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

Whitman County had the highest frequent mental distress in adults, local model estimate of 39 counties in 2023, at 20.9%. San Juan County had the lowest, at 13%. The median was 16.8%. Source: the Centers for Disease Control and Prevention.

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Highest20.9Whitman County
Median16.839 counties

Map of counties, 2023

Adams County: 18.3 %Asotin County: 17.1 %Benton County: 16.2 %Chelan County: 16.1 %Clallam County: 15.1 %Clark County: 18.2 %Columbia County: 15.8 %Cowlitz County: 18.7 %Douglas County: 16.6 %Ferry County: 17.4 %Franklin County: 17.8 %Garfield County: 15.4 %Grant County: 17.8 %Grays Harbor County: 18.4 %Island County: 14.8 %Jefferson County: 13.4 %King County: 14.7 %Kitsap County: 16 %Kittitas County: 18 %Klickitat County: 16.1 %Lewis County: 17.8 %Lincoln County: 15.8 %Mason County: 16.9 %Okanogan County: 17.2 %Pacific County: 16 %Pend Oreille County: 16.8 %Pierce County: 18.1 %San Juan County: 13 %Skagit County: 15.8 %Skamania County: 16.1 %Snohomish County: 15.8 %Spokane County: 17.5 %Stevens County: 16 %Thurston County: 16.9 %Wahkiakum County: 16 %Walla Walla County: 16.8 %Whatcom County: 17.9 %Whitman County: 20.9 %Yakima County: 17.8 %
  • Under 16
  • 16 to 17
  • 17 to 18
  • 18 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.

All counties, 2023

Whitman County: 20.9 %Whitman County20.9Cowlitz County: 18.7 %Cowlitz County18.7Grays Harbor County: 18.4 %Grays Harbor County18.4Adams County: 18.3 %Adams County18.3Clark County: 18.2 %Clark County18.2Pierce County: 18.1 %Pierce County18.1Kittitas County: 18 %Kittitas County18Whatcom County: 17.9 %Whatcom County17.9Franklin County: 17.8 %Franklin County17.8Grant County: 17.8 %Grant County17.8Lewis County: 17.8 %Lewis County17.8Yakima County: 17.8 %Yakima County17.8Spokane County: 17.5 %Spokane County17.5Ferry County: 17.4 %Ferry County17.4Okanogan County: 17.2 %Okanogan County17.2Asotin County: 17.1 %Asotin County17.1Mason County: 16.9 %Mason County16.9Thurston County: 16.9 %Thurston County16.9Pend Oreille County: 16.8 %Pend Oreille County16.8Walla Walla County: 16.8 %Walla Walla County16.8Douglas County: 16.6 %Douglas County16.6Benton County: 16.2 %Benton County16.2Chelan County: 16.1 %Chelan County16.1Klickitat County: 16.1 %Klickitat County16.1Skamania County: 16.1 %Skamania County16.1Kitsap County: 16 %Kitsap County16Pacific County: 16 %Pacific County16Stevens County: 16 %Stevens County16Wahkiakum County: 16 %Wahkiakum County16Columbia County: 15.8 %Columbia County15.8Lincoln County: 15.8 %Lincoln County15.8Skagit County: 15.8 %Skagit County15.8Snohomish County: 15.8 %Snohomish County15.8Garfield County: 15.4 %Garfield County15.4Clallam County: 15.1 %Clallam County15.1Island County: 14.8 %Island County14.8King County: 14.7 %King County14.7Jefferson County: 13.4 %Jefferson County13.4San Juan County: 13 %San Juan County13Whitman County: 20.9 %Whitman County20.9Cowlitz County: 18.7 %Cowlitz County18.7Grays Harbor County: 18.4 %Grays Harbor County18.4Adams County: 18.3 %Adams County18.3Clark County: 18.2 %Clark County18.2Pierce County: 18.1 %Pierce County18.1Kittitas County: 18 %Kittitas County18Whatcom County: 17.9 %Whatcom County17.9Franklin County: 17.8 %Franklin County17.8Grant County: 17.8 %Grant County17.8Lewis County: 17.8 %Lewis County17.8Yakima County: 17.8 %Yakima County17.8Spokane County: 17.5 %Spokane County17.5Ferry County: 17.4 %Ferry County17.4Okanogan County: 17.2 %Okanogan County17.2Asotin County: 17.1 %Asotin County17.1Mason County: 16.9 %Mason County16.9Thurston County: 16.9 %Thurston County16.9Pend Oreille County: 16.8 %Pend Oreille County16.8Walla Walla County: 16.8 %Walla Walla County16.8Douglas County: 16.6 %Douglas County16.6Benton County: 16.2 %Benton County16.2Chelan County: 16.1 %Chelan County16.1Klickitat County: 16.1 %Klickitat County16.1Skamania County: 16.1 %Skamania County16.1Kitsap County: 16 %Kitsap County16Pacific County: 16 %Pacific County16Stevens County: 16 %Stevens County16Wahkiakum County: 16 %Wahkiakum County16Columbia County: 15.8 %Columbia County15.8Lincoln County: 15.8 %Lincoln County15.8Skagit County: 15.8 %Skagit County15.8Snohomish County: 15.8 %Snohomish County15.8Garfield County: 15.4 %Garfield County15.4Clallam County: 15.1 %Clallam County15.1Island County: 14.8 %Island County14.8King County: 14.7 %King County14.7Jefferson County: 13.4 %Jefferson County13.4San Juan County: 13 %San Juan County13
%. 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
1Whitman County20.9-0.6 pts
2Cowlitz County18.70 pts
3Grays Harbor County18.4+0.7 pts
4Adams County18.3-1.1 pts
5Clark County18.2+2 pts
6Pierce County18.1+0.1 pts
7Kittitas County18-0.4 pts
8Whatcom County17.9+0.7 pts
9Franklin County17.8-1.7 pts
9Grant County17.8-0.7 pts
9Lewis County17.8+0.3 pts
9Yakima County17.8-1.4 pts
13Spokane County17.5-1.1 pts
14Ferry County17.4-0.7 pts
15Okanogan County17.2-1.1 pts
16Asotin County17.1-0.2 pts
17Mason County16.90 pts
17Thurston County16.9-0.3 pts
19Pend Oreille County16.8+0.8 pts
19Walla Walla County16.8-1.2 pts
21Douglas County16.6-0.6 pts
22Benton County16.2-1.2 pts
23Chelan County16.10 pts
23Klickitat County16.1-0.1 pts
23Skamania County16.10 pts
26Kitsap County16-0.2 pts
26Pacific County16-0.4 pts
26Stevens County16+0.1 pts
26Wahkiakum County16+0.1 pts
30Columbia County15.8-0.3 pts
30Lincoln County15.8-0.8 pts
30Skagit County15.8-0.5 pts
30Snohomish County15.8-0.7 pts
34Garfield County15.4-0.4 pts
35Clallam County15.1-0.5 pts
36Island County14.8+0.3 pts
37King County14.7+0.7 pts
38Jefferson County13.4-0.1 pts
39San Juan County13-0.4 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 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, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence, Counties in Washington 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/washington-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 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-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 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-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_washington_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 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-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 Washington 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/washington-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/washington-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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Questions

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

Whitman County, with 20.9% in 2023, according to the Centers for Disease Control and Prevention.

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

San Juan County, with 13% 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 Washington: more rankings