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November 3, 2023

Depression and Anxiety Statistics By State

Kristie Plantinga
black man has his glasses off and is pinching his sinuses; depression and anxiety statistics
November 3, 2023
6 min to read
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In this post, we’ve compiled NAMI’s depression and anxiety statistics along with insights about what’s causing anxiety and depression in Americans.

Data disclaimers

In the field of psychology, data collection isn't perfect. Here are a few things to keep in mind about mental health data.

  1. We don't have access to all of the information regarding the target demographics of this data sample, so it's hard to know if it's truly representative of the whole population. NAMI is a highly reputable organization, but we cannot verify if the data is representative of the US population.
  2. Stigma and a lack of education about mental health could cause people to underreport (or incorrectly report) symptoms of anxiety and depression.
  3. Mental health symptoms can come and go, so people who reported no symptoms at the time of data collection may still develop symptoms at a later time.

With that out of the way, let's get to the depression and anxiety statistics!

Rates of depression and anxiety by state in 2021

Here's an interactive, heat-style map displaying rates of depression and anxiety across the United States.

Here's a table listing out the rates of depression and anxiety by state.

State Rate of Anxiety and Depression
Alaska 43.10%
Arizona 40.80%
Arkansas 40.00%
California 46.10%
Colorado 41.40%
Connecticut 40.60%
Delaware 32.80%
Washington, D.C. 43.70%
Florida 40.80%
Georgia 44.30%
Hawaii 37.60%
Idaho 40.00%
Illinois 38.50%
Indiana 38.50%
Iowa 42.20%
Kansas 36.50%
Kentucky 43.60%
Louisiana 47.50%
Maine 37.50%
Maryland 39.10%
Massachusetts 42.20%
Michigan 39.90%
Minnesota 37.20%
Mississippi 42.70%
Missouri 39.00%
Montana 35.10%
Nebraska 33.80%
Nevada 41.40%
New Hampshire 37.70%
New Jersey 42.20%
New Mexico 43.30%
New York 35.80%
North Carolina 44.70%
North Dakota 28.80%
Ohio 43.20%
Oklahoma 47.50%
Oregon 42.00%
Pennsylvania 39.80%
Rhode Island 41.50%
South Carolina 37.60%
South Dakota 29.10%
Tennessee 43.50%
Texas 43.40%
Utah 40.90%
Vermont 36.20%
Virginia 36.90%
Washington 46.30%
West Virginia 41.80%
Wisconsin 36.40%
Wyoming 40.20%

Insights on 2021 depression and anxiety statistics

  1. The average rate of anxiety and depression in the United States was 40%.
  2. Oklahoma, Louisiana, Washington, California, and North Carolina had the highest rates of anxiety and depression, ranging from 45% to 48%.
  3. North Dakota, South Dakota, Delaware, Nebraska, and Montana had the lowest rates of anxiety and depression, ranging from 28% to 35%.

Symptoms of anxiety and depression

Anxiety and depression is a unique experience, but common symptoms include the following.

Symptoms of anxiety

There are many anxiety disorders, such as social anxiety disorder and panic disorder. The most common of these anxiety disorders is generalized anxiety disorder.

Along with excessive worry (and a difficulty in controlling that excessive worry), to be officially diagnosed with generalized anxiety, at least three of these symptoms must be present for six or more months.

  • Restlessness and feeling “on edge”
  • Fatigue
  • Difficulty in concentrating or mind going blank 
  • Irritability
  • Muscle tension
  • Disturbances in sleep

Additionally, the anxiety must result in “significant distress or impairment in social and occupational areas,” and it cannot be caused by something physical.

Symptoms of depression

Like with anxiety, there are multiple diagnosable depression disorders.

To receive an official diagnosis of major depressive disorder, individuals typically experience a prolonged period of low mood and must exhibit at least five of the following symptoms.

