Data / Rankings / Frequent mental distress in adults, local model estimate / Cities in Washington

Cities in Washington by frequent mental distress in adults, local model estimate, 2023

Pullman, WA had the highest frequent mental distress in adults, local model estimate of 91 cities in 2023, at 24.4%. Mercer Island, WA had the lowest, at 11.6%. The median was 17.4%. Source: the Centers for Disease Control and Prevention.

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Highest24.4Pullman, WA
Lowest11.6Mercer Island, WA
Median17.491 cities

Top 40 cities, 2023

Pullman, WA: 24.4 %Pullman, WA24.4Cheney, WA: 23.6 %Cheney, WA23.6Airway Heights, WA: 21.1 %Airway Heights, WA21.1Kelso, WA: 21.1 %Kelso, WA21.1Ellensburg, WA: 20.8 %Ellensburg, WA20.8Yelm, WA: 20.8 %Yelm, WA20.8Aberdeen, WA: 20.5 %Aberdeen, WA20.5Battle Ground, WA: 20.5 %Battle Ground, WA20.5Shelton, WA: 20.1 %Shelton, WA20.1Bellingham, WA: 19.7 %Bellingham, WA19.7Fife, WA: 19.5 %Fife, WA19.5Lakewood, WA: 19.4 %Lakewood, WA19.4Longview, WA: 19.4 %Longview, WA19.4Sunnyside, WA: 19.3 %Sunnyside, WA19.3Washougal, WA: 19.3 %Washougal, WA19.3Vancouver, WA: 19.1 %Vancouver, WA19.1Centralia, WA: 19 %Centralia, WA19Grandview, WA: 18.9 %Grandview, WA18.9Sedro-Woolley, WA: 18.9 %Sedro-Woolley, WA18.9Bremerton, WA: 18.8 %Bremerton, WA18.8Sumner, WA: 18.8 %Sumner, WA18.8Tacoma, WA: 18.7 %Tacoma, WA18.7Arlington, WA: 18.6 %Arlington, WA18.6Puyallup, WA: 18.6 %Puyallup, WA18.6Spokane, WA: 18.6 %Spokane, WA18.6Bonney Lake, WA: 18.5 %Bonney Lake, WA18.5Oak Harbor, WA: 18.5 %Oak Harbor, WA18.5Ferndale, WA: 18.3 %Ferndale, WA18.3Ridgefield, WA: 18.3 %Ridgefield, WA18.3Pasco, WA: 18.2 %Pasco, WA18.2Port Orchard, WA: 18.1 %Port Orchard, WA18.1Spokane Valley, WA: 18.1 %Spokane Valley, WA18.1Yakima, WA: 18.1 %Yakima, WA18.1Moses Lake, WA: 18 %Moses Lake, WA18East Wenatchee, WA: 17.7 %East Wenatchee, WA17.7Lacey, WA: 17.7 %Lacey, WA17.7Lynden, WA: 17.7 %Lynden, WA17.7Marysville, WA: 17.7 %Marysville, WA17.7Tumwater, WA: 17.7 %Tumwater, WA17.7Auburn, WA: 17.6 %Auburn, WA17.6Pullman, WA: 24.4 %Pullman, WA24.4Cheney, WA: 23.6 %Cheney, WA23.6Airway Heights, WA: 21.1 %Airway Heights, WA21.1Kelso, WA: 21.1 %Kelso, WA21.1Ellensburg, WA: 20.8 %Ellensburg, WA20.8Yelm, WA: 20.8 %Yelm, WA20.8Aberdeen, WA: 20.5 %Aberdeen, WA20.5Battle Ground, WA: 20.5 %Battle Ground, WA20.5Shelton, WA: 20.1 %Shelton, WA20.1Bellingham, WA: 19.7 %Bellingham, WA19.7Fife, WA: 19.5 %Fife, WA19.5Lakewood, WA: 19.4 %Lakewood, WA19.4Longview, WA: 19.4 %Longview, WA19.4Sunnyside, WA: 19.3 %Sunnyside, WA19.3Washougal, WA: 19.3 %Washougal, WA19.3Vancouver, WA: 19.1 %Vancouver, WA19.1Centralia, WA: 19 %Centralia, WA19Grandview, WA: 18.9 %Grandview, WA18.9Sedro-Woolley, WA: 18.9 %Sedro-Woolley, WA18.9Bremerton, WA: 18.8 %Bremerton, WA18.8Sumner, WA: 18.8 %Sumner, WA18.8Tacoma, WA: 18.7 %Tacoma, WA18.7Arlington, WA: 18.6 %Arlington, WA18.6Puyallup, WA: 18.6 %Puyallup, WA18.6Spokane, WA: 18.6 %Spokane, WA18.6Bonney Lake, WA: 18.5 %Bonney Lake, WA18.5Oak Harbor, WA: 18.5 %Oak Harbor, WA18.5Ferndale, WA: 18.3 %Ferndale, WA18.3Ridgefield, WA: 18.3 %Ridgefield, WA18.3Pasco, WA: 18.2 %Pasco, WA18.2Port Orchard, WA: 18.1 %Port Orchard, WA18.1Spokane Valley, WA: 18.1 %Spokane Valley, WA18.1Yakima, WA: 18.1 %Yakima, WA18.1Moses Lake, WA: 18 %Moses Lake, WA18East Wenatchee, WA: 17.7 %East Wenatchee, WA17.7Lacey, WA: 17.7 %Lacey, WA17.7Lynden, WA: 17.7 %Lynden, WA17.7Marysville, WA: 17.7 %Marysville, WA17.7Tumwater, WA: 17.7 %Tumwater, WA17.7Auburn, WA: 17.6 %Auburn, WA17.6
%. 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

