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

Cheney, WA had the highest frequent mental distress in adults, local model estimate of 91 cities in 2022, at 27.1%. Mercer Island, WA had the lowest, at 11.4%. The median was 17.5%. Source: the Centers for Disease Control and Prevention.

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Highest27.1Cheney, WA
Median17.591 cities

Top 40 cities, 2022

Cheney, WA: 27.1 %Cheney, WA27.1Pullman, WA: 26 %Pullman, WA26Airway Heights, WA: 22.6 %Airway Heights, WA22.6Ellensburg, WA: 21.7 %Ellensburg, WA21.7Yelm, WA: 21.6 %Yelm, WA21.6Shelton, WA: 21.3 %Shelton, WA21.3Kelso, WA: 20.9 %Kelso, WA20.9Sunnyside, WA: 20.7 %Sunnyside, WA20.7Bremerton, WA: 20.2 %Bremerton, WA20.2Bellingham, WA: 20 %Bellingham, WA20Spokane, WA: 20 %Spokane, WA20Aberdeen, WA: 19.8 %Aberdeen, WA19.8Longview, WA: 19.4 %Longview, WA19.4Fife, WA: 19.3 %Fife, WA19.3Centralia, WA: 19.2 %Centralia, WA19.2Lakewood, WA: 19.1 %Lakewood, WA19.1Sedro-Woolley, WA: 19.1 %Sedro-Woolley, WA19.1Grandview, WA: 19 %Grandview, WA19Spokane Valley, WA: 19 %Spokane Valley, WA19Tumwater, WA: 18.9 %Tumwater, WA18.9Yakima, WA: 18.9 %Yakima, WA18.9Battle Ground, WA: 18.8 %Battle Ground, WA18.8Pasco, WA: 18.8 %Pasco, WA18.8Arlington, WA: 18.7 %Arlington, WA18.7Port Orchard, WA: 18.6 %Port Orchard, WA18.6Bonney Lake, WA: 18.5 %Bonney Lake, WA18.5Burlington, WA: 18.5 %Burlington, WA18.5Kennewick, WA: 18.5 %Kennewick, WA18.5Oak Harbor, WA: 18.5 %Oak Harbor, WA18.5Puyallup, WA: 18.5 %Puyallup, WA18.5Tacoma, WA: 18.5 %Tacoma, WA18.5Moses Lake, WA: 18.3 %Moses Lake, WA18.3Port Angeles, WA: 18.3 %Port Angeles, WA18.3Lacey, WA: 18.2 %Lacey, WA18.2Everett, WA: 18.1 %Everett, WA18.1Snohomish, WA: 18.1 %Snohomish, WA18.1Sumner, WA: 18.1 %Sumner, WA18.1Marysville, WA: 18 %Marysville, WA18Walla Walla, WA: 18 %Walla Walla, WA18Monroe, WA: 17.9 %Monroe, WA17.9Cheney, WA: 27.1 %Cheney, WA27.1Pullman, WA: 26 %Pullman, WA26Airway Heights, WA: 22.6 %Airway Heights, WA22.6Ellensburg, WA: 21.7 %Ellensburg, WA21.7Yelm, WA: 21.6 %Yelm, WA21.6Shelton, WA: 21.3 %Shelton, WA21.3Kelso, WA: 20.9 %Kelso, WA20.9Sunnyside, WA: 20.7 %Sunnyside, WA20.7Bremerton, WA: 20.2 %Bremerton, WA20.2Bellingham, WA: 20 %Bellingham, WA20Spokane, WA: 20 %Spokane, WA20Aberdeen, WA: 19.8 %Aberdeen, WA19.8Longview, WA: 19.4 %Longview, WA19.4Fife, WA: 19.3 %Fife, WA19.3Centralia, WA: 19.2 %Centralia, WA19.2Lakewood, WA: 19.1 %Lakewood, WA19.1Sedro-Woolley, WA: 19.1 %Sedro-Woolley, WA19.1Grandview, WA: 19 %Grandview, WA19Spokane Valley, WA: 19 %Spokane Valley, WA19Tumwater, WA: 18.9 %Tumwater, WA18.9Yakima, WA: 18.9 %Yakima, WA18.9Battle Ground, WA: 18.8 %Battle Ground, WA18.8Pasco, WA: 18.8 %Pasco, WA18.8Arlington, WA: 18.7 %Arlington, WA18.7Port Orchard, WA: 18.6 %Port Orchard, WA18.6Bonney Lake, WA: 18.5 %Bonney Lake, WA18.5Burlington, WA: 18.5 %Burlington, WA18.5Kennewick, WA: 18.5 %Kennewick, WA18.5Oak Harbor, WA: 18.5 %Oak Harbor, WA18.5Puyallup, WA: 18.5 %Puyallup, WA18.5Tacoma, WA: 18.5 %Tacoma, WA18.5Moses Lake, WA: 18.3 %Moses Lake, WA18.3Port Angeles, WA: 18.3 %Port Angeles, WA18.3Lacey, WA: 18.2 %Lacey, WA18.2Everett, WA: 18.1 %Everett, WA18.1Snohomish, WA: 18.1 %Snohomish, WA18.1Sumner, WA: 18.1 %Sumner, WA18.1Marysville, WA: 18 %Marysville, WA18Walla Walla, WA: 18 %Walla Walla, WA18Monroe, WA: 17.9 %Monroe, WA17.9
%. 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

