culpeper County: 16.7 %Cumberland County: 17.2 %Dickenson County: 19.3 %Dinwiddie County: 17.4 %Essex County: 17.7 %Fairfax County: 12.2 %Fauquier County: 15.3 %Floyd County: 16.3 %Fluvanna County: 16 %Franklin County: 16.6 %Frederick County: 16.1 %Giles County: 17.5 %Gloucester County: 16.2 %Goochland County: 13.8 %Grayson County: 18.3 %Greene County: 16.7 %Greensville County: 18.4 %Halifax County: 17.9 %Hanover County: 15 %Henrico County: 15.5 %Henry County: 18.1 %Highland County: 13.9 %Isle of Wight County: 16 %James City County: 13.9 %King and Queen County: 17.2 %King George County: 16.7 %King William County: 17.1 %Lancaster County: 14.3 %Lee County: 19.4 %Loudoun County: 13 %Louisa County: 16.6 %Lunenburg County: 18 %Madison County: 16.4 %Mathews County: 15 %Mecklenburg County: 16.7 %Middlesex County: 14.6 %Montgomery County: 18.5 %Nelson County: 15.2 %New Kent County: 15.8 %Northampton County: 15.5 %Northumberland County: 13.8 %Nottoway County: 18.3 %Orange County: 16.6 %Page County: 17.9 %Patrick County: 17.2 %Pittsylvania County: 17.5 %Powhatan County: 15.8 %Prince Edward County: 20.5 %Prince George County: 18.4 %Prince William County: 14.9 %Pulaski County: 17.4 %Rappahannock County: 15.1 %Richmond County: 17.4 %Roanoke County: 15.8 %Rockbridge County: 15.9 %Rockingham County: 17 %Russell County: 18.6 %Scott County: 18.4 %Shenandoah County: 17.4 %Smyth County: 18.7 %Southampton County: 16.7 %Spotsylvania County: 16.4 %Stafford County: 15.8 %Surry County: 16 %Sussex County: 17.8 %Tazewell County: 18.7 %Warren County: 17.6 %Washington County: 16.5 %Westmoreland County: 16.9 %Wise County: 19.7 %Wythe County: 17.9 %York County: 14.5 %Alexandria city: 14.5 %Bristol city: 18.3 %Buena Vista city: 19.8 %Charlottesville city: 17.4 %Chesapeake city: 16.5 %Colonial Heights city: 16.6 %Covington city: 19.7 %Danville city: 19.3 %Emporia city: 19.1 %Fairfax city: 13.8 %Falls Church city: 12.4 %Franklin city: 18.6 %Fredericksburg city: 18.4 %Galax city: 19.8 %Hampton city: 18 %Harrisonburg city: 21.1 %Hopewell city: 20.7 %Lexington city: 19.6 %Lynchburg city: 19.6 %Manassas city: 15.8 %Manassas Park city: 16.7 %Martinsville city: 19.5 %Newport News city: 18.1 %Norfolk city: 18.8 %Norton city: 20.2 %Petersburg city: 19.6 %Poquoson city: 15.1 %Portsmouth city: 19.4 %Radford city: 23.4 %Richmond city: 18.2 %Roanoke city: 18.1 %Salem city: 17.2 %Staunton city: 17.1 %Suffolk city: 16.9 %Virginia Beach city: 16.3 %Waynesboro city: 17.7 %Williamsburg city: 19 %Winchester city: 18.3 %
  • Under 16
  • 16 to 17
  • 17 to 18
  • 18 to 19
  • 19 and over
%, 2023. 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

