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

Whitman County had the highest frequent mental distress in adults, local model estimate of 39 counties in 2021, at 21.1%. San Juan County had the lowest, at 12.8%. The median was 15.8%. Source: the Centers for Disease Control and Prevention.

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Highest21.1Whitman County
Lowest12.8San Juan County
Median15.839 counties

Map of counties, 2021

Adams County: 18.3 %Asotin County: 16.8 %Benton County: 15.7 %Chelan County: 15.2 %Clallam County: 14.6 %Clark County: 15.8 %Columbia County: 14.8 %Cowlitz County: 16.9 %Douglas County: 15.9 %Ferry County: 16.8 %Franklin County: 17.4 %Garfield County: 14.7 %Grant County: 16.9 %Grays Harbor County: 17.5 %Island County: 14.5 %Jefferson County: 12.8 %King County: 14.7 %Kitsap County: 14.7 %Kittitas County: 17.8 %Klickitat County: 15.5 %Lewis County: 16.9 %Lincoln County: 15 %Mason County: 16.1 %Okanogan County: 16.9 %Pacific County: 14.6 %Pend Oreille County: 15.5 %Pierce County: 17.9 %San Juan County: 12.8 %Skagit County: 15.3 %Skamania County: 15.5 %Snohomish County: 15.7 %Spokane County: 17.1 %Stevens County: 15.8 %Thurston County: 16.5 %Wahkiakum County: 14.7 %Walla Walla County: 16.5 %Whatcom County: 16.7 %Whitman County: 21.1 %Yakima County: 17.3 %
  • Under 15
  • 15 to 16
  • 16 to 17
  • 17 and over
%, 2021. 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, 2021

Whitman County: 21.1 %Whitman County21.1Adams County: 18.3 %Adams County18.3Pierce County: 17.9 %Pierce County17.9Kittitas County: 17.8 %Kittitas County17.8Grays Harbor County: 17.5 %Grays Harbor County17.5Franklin County: 17.4 %Franklin County17.4Yakima County: 17.3 %Yakima County17.3Spokane County: 17.1 %Spokane County17.1Cowlitz County: 16.9 %Cowlitz County16.9Grant County: 16.9 %Grant County16.9Lewis County: 16.9 %Lewis County16.9Okanogan County: 16.9 %Okanogan County16.9Asotin County: 16.8 %Asotin County16.8Ferry County: 16.8 %Ferry County16.8Whatcom County: 16.7 %Whatcom County16.7Thurston County: 16.5 %Thurston County16.5Walla Walla County: 16.5 %Walla Walla County16.5Mason County: 16.1 %Mason County16.1Douglas County: 15.9 %Douglas County15.9Clark County: 15.8 %Clark County15.8Stevens County: 15.8 %Stevens County15.8Benton County: 15.7 %Benton County15.7Snohomish County: 15.7 %Snohomish County15.7Klickitat County: 15.5 %Klickitat County15.5Pend Oreille County: 15.5 %Pend Oreille County15.5Skamania County: 15.5 %Skamania County15.5Skagit County: 15.3 %Skagit County15.3Chelan County: 15.2 %Chelan County15.2Lincoln County: 15 %Lincoln County15Columbia County: 14.8 %Columbia County14.8Garfield County: 14.7 %Garfield County14.7King County: 14.7 %King County14.7Kitsap County: 14.7 %Kitsap County14.7Wahkiakum County: 14.7 %Wahkiakum County14.7Clallam County: 14.6 %Clallam County14.6Pacific County: 14.6 %Pacific County14.6Island County: 14.5 %Island County14.5Jefferson County: 12.8 %Jefferson County12.8San Juan County: 12.8 %San Juan County12.8Whitman County: 21.1 %Whitman County21.1Adams County: 18.3 %Adams County18.3Pierce County: 17.9 %Pierce County17.9Kittitas County: 17.8 %Kittitas County17.8Grays Harbor County: 17.5 %Grays Harbor County17.5Franklin County: 17.4 %Franklin County17.4Yakima County: 17.3 %Yakima County17.3Spokane County: 17.1 %Spokane County17.1Cowlitz County: 16.9 %Cowlitz County16.9Grant County: 16.9 %Grant County16.9Lewis County: 16.9 %Lewis County16.9Okanogan County: 16.9 %Okanogan County16.9Asotin County: 16.8 %Asotin County16.8Ferry County: 16.8 %Ferry County16.8Whatcom County: 16.7 %Whatcom County16.7Thurston County: 16.5 %Thurston County16.5Walla Walla County: 16.5 %Walla Walla County16.5Mason County: 16.1 %Mason County16.1Douglas County: 15.9 %Douglas County15.9Clark County: 15.8 %Clark County15.8Stevens County: 15.8 %Stevens County15.8Benton County: 15.7 %Benton County15.7Snohomish County: 15.7 %Snohomish County15.7Klickitat County: 15.5 %Klickitat County15.5Pend Oreille County: 15.5 %Pend Oreille County15.5Skamania County: 15.5 %Skamania County15.5Skagit County: 15.3 %Skagit County15.3Chelan County: 15.2 %Chelan County15.2Lincoln County: 15 %Lincoln County15Columbia County: 14.8 %Columbia County14.8Garfield County: 14.7 %Garfield County14.7King County: 14.7 %King County14.7Kitsap County: 14.7 %Kitsap County14.7Wahkiakum County: 14.7 %Wahkiakum County14.7Clallam County: 14.6 %Clallam County14.6Pacific County: 14.6 %Pacific County14.6Island County: 14.5 %Island County14.5Jefferson County: 12.8 %Jefferson County12.8San Juan County: 12.8 %San Juan County12.8
%. 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

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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, 2021) [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, 2021. 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?period=2021. 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, 2021. 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?period=2021.

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, 2021 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/washington-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_washington_by_2021,
  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, 2021}},
  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?period=2021. 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, 2021
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?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/washington-counties?period=2021.
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 Washington 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?

Whitman County, with 21.1% in 2021, 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 12.8% in 2021.

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