RankCities2023 (%)Change on 2022
1Pullman, WA24.4-1.6 pts
2Cheney, WA23.6-3.5 pts
3Airway Heights, WA21.1-1.5 pts
3Kelso, WA21.1+0.2 pts
5Ellensburg, WA20.8-0.9 pts
5Yelm, WA20.8-0.8 pts
7Aberdeen, WA20.5+0.7 pts
7Battle Ground, WA20.5+1.7 pts
9Shelton, WA20.1-1.2 pts
10Bellingham, WA19.7-0.3 pts
11Fife, WA19.5+0.2 pts
12Lakewood, WA19.4+0.3 pts
12Longview, WA19.40 pts
14Sunnyside, WA19.3-1.4 pts
14Washougal, WA19.3+2.3 pts
16Vancouver, WA19.1+1.3 pts
17Centralia, WA19-0.2 pts
18Grandview, WA18.9-0.1 pts
18Sedro-Woolley, WA18.9-0.2 pts
20Bremerton, WA18.8-1.4 pts
20Sumner, WA18.8+0.7 pts
22Tacoma, WA18.7+0.2 pts
23Arlington, WA18.6-0.1 pts
23Puyallup, WA18.6+0.1 pts
23Spokane, WA18.6-1.4 pts
26Bonney Lake, WA18.50 pts
26Oak Harbor, WA18.50 pts
28Ferndale, WA18.3+0.9 pts
28Ridgefield, WA18.3+1.5 pts
30Pasco, WA18.2-0.6 pts
31Port Orchard, WA18.1-0.5 pts
31Spokane Valley, WA18.1-0.9 pts
31Yakima, WA18.1-0.8 pts
34Moses Lake, WA18-0.3 pts
35East Wenatchee, WA17.70 pts
35Lacey, WA17.7-0.5 pts
35Lynden, WA17.7+0.1 pts
35Marysville, WA17.7-0.3 pts
35Tumwater, WA17.7-1.2 pts
40Auburn, WA17.6+0.1 pts
40Monroe, WA17.6-0.3 pts
42Burlington, WA17.5-1 pts
42Everett, WA17.5-0.6 pts
44Kennewick, WA17.4-1.1 pts
44SeaTac, WA17.4-0.1 pts
44Walla Walla, WA17.4-0.6 pts
47Wenatchee, WA17.3+0.4 pts
48Enumclaw, WA17.2+0.6 pts
48Kent, WA17.2-0.2 pts
48Lake Stevens, WA17.2-0.2 pts
48Mount Vernon, WA17.2-0.5 pts
48Port Angeles, WA17.2-1.1 pts
48Snohomish, WA17.2-0.9 pts
54Edgewood, WA17.10 pts
54Federal Way, WA17.1-0.2 pts
56Olympia, WA17-0.7 pts
57Covington, WA16.9-0.1 pts
57Tukwila, WA16.9-0.1 pts
59Des Moines, WA16.7-0.1 pts
59University Place, WA16.7+0.3 pts
61Burien, WA16.6-0.6 pts
61Camas, WA16.6+1.6 pts
63Lynnwood, WA16.1-0.5 pts
63Maple Valley, WA16.1+0.1 pts
65Renton, WA16-0.3 pts
65West Richland, WA16+0.2 pts
67Mountlake Terrace, WA15.8+0.2 pts
68Liberty Lake, WA15.5-1 pts
69Richland, WA15.4-0.2 pts
70Seattle, WA15.3-0.3 pts
71Poulsbo, WA15.1-0.5 pts
72Kenmore, WA14.6+0.6 pts
73Shoreline, WA14.5-0.1 pts
74Snoqualmie, WA14.4+0.2 pts
75Bothell, WA14.3-0.5 pts
76Kirkland, WA14.2-0.1 pts
77Mill Creek, WA14-0.2 pts
78Gig Harbor, WA13.9+0.3 pts
79Anacortes, WA13.8-0.4 pts
79Mukilteo, WA13.8-0.2 pts
81Woodinville, WA13.7-0.5 pts
82Edmonds, WA13.6-0.2 pts
82Lake Forest Park, WA13.6-0.9 pts
84Port Townsend, WA13.40 pts
85Issaquah, WA13.2-0.4 pts
86Redmond, WA12.90 pts
87Newcastle, WA12.7+0.4 pts
88Bellevue, WA12.50 pts
89Sammamish, WA12.3+0.3 pts
90Bainbridge Island, WA11.7-0.8 pts
91Mercer Island, WA11.6+0.2 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 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 (Cities in Washington 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, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), frequent mental distress in adults, crude prevalence, Cities in Washington by frequent mental distress in adults, local model estimate, 2023. 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/washington-cities. 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. Cities in Washington 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/washington-cities.

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, Cities in Washington 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/washington-cities (Accessed: 12 October 2026).

BibTeX
@misc{centers_cities_in_washington_by_2023,
  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: Cities in Washington 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/washington-cities. 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: Cities in Washington by frequent mental distress in adults, local model estimate, 2023
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/washington-cities
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/washington-cities.
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  -
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Rank Cities in Washington by frequent mental distress in adults, local model estimate using official data, and cite the source.
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Questions

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

Pullman, WA, with 24.4% in 2023, according to the Centers for Disease Control and Prevention.

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

Mercer Island, WA, with 11.6% 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, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), frequent mental distress in adults, crude prevalence. Retrieved 2026-10-12.

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

Cities in Washington: more rankings