This Is the Worst American City for Mental Health

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By Douglas A. McIntyre Published
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This Is the Worst American City for Mental Health

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The COVID-19 pandemic has taken a serious toll on mental health in America. The Kaiser Family Foundation reported that, in January, four out of 10 people had reported symptoms of anxiety or depressive disorder. This was almost four times the figure for the period of January to June 2019, well before the pandemic started. Furthermore, a Harvard study showed that COVID-19 infection increased the risk of developing a psychiatric disorder, dementia or insomnia.
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CertaPet reviewed mental health care by city in the United States and created a research report titled “The Best & Worst Cities for Mental Health in America.” Among the reasons for the study, the authors pointed out:

The deterioration of mental health in America, exacerbated by the pandemic, has prompted a new (but tired) wave of advocacy for de-stigmatization, improved access to care, and open dialogue around the unseen suffering that so many face but are afraid to admit.

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The study reviewed several sets of data, which included the therapy session rate by state, prescription rate changes, criminalization of mental illness and poor mental health days by county. In all, seven factors were used. Cities were given a rating of zero to 50.

The worst city in the ranking was Dallas at 23.5. Cities in the state of Texas received poor grades. The second worse city in the nation was Houston, and San Antonio and Austin were also among the worst 10 cities. Florida also had four cities in the bottom 10.

At the other end of the spectrum, Denver ranked best with a score of 40.0.

These are the 10 worst American cities for mental health:

  • Dallas, 23.5
  • Houston, 23.7
  • Jacksonville, 24.5
  • San Antonio, 24.9
  • Tampa, 25.0
  • Orlando, 25.6
  • Birmingham, 25.9
  • Miami, 26.1
  • Austin, 26.5
  • Phoenix, 27.2

Click here to see which 25 states have the worst health care systems.
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Photo of Douglas A. McIntyre
About the Author Douglas A. McIntyre →

Douglas A. McIntyre is the co-founder, chief executive officer and editor in chief of 24/7 Wall St. and 24/7 Tempo. He has held these jobs since 2006.

McIntyre has written thousands of articles for 24/7 Wall St. He is an expert on corporate finance, the automotive industry, media companies and international finance. He has edited articles on national demographics, sports, personal income and travel.

His work has been quoted or mentioned in The New York Times, The Wall Street Journal, Los Angeles Times, The Washington Post, NBC News, Time, The New Yorker, HuffPost USA Today, Business Insider, Yahoo, AOL, MarketWatch, The Atlantic, Bloomberg, New York Post, Chicago Tribune, Forbes, The Guardian and many other major publications. McIntyre has been a guest on CNBC, the BBC and television and radio stations across the country.

A magna cum laude graduate of Harvard College, McIntyre also was president of The Harvard Advocate. Founded in 1866, the Advocate is the oldest college publication in the United States.

TheStreet.com, Comps.com and Edgar Online are some of the public companies for which McIntyre served on the board of directors. He was a Vicinity Corporation board member when the company was sold to Microsoft in 2002. He served on the audit committees of some of these companies.

McIntyre has been the CEO of FutureSource, a provider of trading terminals and news to commodities and futures traders. He was president of Switchboard, the online phone directory company. He served as chairman and CEO of On2 Technologies, the video compression company that provided video compression software for Adobe’s Flash. Google bought On2 in 2009.

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