ON EDGE: In unprecedented times, unprecedented struggles with mental health across the state - Sentinel Colorado (2023)

ON EDGE: In unprecedented times, unprecedented struggles with mental health across the state - Sentinel Colorado (1)

On Edge

On Denver’s west side, an elderly man had been managing his solitude just fine until the pandemic hit, taking with it what social life he had and leaving in its place a loneliness he had not felt for years. Not far from his house, a young woman fights panic attacks after COVID-19 killed her grandfather and landed her in the hospital. Now, she fears the virus will come for her again and this time she will die.

In Fort Collins, the school district announces an early return to online learning, and moments later, a struggling mother calls the local mental health center: “I can’t do this again.”

In Aurora, a grocery worker dreads every day in fear of contracting the coronavirus at a job she feels she has no control over.

On the Eastern Plains is a third-generation farmer, and if the pandemic does not weigh on him heavily, this year’s record drought and the crop failure it caused do. It sets off an irritability and dread that words do not capture in the same way they cannot capture the layering of crises that marks this time: the body blows dealt by the pandemic, the shaky economy, climate-change driven fire and drought, civil rights reckoning and a polarizing election.

Coloradans are on edge. As individuals. As families. As communities. Colorado already had greater demand for behavioral health services than it could provide. And the safety net that even the state’s top mental health official says has “too many holes” might be further frayed by the tight state budget.

These crises have led to a well-documented flood of calls to crisis and referral lines, and nearly half of Coloradans recently reported experiencing anxiety or depression.

“Everyone is really struggling with the same things,” says Kristen Cochran-Ward, director of Connections, a mental health and substance abuse program at the Health District of Northern Larimer County. “I have heard people saying that we are all in the same boat. We are not all in the same boat. We are all in the same storm. And some people might be in a cruise ship and some might be on a tire raft.”

To capture the current psyche of our state, Sentinel Colorado is partnering with nearly 100 others through the Colorado News Collaborative (COLab) to document how Coloradans are coping. Our hope is that in a state where stigma around mental health struggles runs high, this reporting and the conversations that follow will prompt better understanding of widely misunderstood and hidden experiences.

If there is a silver lining to this time, it could be the realization that even if we find ourselves isolated, we are not alone.

“This has affected all of our wellbeing, all of us,” says Dr. Carl Clark, president and CEO of the Mental Health Center of Denver. “So, I think it has kind of washed away that us-them thing around mental health. I think it is making people realize: ‘Hey, it’s not us-them. It’s us.’”

— Tina Griego, Susan Greene, Colorado News Collaborative

ON EDGE: In unprecedented times, unprecedented struggles with mental health across the state - Sentinel Colorado (3)

Aurora Mental health teams fighting a relentless ‘perfect storm’

Mental health issues were already a serious concern in Aurora before the pandemic arrived, with the Cherry Creek School District even developing a plan for a mental health day treatment facility for its students because the need was so present.

The coronavirus has only made mental health issues more pressing, and at the Aurora Mental Health Center clinicians are working to provide Aurorans the care they need under the strained circumstances caused by the pandemic.

The center provides mental health services and substance abuse treatment to around 25,000-30,000 people a year from the Aurora region. Its numbers have held steady this year despite a dip in people seeking services at the beginning of the pandemic, said CEO Dr. Kelly Phillips-Henry. The center saw some of its biggest surges in people reaching out during the spring.

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At the beginning of the pandemic, the center transitioned many of its services to telehealth to decrease the number of people coming into the building, instead reaching many people over the computer or the telephone, she said.

Telehealth worked well for many clients, and Phillips-Henry said that some people preferred it. However, some clients, such as those suffering with psychosis, struggled to receive care virtually, and the center worked to provide more in-person services over the as cases dipped following the spring peak. Over the summer it was providing about 60% remote service and 40% in person, but by mid-November the ratio was closer to 80-20% as cases rose again.

Currently, most in-person services are for inpatient treatment such as substance abuse detox and people in mental health crisis.

The center has seen an increase in people struggling with depression and anxiety this year, which Phillips-Henry believes is attributable to the pandemic.

“These types of pandemics usually don’t bring out the best in us when we don’t have our natural supports around us, like friends are family,” Phillips-Henry said.

For people who are already struggling with mental illness, “a time like this will make it much more challenging.”

AMHC patient Shauna Eckart said that the pandemic has taken a toll on her ability to manage her mental health. Eckart has PTSD, depression and anxiety, and her depression and anxiety have worsened since the pandemic began. Being surrounded by people wearing masks also exacerbates her PTSD, she said, because it’s hard to identify people’s faces.

