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

Radford city had the highest frequent mental distress in adults, local model estimate of 133 counties in 2022, at 24.7%. Fairfax County had the lowest, at 13%. The median was 17.8%. Source: the Centers for Disease Control and Prevention.

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Highest24.7Radford city
Median17.8133 counties

Map of counties, 2022

Accomack County: 18.1 %Albemarle County: 14.6 %Alleghany County: 17.9 %Amelia County: 17.9 %Amherst County: 17.4 %Appomattox County: 19.2 %Arlington County: 15 %Augusta County: 16.7 %Bath County: 18.1 %Bedford County: 16.6 %Bland County: 16.7 %Botetourt County: 16.6 %Brunswick County: 18.3 %Buchanan County: 21 %Buckingham County: 19 %Campbell County: 18.5 %Caroline County: 17.8 %Carroll County: 18.4 %Charles City County: 17.2 %Charlotte County: 19 %Chesterfield County: 15.7 %Clarke County: 15.5 %Craig County: 18.7 %Culpeper County: 17.8 %Cumberland County: 17.4 %Dickenson County: 19.1 %Dinwiddie County: 18.3 %Essex County: 18.9 %Fairfax County: 13 %Fauquier County: 15.6 %Floyd County: 16.6 %Fluvanna County: 17.8 %Franklin County: 16.1 %Frederick County: 17.7 %Giles County: 18.1 %Gloucester County: 16.7 %Goochland County: 14.2 %Grayson County: 19.4 %Greene County: 17.5 %Greensville County: 18.7 %Halifax County: 18 %Hanover County: 16.7 %Henrico County: 15.8 %Henry County: 19.4 %Highland County: 13.2 %Isle of Wight County: 16.3 %James City County: 13.5 %King and Queen County: 18.2 %King George County: 16.9 %King William County: 17.9 %Lancaster County: 14.4 %Lee County: 19.2 %Loudoun County: 13.4 %Louisa County: 16.6 %Lunenburg County: 18.4 %Madison County: 16.6 %Mathews County: 14.7 %Mecklenburg County: 17.5 %Middlesex County: 15.6 %Montgomery County: 19.6 %Nelson County: 15.8 %New Kent County: 15.2 %Northampton County: 15.8 %Northumberland County: 14.5 %Nottoway County: 19.9 %Orange County: 17.3 %Page County: 17.8 %Patrick County: 17.6 %Pittsylvania County: 19.1 %Powhatan County: 15.3 %Prince Edward County: 21.3 %Prince George County: 19.6 %Prince William County: 16 %Pulaski County: 17.7 %Rappahannock County: 16.5 %Richmond County: 19.1 %Roanoke County: 15.5 %Rockbridge County: 16.6 %Rockingham County: 17.2 %Russell County: 19.3 %Scott County: 19.3 %Shenandoah County: 17.6 %Smyth County: 20.2 %Southampton County: 16.1 %Spotsylvania County: 16.9 %Stafford County: 16.5 %Surry County: 16.7 %Sussex County: 18.1 %Tazewell County: 18.3 %Warren County: 18.3 %Washington County: 17.7 %Westmoreland County: 17.1 %Wise County: 20 %Wythe County: 17.2 %York County: 15.4 %Alexandria city: 14.4 %Bristol city: 18.6 %Buena Vista city: 22.1 %Charlottesville city: 20.1 %Chesapeake city: 17.4 %Colonial Heights city: 17.5 %Covington city: 19 %Danville city: 20.6 %Emporia city: 20.3 %Fairfax city: 14.8 %Falls Church city: 13.2 %Franklin city: 18.8 %Fredericksburg city: 20.3 %Galax city: 20.6 %Hampton city: 18 %Harrisonburg city: 22.4 %Hopewell city: 21.8 %Lexington city: 19.6 %Lynchburg city: 20.4 %Manassas city: 16.1 %Manassas Park city: 17.8 %Martinsville city: 20.4 %Newport News city: 19.1 %Norfolk city: 19.6 %Norton city: 20.8 %Petersburg city: 18.9 %Poquoson city: 15 %Portsmouth city: 19.3 %Radford city: 24.7 %Richmond city: 19.6 %Roanoke city: 19.4 %Salem city: 16.9 %Staunton city: 18.3 %Suffolk city: 17.3 %Virginia Beach city: 15.8 %Waynesboro city: 18 %Williamsburg city: 20.7 %Winchester city: 17.8 %
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%, 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