Radford city: 23.4 %Radford city23.4Harrisonburg city: 21.1 %Harrisonburg city21.1Hopewell city: 20.7 %Hopewell city20.7Prince Edward County: 20.5 %Prince Edward County20.5Norton city: 20.2 %Norton city20.2Buena Vista city: 19.8 %Buena Vista city19.8Galax city: 19.8 %Galax city19.8Covington city: 19.7 %Covington city19.7Wise County: 19.7 %Wise County19.7Buchanan County: 19.6 %Buchanan County19.6Lexington city: 19.6 %Lexington city19.6Lynchburg city: 19.6 %Lynchburg city19.6Petersburg city: 19.6 %Petersburg city19.6Martinsville city: 19.5 %Martinsville city19.5Lee County: 19.4 %Lee County19.4Portsmouth city: 19.4 %Portsmouth city19.4Danville city: 19.3 %Danville city19.3Dickenson County: 19.3 %Dickenson County19.3Emporia city: 19.1 %Emporia city19.1Williamsburg city: 19 %Williamsburg city19Norfolk city: 18.8 %Norfolk city18.8Smyth County: 18.7 %Smyth County18.7Tazewell County: 18.7 %Tazewell County18.7Charlotte County: 18.6 %Charlotte County18.6Franklin city: 18.6 %Franklin city18.6Russell County: 18.6 %Russell County18.6Montgomery County: 18.5 %Montgomery County18.5Fredericksburg city: 18.4 %Fredericksburg city18.4Greensville County: 18.4 %Greensville County18.4Prince George County: 18.4 %Prince George County18.4Scott County: 18.4 %Scott County18.4Bristol city: 18.3 %Bristol city18.3Grayson County: 18.3 %Grayson County18.3Nottoway County: 18.3 %Nottoway County18.3Winchester city: 18.3 %Winchester city18.3Brunswick County: 18.2 %Brunswick County18.2Richmond city: 18.2 %Richmond city18.2Buckingham County: 18.1 %Buckingham County18.1Henry County: 18.1 %Henry County18.1Newport News city: 18.1 %Newport News city18.1Radford city: 23.4 %Radford city23.4Harrisonburg city: 21.1 %Harrisonburg city21.1Hopewell city: 20.7 %Hopewell city20.7Prince Edward County: 20.5 %Prince Edward County20.5Norton city: 20.2 %Norton city20.2Buena Vista city: 19.8 %Buena Vista city19.8Galax city: 19.8 %Galax city19.8Covington city: 19.7 %Covington city19.7Wise County: 19.7 %Wise County19.7Buchanan County: 19.6 %Buchanan County19.6Lexington city: 19.6 %Lexington city19.6Lynchburg city: 19.6 %Lynchburg city19.6Petersburg city: 19.6 %Petersburg city19.6Martinsville city: 19.5 %Martinsville city19.5Lee County: 19.4 %Lee County19.4Portsmouth city: 19.4 %Portsmouth city19.4Danville city: 19.3 %Danville city19.3Dickenson County: 19.3 %Dickenson County19.3Emporia city: 19.1 %Emporia city19.1Williamsburg city: 19 %Williamsburg city19Norfolk city: 18.8 %Norfolk city18.8Smyth County: 18.7 %Smyth County18.7Tazewell County: 18.7 %Tazewell County18.7Charlotte County: 18.6 %Charlotte County18.6Franklin city: 18.6 %Franklin city18.6Russell County: 18.6 %Russell County18.6Montgomery County: 18.5 %Montgomery County18.5Fredericksburg city: 18.4 %Fredericksburg city18.4Greensville County: 18.4 %Greensville County18.4Prince George County: 18.4 %Prince George County18.4Scott County: 18.4 %Scott County18.4Bristol city: 18.3 %Bristol city18.3Grayson County: 18.3 %Grayson County18.3Nottoway County: 18.3 %Nottoway County18.3Winchester city: 18.3 %Winchester city18.3Brunswick County: 18.2 %Brunswick County18.2Richmond city: 18.2 %Richmond city18.2Buckingham County: 18.1 %Buckingham County18.1Henry County: 18.1 %Henry County18.1Newport News city: 18.1 %Newport News city18.1
%. 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
1Radford city23.4-1.3 pts
2Harrisonburg city21.1-1.3 pts
3Hopewell city20.7-1.1 pts
4Prince Edward County20.5-0.8 pts
5Norton city20.2-0.6 pts
6Buena Vista city19.8-2.3 pts
6Galax city19.8-0.8 pts
8Covington city19.7+0.7 pts
8Wise County19.7-0.3 pts
10Buchanan County19.6-1.4 pts
10Lexington city19.60 pts
10Lynchburg city19.6-0.8 pts
10Petersburg city19.6+0.7 pts
14Martinsville city19.5-0.9 pts
15Lee County19.4+0.2 pts
15Portsmouth city19.4+0.1 pts
17Danville city19.3-1.3 pts
17Dickenson County19.3+0.2 pts
19Emporia city19.1-1.2 pts
20Williamsburg city19-1.7 pts
21Norfolk city18.8-0.8 pts
22Smyth County18.7-1.5 pts
22Tazewell County18.7+0.4 pts
24Charlotte County18.6-0.4 pts
24Franklin city18.6-0.2 pts
24Russell County18.6-0.7 pts
27Montgomery County18.5-1.1 pts
28Fredericksburg city18.4-1.9 pts
28Greensville County18.4-0.3 pts
28Prince George County18.4-1.2 pts
28Scott County18.4-0.9 pts
32Bristol city18.3-0.3 pts
32Grayson County18.3-1.1 pts
32Nottoway County18.3-1.6 pts
32Winchester city18.3+0.5 pts
36Brunswick County18.2-0.1 pts
36Richmond city18.2-1.4 pts
38Buckingham County18.1-0.9 pts