  • Depressed mood or a loss of interest or pleasure in almost all activities for most of the day, nearly every day
  • Significant changes in appetite or weight
  • Sleep disturbances, including insomnia or oversleeping
  • Fatigue or loss of energy
  • Feelings of worthlessness or excessive guilt
  • Difficulty in concentrating or making decisions
  • Psychomotor agitation or retardation (restlessness or slowed movements)
  • Recurrent thoughts of death, suicidal ideation, or suicide attempts

These symptoms must be present for two weeks or more.

What’s causing anxiety and depression in Americans?

There are several common causes of depression and anxiety.

  1. Biological factors: Imbalances in brain chemistry, genetics, and family history can play a significant role. Individuals with a family history of anxiety or depression may be at higher risk.
  2. Stress: High levels of chronic stress due to work, family, relationships, or other life events can trigger or exacerbate symptoms of anxiety and depression.
  3. Trauma: Exposure to traumatic events, such as abuse, violence, accidents, or natural disasters, can lead to the development of these conditions.
  4. Medical conditions: Certain medical conditions, such as chronic illness, chronic pain, or hormonal imbalances, can contribute to or worsen symptoms of anxiety and depression.
  5. Substance abuse: The misuse of alcohol or drugs can lead to or exacerbate both anxiety and depression.
  6. Personality factors: Some personality traits, like perfectionism or low self-esteem, can make individuals more susceptible to anxiety and depression.
  7. Environmental factors: Living in a challenging or unsupportive environment, experiencing discrimination, or facing financial difficulties can increase the risk.
  8. Loss and grief: Experiencing a significant loss, like the death of a loved one or a breakup, can trigger episodes of depression.
  9. Lack of social support: Isolation and a lack of strong social connections can contribute to feelings of depression and anxiety.
  10. Hormonal changes: Hormonal fluctuations, such as those occurring during pregnancy, postpartum, or menopause, can affect mood and contribute to these conditions.
  11. Childhood experiences: Adverse childhood experiences, such as abuse or neglect, can have a lasting impact on mental health.


Stress is a significant cause of depression and anxiety.

According to the American Psychological Association, the following are a few of the top five factors contributing to Americans’ stress.

  1. The future of our nation
  2. Money (70% of Americans are stressed about money and inflation is playing a role)
  3. Work (we work much more than Europeans)
  4. The political climate (no matter what your political party is)
  5. Violence and crime, which include things like hate crimes, gun violence, conflict with other countries, and more

Although longitudinal clinical studies are needed, we suspect that a few other things are contributing to increased rates of anxiety and depression in America.

  1. Climate change
  2. News and social media consumption

Get help for anxiety and depression

Although many Americans are anxious and depressed, the good news is that anxiety and depression are highly treatable. With a combination of lifestyle improvements, medication, and therapy, you can start feeling better.

Want to start therapy? Start consulting with therapists vetted by Best Therapists.

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Written by
Kristie Plantinga

Kristie Plantinga is the founder of Best Therapists. Along with being on the client-side of therapy, Kristie has had the honor of working directly with therapists in her marketing agency for therapists, TherapieSEO. While working alongside therapists, she learned about the inequities in our mental health system that therapists face on a daily basis, and she wanted to do something about it. That’s why Best Therapists is a platform designed to benefit not only therapy-seekers, but therapy providers. Kristie has a Masters degree in Written Communication and a Bachelors degree in Psychology and Music.

Reviewed by
Katelyn McMahon
Registered Psychotherapist, VT #097.0134200

Katelyn is a therapist-turned-writer with a passion for mental health. She has a Master's degree in Social Work from the University of England and is a Registered Psychotherapist in the state of Vermont. Katelyn has professional experience in aging care, addiction treatment, integrated health care, and private practice settings. She also has lived experience being on the client side of therapy. Currently, Katelyn is a content writer who’s passionate about spreading mental health awareness and helping other therapists and therapy-seekers Do The Work.

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