Mental Disorders Rate (per 100k)
State | Mental Disorders Rate 2023 (per 100k)↓ | Mental Disorders Rate Ages 0-14 2023 (per 100k) | Anxiety Rate 2023 (per 100k) | Anxiety Rate Ages 0-14 2023 (per 100k) | |
|---|---|---|---|---|---|
| West Virginia | 19,337 | 10,892 | 7,669 | 2,806 | |
| Arkansas | 19,126 | 11,204 | 7,620 | 2,755 | |
| Pennsylvania | 18,998 | 11,837 | 7,622 | 2,760 | |
| Washington | 18,825 | 10,796 | 7,313 | 2,669 | |
| Ohio | 18,767 | 10,657 | 7,637 | 2,770 | |
| Connecticut | 18,718 | 10,438 | 7,934 | 2,528 | |
| Oklahoma | 18,616 | 10,595 | 7,692 | 2,810 | |
| Kentucky | 18,582 | 10,490 | 7,624 | 2,747 | |
| Tennessee | 18,573 | 10,212 | 7,666 | 2,733 | |
| Alabama | 18,566 | 10,395 | 7,765 | 2,769 | |
| Colorado | 18,505 | 10,171 | 7,529 | 2,732 | |
| Michigan | 18,490 | 10,579 | 7,631 | 2,778 | |
| Mississippi | 18,464 | 10,414 | 7,793 | 2,804 | |
| Utah | 18,400 | 10,607 | 7,298 | 2,716 | |
| Kansas | 18,388 | 10,572 | 7,526 | 2,768 | |
| Massachusetts | 18,306 | 10,930 | 7,607 | 2,705 | |
| California | 18,296 | 10,441 | 7,857 | 2,550 | |
| Nevada | 18,280 | 10,739 | 7,650 | 2,841 | |
| South Carolina | 18,274 | 10,565 | 7,712 | 2,758 | |
| Georgia | 18,180 | 10,517 | 7,699 | 2,794 | |
| Rhode Island | 18,161 | 10,369 | 7,664 | 2,725 | |
| New York | 18,137 | 10,469 | 7,711 | 2,757 | |
| New Mexico | 18,114 | 10,656 | 7,734 | 2,865 | |
| Indiana | 18,081 | 10,393 | 7,594 | 2,762 | |
| Nebraska | 18,042 | 10,391 | 7,367 | 2,705 | |
| Louisiana | 17,926 | 10,356 | 7,680 | 2,766 | |
| New Jersey | 17,887 | 10,316 | 7,596 | 2,740 | |
| Virginia | 17,833 | 10,404 | 7,501 | 2,708 | |
| Florida | 17,821 | 10,143 | 7,551 | 2,711 | |
| District of Columbia | 17,809 | 9,738 | 7,720 | 2,560 | |
| Delaware | 17,753 | 10,207 | 7,585 | 2,711 | |
| Idaho | 17,695 | 10,299 | 7,454 | 2,747 | |
| Illinois | 17,681 | 10,375 | 7,572 | 2,777 | |
| Maine | 17,580 | 10,292 | 7,413 | 2,659 | |
| New Hampshire | 17,560 | 10,379 | 7,450 | 2,679 | |
| Missouri | 17,549 | 9,429 | 7,586 | 2,742 | |
| Arizona | 17,513 | 10,157 | 7,664 | 2,819 | |
| Maryland | 17,458 | 9,822 | 7,525 | 2,719 | |
| South Dakota | 17,443 | 10,251 | 7,413 | 2,732 | |
| Wyoming | 17,438 | 10,325 | 7,508 | 2,800 | |
| Montana | 17,435 | 10,277 | 7,507 | 2,762 | |
| Wisconsin | 17,324 | 10,114 | 7,464 | 2,727 | |
| North Carolina | 17,309 | 10,260 | 6,606 | 2,533 | |
| Texas | 17,095 | 9,055 | 7,620 | 2,795 | |
| Iowa | 16,913 | 9,981 | 7,470 | 2,725 | |
| Alaska | 16,829 | 9,905 | 7,287 | 2,693 | |
| Vermont | 16,794 | 10,195 | 7,282 | 2,629 | |
| Oregon | 16,606 | 8,684 | 7,212 | 2,293 | |
| North Dakota | 16,601 | 9,772 | 7,391 | 2,707 | |
| Minnesota | 16,599 | 9,080 | 7,386 | 2,717 | |
| Hawaii | 16,411 | 9,890 | 7,090 | 2,575 |
Some states consistently report higher levels of mental health conditions than others, with the highest rates often appearing in Appalachia and parts of the Midwest.
Based on 2023 data (the most recent data available as of early 2026), West Virginia ranks at the top nationally for overall mental disorder prevalence. Other states with similarly high rates include Arkansas, Pennsylvania, Washington, and Ohio.
In these states, anxiety disorders make up a large portion of reported mental health conditions, and elevated rates appear across both adults and children. While the reasons vary, the data makes one thing clear: higher mental health prevalence is not limited to a single region or demographic group.
Several states report noticeably lower overall mental disorder prevalence compared with the national range, though lower rates do not mean the absence of mental health challenges.
In 2023 data, Hawaii reports the lowest overall mental disorder rate in the country. Other states with comparatively lower prevalence include Minnesota, North Dakota, Oregon, and Vermont. Even in these lower-prevalence states, mental health conditions remain common across both adults and children.