38Henry County18.1-1.3 pts
38Newport News city18.1-1 pts
38Roanoke city18.1-1.3 pts
42Amelia County18+0.1 pts
42Hampton city180 pts
42Lunenburg County18-0.4 pts
45Halifax County17.9-0.1 pts
45Page County17.9+0.1 pts
45Wythe County17.9+0.7 pts
48Carroll County17.8-0.6 pts
48Sussex County17.8-0.3 pts
50Bath County17.7-0.4 pts
50Essex County17.7-1.2 pts
50Waynesboro city17.7-0.3 pts
53Warren County17.6-0.7 pts
54Alleghany County17.5-0.4 pts
54Amherst County17.5+0.1 pts
54Appomattox County17.5-1.7 pts
54Giles County17.5-0.6 pts
54Pittsylvania County17.5-1.6 pts
59Caroline County17.4-0.4 pts
59Charlottesville city17.4-2.7 pts
59Dinwiddie County17.4-0.9 pts
59Pulaski County17.4-0.3 pts
59Richmond County17.4-1.7 pts
59Shenandoah County17.4-0.2 pts
65Campbell County17.2-1.3 pts
65Cumberland County17.2-0.2 pts
65King and Queen County17.2-1 pts
65Patrick County17.2-0.4 pts
65Salem city17.2+0.3 pts
70King William County17.1-0.8 pts
70Staunton city17.1-1.2 pts
72Rockingham County17-0.2 pts
73Accomack County16.9-1.2 pts
73Augusta County16.9+0.2 pts
73Suffolk city16.9-0.4 pts
73Westmoreland County16.9-0.2 pts
77Bland County16.8+0.1 pts
77Charles City County16.8-0.4 pts
79Craig County16.7-2 pts
79Culpeper County16.7-1.1 pts
79Greene County16.7-0.8 pts
79King George County16.7-0.2 pts
79Manassas Park city16.7-1.1 pts
79Mecklenburg County16.7-0.8 pts
79Southampton County16.7+0.6 pts
86Colonial Heights city16.6-0.9 pts
86Franklin County16.6+0.5 pts
86Louisa County16.60 pts
86Orange County16.6-0.7 pts
90Chesapeake city16.5-0.9 pts
90Washington County16.5-1.2 pts
92Madison County16.4-0.2 pts
92Spotsylvania County16.4-0.5 pts
94Floyd County16.3-0.3 pts
94Virginia Beach city16.3+0.5 pts
96Gloucester County16.2-0.5 pts
97Chesterfield County16.1+0.4 pts
97Frederick County16.1-1.6 pts
99Fluvanna County16-1.8 pts
99Isle of Wight County16-0.3 pts
99Surry County16-0.7 pts
102Bedford County15.9-0.7 pts
102Rockbridge County15.9-0.7 pts
104Manassas city15.8-0.3 pts
104New Kent County15.8+0.6 pts
104Powhatan County15.8+0.5 pts
104Roanoke County15.8+0.3 pts
104Stafford County15.8-0.7 pts
109Botetourt County15.7-0.9 pts
110Henrico County15.5-0.3 pts
110Northampton County15.5-0.3 pts
112Fauquier County15.3-0.3 pts
113Nelson County15.2-0.6 pts
114Poquoson city15.1+0.1 pts
114Rappahannock County15.1-1.4 pts
116Hanover County15-1.7 pts
116Mathews County15+0.3 pts
118Clarke County14.9-0.6 pts
118Prince William County14.9-1.1 pts
120Middlesex County14.6-1 pts
121Alexandria city14.5+0.1 pts
121York County14.5-0.9 pts
123Albemarle County14.3-0.3 pts
123Lancaster County14.3-0.1 pts
125Highland County13.9+0.7 pts
125James City County13.9+0.4 pts
127Fairfax city13.8-1 pts
127Goochland County13.8-0.4 pts
127Northumberland County13.8-0.7 pts
130Arlington County13.4-1.6 pts
131Loudoun County13-0.4 pts
132Falls Church city12.4-0.8 pts
133Fairfax County12.2-0.8 pts

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 Virginia 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, Counties in Virginia 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/virginia-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. Counties in Virginia 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/virginia-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, Counties in Virginia 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/virginia-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_virginia_by_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: Counties in Virginia 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/virginia-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: Counties in Virginia 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/virginia-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/virginia-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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Rank Counties in Virginia by frequent mental distress in adults, local model estimate using official data, and cite the source.
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Questions

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

Radford city, with 23.4% in 2023, according to the Centers for Disease Control and Prevention.

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

Fairfax County, with 12.2% 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.

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

Counties in Virginia: more rankings