Radford city: 24.7 %Radford city24.7Harrisonburg city: 22.4 %Harrisonburg city22.4Buena Vista city: 22.1 %Buena Vista city22.1Hopewell city: 21.8 %Hopewell city21.8Prince Edward County: 21.3 %Prince Edward County21.3Buchanan County: 21 %Buchanan County21Norton city: 20.8 %Norton city20.8Williamsburg city: 20.7 %Williamsburg city20.7Danville city: 20.6 %Danville city20.6Galax city: 20.6 %Galax city20.6Lynchburg city: 20.4 %Lynchburg city20.4Martinsville city: 20.4 %Martinsville city20.4Emporia city: 20.3 %Emporia city20.3Fredericksburg city: 20.3 %Fredericksburg city20.3Smyth County: 20.2 %Smyth County20.2Charlottesville city: 20.1 %Charlottesville city20.1Wise County: 20 %Wise County20Nottoway County: 19.9 %Nottoway County19.9Lexington city: 19.6 %Lexington city19.6Montgomery County: 19.6 %Montgomery County19.6Norfolk city: 19.6 %Norfolk city19.6Prince George County: 19.6 %Prince George County19.6Richmond city: 19.6 %Richmond city19.6Grayson County: 19.4 %Grayson County19.4Henry County: 19.4 %Henry County19.4Roanoke city: 19.4 %Roanoke city19.4Portsmouth city: 19.3 %Portsmouth city19.3Russell County: 19.3 %Russell County19.3Scott County: 19.3 %Scott County19.3Appomattox County: 19.2 %Appomattox County19.2Lee County: 19.2 %Lee County19.2Dickenson County: 19.1 %Dickenson County19.1Newport News city: 19.1 %Newport News city19.1Pittsylvania County: 19.1 %Pittsylvania County19.1Richmond County: 19.1 %Richmond County19.1Buckingham County: 19 %Buckingham County19Charlotte County: 19 %Charlotte County19Covington city: 19 %Covington city19Essex County: 18.9 %Essex County18.9Petersburg city: 18.9 %Petersburg city18.9Radford city: 24.7 %Radford city24.7Harrisonburg city: 22.4 %Harrisonburg city22.4Buena Vista city: 22.1 %Buena Vista city22.1Hopewell city: 21.8 %Hopewell city21.8Prince Edward County: 21.3 %Prince Edward County21.3Buchanan County: 21 %Buchanan County21Norton city: 20.8 %Norton city20.8Williamsburg city: 20.7 %Williamsburg city20.7Danville city: 20.6 %Danville city20.6Galax city: 20.6 %Galax city20.6Lynchburg city: 20.4 %Lynchburg city20.4Martinsville city: 20.4 %Martinsville city20.4Emporia city: 20.3 %Emporia city20.3Fredericksburg city: 20.3 %Fredericksburg city20.3Smyth County: 20.2 %Smyth County20.2Charlottesville city: 20.1 %Charlottesville city20.1Wise County: 20 %Wise County20Nottoway County: 19.9 %Nottoway County19.9Lexington city: 19.6 %Lexington city19.6Montgomery County: 19.6 %Montgomery County19.6Norfolk city: 19.6 %Norfolk city19.6Prince George County: 19.6 %Prince George County19.6Richmond city: 19.6 %Richmond city19.6Grayson County: 19.4 %Grayson County19.4Henry County: 19.4 %Henry County19.4Roanoke city: 19.4 %Roanoke city19.4Portsmouth city: 19.3 %Portsmouth city19.3Russell County: 19.3 %Russell County19.3Scott County: 19.3 %Scott County19.3Appomattox County: 19.2 %Appomattox County19.2Lee County: 19.2 %Lee County19.2Dickenson County: 19.1 %Dickenson County19.1Newport News city: 19.1 %Newport News city19.1Pittsylvania County: 19.1 %Pittsylvania County19.1Richmond County: 19.1 %Richmond County19.1Buckingham County: 19 %Buckingham County19Charlotte County: 19 %Charlotte County19Covington city: 19 %Covington city19Essex County: 18.9 %Essex County18.9Petersburg city: 18.9 %Petersburg city18.9
%. 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
1Radford city24.7+1.9 pts
2Harrisonburg city22.4+1.3 pts
3Buena Vista city22.1+2.5 pts
4Hopewell city21.8+2.9 pts
5Prince Edward County21.3+2.2 pts
6Buchanan County21+2.3 pts
7Norton city20.8+2.3 pts
8Williamsburg city20.7+2.8 pts
9Danville city20.6+2.9 pts
9Galax city20.6+2.5 pts
11Lynchburg city20.4+1.7 pts
11Martinsville city20.4+2.3 pts
13Emporia city20.3+1.4 pts
13Fredericksburg city20.3+3 pts
15Smyth County20.2+2.4 pts
16Charlottesville city20.1+3.2 pts
17Wise County20+1.5 pts
18Nottoway County19.9+3 pts
19Lexington city19.6+1 pts
19Montgomery County19.6+1.5 pts
19Norfolk city19.6+2.3 pts
19Prince George County19.6+3.6 pts
19Richmond city19.6+1 pts
24Grayson County19.4+2.8 pts
24Henry County19.4+2.5 pts
24Roanoke city19.4+1.7 pts
27Portsmouth city19.3+2.6 pts
27Russell County19.3+1.8 pts
27Scott County19.3+2 pts
30Appomattox County19.2+3 pts
30Lee County19.2+0.7 pts
32Dickenson County19.1+0.8 pts