RankCities2022 (%)Change on 2021
1Cheney, WA27.1+2.8 pts
2Pullman, WA26-0.2 pts
3Airway Heights, WA22.6+1.9 pts
4Ellensburg, WA21.7-1.1 pts
5Yelm, WA21.6+1.2 pts
6Shelton, WA21.3+0.9 pts
7Kelso, WA20.9+0.5 pts
8Sunnyside, WA20.7+0.2 pts
9Bremerton, WA20.2+1.9 pts
10Bellingham, WA20+0.6 pts
10Spokane, WA20+1 pts
12Aberdeen, WA19.8-0.2 pts
13Longview, WA19.4+0.6 pts
14Fife, WA19.3+0.3 pts
15Centralia, WA19.2+0.3 pts
16Lakewood, WA19.1-0.4 pts
16Sedro-Woolley, WA19.1+1.2 pts
18Grandview, WA19+0.1 pts
18Spokane Valley, WA19+1.1 pts
20Tumwater, WA18.9+1.7 pts
20Yakima, WA18.9+0.4 pts
22Battle Ground, WA18.8+0.5 pts
22Pasco, WA18.80 pts
24Arlington, WA18.7+1 pts
25Port Orchard, WA18.6+1.4 pts
26Bonney Lake, WA18.5+0.1 pts
26Burlington, WA18.5+0.4 pts
26Kennewick, WA18.5+0.5 pts
26Oak Harbor, WA18.5+0.1 pts
26Puyallup, WA18.5-0.3 pts
26Tacoma, WA18.5-0.7 pts
32Moses Lake, WA18.3+0.7 pts
32Port Angeles, WA18.3+0.8 pts
34Lacey, WA18.2+0.5 pts
35Everett, WA18.1-0.6 pts
35Snohomish, WA18.1+0.5 pts
35Sumner, WA18.1-0.5 pts
38Marysville, WA18-0.2 pts
38Walla Walla, WA18+0.5 pts
40Monroe, WA17.9-0.1 pts
41Vancouver, WA17.8+0.3 pts
42East Wenatchee, WA17.7+0.2 pts
42Mount Vernon, WA17.70 pts
42Olympia, WA17.7-0.1 pts
45Lynden, WA17.6+1.7 pts
46Auburn, WA17.5-0.8 pts
46SeaTac, WA17.5-0.9 pts
48Ferndale, WA17.40 pts
48Kent, WA17.4-1 pts
48Lake Stevens, WA17.4-0.1 pts
51Federal Way, WA17.3-0.5 pts
52Burien, WA17.2-0.3 pts
53Edgewood, WA17.1+0.9 pts
54Covington, WA17-0.3 pts
54Tukwila, WA17-1.3 pts
54Washougal, WA17+0.3 pts
57Wenatchee, WA16.9+0.1 pts
58Des Moines, WA16.8-0.5 pts
58Ridgefield, WA16.8+0.9 pts
60Enumclaw, WA16.6-1.1 pts
60Lynnwood, WA16.6-0.3 pts
62Liberty Lake, WA16.5+1.4 pts
63University Place, WA16.4-0.9 pts
64Renton, WA16.3-0.2 pts
65Maple Valley, WA16-0.2 pts
66West Richland, WA15.8+0.3 pts
67Mountlake Terrace, WA15.6-0.7 pts
67Poulsbo, WA15.6+1.2 pts
67Richland, WA15.6+0.4 pts
67Seattle, WA15.6-0.2 pts
71Camas, WA15+0.6 pts
72Bothell, WA14.8-0.2 pts
73Shoreline, WA14.6-0.2 pts
74Lake Forest Park, WA14.5+0.8 pts
75Kirkland, WA14.3-0.3 pts
76Anacortes, WA14.2-0.1 pts
76Mill Creek, WA14.2-0.1 pts
76Snoqualmie, WA14.2-0.4 pts
76Woodinville, WA14.2-0.5 pts
80Kenmore, WA14-0.3 pts
80Mukilteo, WA14-0.2 pts
82Edmonds, WA13.8-0.1 pts
83Gig Harbor, WA13.6-1 pts
83Issaquah, WA13.6-0.6 pts
85Port Townsend, WA13.40 pts
86Redmond, WA12.9-0.4 pts
87Bainbridge Island, WA12.5+1.3 pts
87Bellevue, WA12.5-0.5 pts
89Newcastle, WA12.3-0.9 pts
90Sammamish, WA12-0.9 pts
91Mercer Island, WA11.4-0.1 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, 2022) [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, 2022. 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?period=2022. 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, 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/washington-cities?period=2022.

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, 2022 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/washington-cities?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{centers_cities_in_washington_by_2022,
  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, 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/washington-cities?period=2022. 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, 2022
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?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/washington-cities?period=2022.
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?

Cheney, WA, with 27.1% in 2022, 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 11.4% 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, 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