“I’ve been more on guard this whole pandemic,” she said.

The isolation caused by COVID-19 has made it harder for her to do the things that normally help her manage her symptoms, such as interacting with loved ones.

“When you have severe depression or anxiety, you don’t want to be by yourself 24/7,” she said.

The center has seen a notable uptick in substance abuse since the beginning of the pandemic.

“A lot of times folks don’t use the healthiest coping mechanisms when stress gets high and for many people they turn to drugs or alcohol,” Phillips-Henry said.

Malcolm Jobe, the director for AMHC’s substance use disorder programs, said that along with the increase in volume, he’s also seen an increase in the severity of people’s distress since the pandemic began.

“Not only are we seeing more folks in acute crisis, the intensity of their situation, the distress and the anxiety that clients are feeling has really been heightened,” he said.

It’s hard to draw a direct line to what causes people to struggle with substance abuse or mental illness, but Jobe believes that the economic fallout and lack of social interaction caused by the pandemic are both factors.

“I think that it’s a perfect storm,” Jobe said. “You throw in economic challenges, money concerns and not being able to see your loved ones. People are feeling scared and worried, that absolutely is contributing to more acuity.”

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The pandemic has been challenging for clinicians as well as patients, many of whom have young children. They have had to retool how they provide treatment in the middle of handling their own childcare, and while some appreciate the flexibility that working from home brings, it can be difficult to deliver therapy from a crowded house or apartment.

“We don’t buy or rent our places that we live in to create a work environment,” Phillips-Henry said. “We have clinicians that are working from their bedrooms, that have made an office from a closet, or that are moving about the house at various times of day to find a private location that meets all the HIPPA compliance to deliver care.”

The detox program has had to cut its beds from 30 to 18 to comply with social distancing guidelines, which has meant at times having to turn people away. Some staff members have had to quarantine because of COVID-19 scares, but so far no one has contracted COVID-19.

Despite the reduced capacity, Jobe said it was a point of pride that the facility has been able to stay up and running throughout the pandemic for those who are in crisis.

“The light is still on,” he said.

— CARINA JULIG, Sentinel Colorado staff Writer

ON EDGE: In unprecedented times, unprecedented struggles with mental health across the state - Sentinel Colorado (5)

‘Too many holes in the net’

Colorado was in poor shape to handle 2020’s confluence of crises. This year’s heightened mental health needs have run headlong into a complex, ever-shifting constellation of decades-old challenges: the state’s higher-than-average prevalence of high-risk mental health conditions; a backlog of demand caused by a thicket of red tape among state agencies and private insurers; a behavioral health workforce shortage compounded by low rates of psychiatrists and psychologists who accept public or private insurance; cultural stigma; and slow public and political recognition that mental health is as important as physical health.

For communities of color that have a history of trauma and lack of access to health care, the need has been especially acute.

The Colorado Health Institute has been surveying residents about behavioral health and access to care since 2009 and found the situation generally deteriorating ever since. Based on its data, 870,000 Coloradans were in significant distress in 2019.

Nationally, Colorado has the third highest prevalence of mental illness among adults, according to the most recent annual report by Mental Health America. That report, based on data from 2017 and 2018, also finds Colorado has the nation’s highest percentage of adults with substance abuse disorder and the third-highest percentage of adults considering suicide. Colorado’s suicide rate hit nearly 22 per 100,000 in 2018 compared to an average of 14 per 100,000 people nationally. Our national rankings for young people are not much better.

Theories about what explains Colorado’s grim statistics run the gamut from altitude to higher rates of gun ownership to a culture of Western self-reliance that downplays emotions.

“‘Pull yourself up by your bootstraps’ is probably the most misleading statement ever,” says Colorado Department of Human Services Office of Behavioral Health chief Robert Werthwein, noting the credo wrongly assumes mental health hinges solely on individual will rather than on genetics, brain chemistry, trauma and other factors.

State government is partially responsible, Werthwein says bluntly. A recent study by the Colorado Department of Human Services finds fault with a bureaucracy in which 10 different state agencies run 75 different behavioral health programs, with hundreds of funding streams, thousands of billing rules, and no shared vision for care. Seventy-five programs “means there are 74 wrong doors,” Werthwein says.

“There are too many holes in the net.”