32Newport News city19.1+1.7 pts
32Pittsylvania County19.1+2.9 pts
32Richmond County19.1+2.5 pts
36Buckingham County19+2 pts
36Charlotte County19+2.3 pts
36Covington city19+1.4 pts
39Essex County18.9+2.3 pts
39Petersburg city18.9+0.9 pts
41Franklin city18.8+1.4 pts
42Craig County18.7+3.2 pts
42Greensville County18.7+2.1 pts
44Bristol city18.6+1.4 pts
45Campbell County18.5+2.4 pts
46Carroll County18.4+1.8 pts
46Lunenburg County18.4+1.7 pts
48Brunswick County18.3+1.5 pts
48Dinwiddie County18.3+2.4 pts
48Staunton city18.3+2.5 pts
48Tazewell County18.3+1 pts
48Warren County18.3+2.1 pts
53King and Queen County18.2+3 pts
54Accomack County18.1+2.7 pts
54Bath County18.1+2 pts
54Giles County18.1+2.1 pts
54Sussex County18.1+1.8 pts
58Halifax County18+1.3 pts
58Hampton city18+1.4 pts
58Waynesboro city18+1.2 pts
61Alleghany County17.9+1.7 pts
61Amelia County17.9+1.7 pts
61King William County17.9+2.3 pts
64Caroline County17.8+2.1 pts
64Culpeper County17.8+2.8 pts
64Fluvanna County17.8+3.4 pts
64Manassas Park city17.8+2.5 pts
64Page County17.8+1.3 pts
64Winchester city17.8+1.8 pts
70Frederick County17.7+2.7 pts
70Pulaski County17.7+1.8 pts
70Washington County17.7+1.9 pts
73Patrick County17.6+2.3 pts
73Shenandoah County17.6+1.7 pts
75Colonial Heights city17.5+2.3 pts
75Greene County17.5+2.4 pts
75Mecklenburg County17.5+2 pts
78Amherst County17.4+1.3 pts
78Chesapeake city17.4+2.3 pts
78Cumberland County17.4+2.4 pts
81Orange County17.3+2.1 pts
81Suffolk city17.3+1.3 pts
83Charles City County17.2+1.7 pts
83Rockingham County17.2+1.8 pts
83Wythe County17.2+0.7 pts
86Westmoreland County17.1+1.4 pts
87King George County16.9+1.9 pts
87Salem city16.9+1.1 pts
87Spotsylvania County16.9+2 pts
90Augusta County16.7+0.9 pts
90Bland County16.7+1.3 pts
90Gloucester County16.7+2 pts
90Hanover County16.7+2.7 pts
90Surry County16.7+1.3 pts
95Bedford County16.6+1.8 pts
95Botetourt County16.6+2.3 pts
95Floyd County16.6+1.2 pts
95Louisa County16.6+1.5 pts
95Madison County16.6+1.1 pts
95Rockbridge County16.6+1.6 pts
101Rappahannock County16.5+2.7 pts
101Stafford County16.5+1.9 pts
103Isle of Wight County16.3+1.7 pts
104Franklin County16.1+0.6 pts
104Manassas city16.1+1.6 pts
104Southampton County16.1+1.1 pts
107Prince William County16+2.5 pts
108Henrico County15.8+1.1 pts
108Nelson County15.8+1.6 pts
108Northampton County15.8+1.5 pts
108Virginia Beach city15.8+1.5 pts
112Chesterfield County15.7+1 pts
113Fauquier County15.6+1.4 pts
113Middlesex County15.6+1.8 pts
115Clarke County15.5+1.7 pts
115Roanoke County15.5+1.3 pts
117York County15.4+2.1 pts
118Powhatan County15.3+1.1 pts
119New Kent County15.2+0.9 pts
120Arlington County15+2.9 pts
120Poquoson city15+1.6 pts
122Fairfax city14.8+1.9 pts
123Mathews County14.7+1.4 pts
124Albemarle County14.6+1.3 pts
125Northumberland County14.5+1.4 pts
126Alexandria city14.4+1.2 pts
126Lancaster County14.4+1.4 pts
128Goochland County14.2+1.4 pts
129James City County13.5+1.1 pts
130Loudoun County13.4+1.1 pts
131Falls Church city13.2+1.9 pts
131Highland County13.2-0.5 pts
133Fairfax County13+1.5 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, 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, Counties in Virginia 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/virginia-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. Counties in Virginia 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/virginia-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, Counties in Virginia 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/virginia-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_virginia_by_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: Counties in Virginia 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/virginia-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: Counties in Virginia 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/virginia-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/virginia-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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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 24.7% in 2022, 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 13% 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

Counties in Virginia: more rankings