Some of the most gaping are sparsely populated communities, many of which have disproportionately high overdose and suicide cases and high rates of stigma around mental health challenges. The need for counseling or treatment doubled or tripled in many rural counties over the past six years.

In the state study of Colorado’s behavioral health system, lack of access to care was repeatedly cited as the greatest problem. Even as COVID began its spread, the state legislature cut hoped-for expansions of pilot programs and new money for mental health and substance abuse programs targeting people living in underserved communities and youth and adults in the criminal justice system.

(Video) PBS NewsHour full episode, May 1, 2023

— Tina Griego, Susan Greene, Colorado News Collaborative

ON EDGE: In unprecedented times, unprecedented struggles with mental health across the state - Sentinel Colorado (6)

The roar

The first recorded COVID death — an elderly woman in El Paso County — came on March 13. The state went under lockdown 12 days later.

People who could work from home did. Behavioral health care providers pivoted to telephone or video sessions. The number of people seeking help dipped across the state’s 17 regional behavioral health centers in what care providers describe as a calm before the storm.

By mid-April, unemployment claims had skyrocketed — a red flag among mental health experts who know job loss can lead to suicide, so-called “deaths of despair.” While the caseloads at some behavioral health centers remain below last year’s levels, the urgency of the need has deepened, providers say. Under the weight of uncertainty and isolation, “what was once acute has become very acute, and what was very acute has become a crisis,” says Carl Nassar, founder of Heart-Centered Counseling, the largest private outpatient behavioral health group in the state. Our cups were already full, he says, and now they are spilling over.

The smell of burning forests triggers an anxiety attack. A marital spat about the presidential election blows up into thoughts about divorce. A high school student descends into depression because he can’t hang out with friends. A young mom, cooped up with three little kids, crumbles.

At the pandemic’s beginning, families worried what might happen, what they might lose, says Janis Pottorff, the director of Weld County’s North Range Behavioral Health’s Family Connects program. “Now we have families who have lost things, lost livelihoods, lost relationships, maybe some have lost family — actual physical death — lost confidence that they can manage the day, they can manage the week.”

Pottorff notes that stress has spiked since the late-fall announcements of an early return to remote learning in some school districts. “We are hearing that roar in families’ emotions.”

Among those for whom the roar of mental illness predated this year’s crises, increased isolation and the sudden inability to see their trusted providers in person have made things even harder.

An August poll by the Colorado Health Foundation found one in two Coloradans reported increased psychological strain – “anxiety, loneliness, stress” – as a result of the pandemic. A more recent U.S. Census Bureau snapshot survey found that from Oct. 28 to Nov. 9, about 43 percent of Coloradans reported symptoms of anxiety or depression over the previous seven days. Meanwhile, the number of monthly calls and texts to Colorado’s crisis line has climbed from nearly 16,000 in January to nearly 25,000 in October, a more than 50% increase. Most people are calling about anxiety, depression and suicidal thoughts, some seeking immediate help, and others wanting information on providers or coping strategies.

“It’s called the Colorado Crisis hotline, but you define the crisis for yourself,” Werthwein says. “…I don’t want people not to call and say, ‘Well this doesn’t feel like a crisis,’ or ‘Other people are going through harder things …’ No, call. It helps all of us the sooner

that you call.”

But getting longer-term help can be tricky. It generally requires reams of paperwork and long waits for public providers or a string of calls to private providers who often don’t take insurance, are prohibitively expensive or not accepting new patients.

Pat Turner, a contractor in Meeker, sat on his porch twisting wires in his hands and drinking most of June and July as he sank into severe depression. He began disassociating from reality. His search for help drew him into a labyrinth of hold times, packed waiting rooms, 200-mile round trips to the regional behavioral health center in Grand Junction, and a doctor failing to follow up after writing an antipsychotic prescription. His family found a private psychiatrist 90 miles away in Steamboat Springs who is helping treat Turner’s newly diagnosed bipolar disorder.

“We have a real problem if the system doesn’t treat a cry for help as an emergency,” Turner says. “My mania got so intense that if my family hadn’t been there to help, I’d probably still be out there in the abyss, potentially committing suicide or homicide or something.”

For every person known to be in crisis, experts say there are more who are not known: Coloradans without a support system, people experiencing cognitive or traumatic impacts from COVID, students in remote learning whose suffering is unnoticed by teachers and school counselors. Care providers are especially worried about people who have hunkered down, convinced they can just muscle through in silence.

— Tina Griego, Susan Greene, Colorado News Collaborative

(Video) Committee on State and Local Government and Veterans - 03/21/23

ON EDGE: In unprecedented times, unprecedented struggles with mental health across the state - Sentinel Colorado (7)

Time to talk

A few months into the pandemic, the Mental Health Center of Denver began using the video game Minecraft to help some of the young people it serves. Two clinicians each lead eight children as they mine materials and build worlds. The game feeds their need to connect to other kids, to play and to create environments over which they have some power.

MHCD also expanded its telehealth appointments from about five a week to 4,000 a week, a remarkable pandemic-spurred shift among all behavioral health providers in the state. Lawmakers allocated about $13 million in federal CARES Act funding for COVID-related behavioral health needs for smart devices, telehealth needs and other resources, such as PPE for therapists to meet high-need clients in person safely. Another $2 million federal grant has been helping Coloradans who have tested positive for COVID receive behavioral health care.

Meanwhile, apps are allowing lonely singles to meet for coffee or cocktails online and for virtual meditation groups among strangers. Social media, often divisive, also has become a place for callouts to check on one another and for admissions that things aren’t going well. “I need something to look forward to,” a man in Broomfield wrote on a recent Facebook post that elicited dozens of emoji faces hugging hearts.

Yet despite innovative ways to connect, we are still hurting. As COVID tightens its grip, infecting record numbers of Coloradans, many of us have again retreated to our homes beset by compassion fatigue and Zoom fatigue and plain old fatigue fatigue. The divisive presidential election has given way to a divisive aftermath. We are girding for a holiday season defined by remaining apart rather than coming together. And, as increased joblessness and evictions loom, a long winter awaits.

On the horizon are two glimmers of light: The promises of widely distributed COVID vaccines next year and of behavioral health reform in Colorado.

To tackle fragmentation, the state has been developing an online behavioral health registry — the first phase of which is expected to go live this April — with daily updates on available mental health and substance abuse disorder treatment. The Polis administration also has created a blueprint for ensuring people who need help are treated like people and not boxes checked for reimbursement.

But at a time when state revenues are stretched, how much can be done and how quickly are open questions. The fractures in Colorado’s behavioral health systems have been decades in the making and will not be mended overnight.

“None of us know when we’re going to experience a mental health crisis, and when we do, many of us don’t know how few and poor the resources are to weather it, even in the best of times,” says Vincent Atchity, president and CEO of Mental Health Colorado, the leading nonprofit pushing for state policy reform. “You can’t feel good about a community that fails to provide life sustaining support for people with serious mental health needs.”

This moment, he and other advocates say, presents not a hypothetical test of Colorado’s mental health policies, but an active emergency. Now, they say, is the time to get comfortable with uncomfortable conversations — lots of them. Now is the time to speak more deeply with each other without shame and to listen without judgement, to ask for and offer help: Are you eating? Are you sleeping? What do you need? What can I do?

“Do we show who we are by finding each other’s humanity and finding solidarity or do we tear each other apart?” Atchity asks. Support networks are critical, he says. “Be sort of gardener-like about maintaining those relationships. Best to keep calling so-and-so when you’re not in crisis, so when you are, they’ll be there.”

At least for now, still in the thick of it, our surest safety nets may be each other.


— Tina Griego, Susan Greene, Colorado News Collaborative

If you’re struggling, help is available on Colorado’s crisis hotline. Call 1-844-493-TALK(8255). In Aurora, you can call 303-617-2300 and begin a connection with Aurora Mental Health for emergency and scheduled services.



Which state has the most mental health issues? ›

Overall, states with highest prevalence of mental illness were in South Dakota, Idaho, Montana, Kansas and Oregon. Lowest was in Georgia, South Carolina, Texas, New Jersey and North Carolina.

What are the best and worst states for mental healthcare? ›

Texas tops the list of worst states for mental health care, while Vermont is the best state for mental health care. Seven of the 10 worst states for mental health care are located in the South, including Texas, Mississippi, Alabama, Georgia, Florida, South Carolina and Tennessee.

What state has the least mental health issues? ›

According to the 2022 adult rankings, the top five states with the lowest mental illness prevalence and highest access to care are New Jersey, Wisconsin, Massachusetts, Connecticut, and New York. Immediately following are Minnesota, Hawaii, Pennsylvania, Maryland, and Illinois.

What is the number one mental health problem in the United States? ›

Anxiety disorders are considered the most common type of psychiatric disorders in the general population.

Where does Colorado rank in mental health? ›

Researchers rate the prevalence of mental illness and access to care for both youth and adults. Colorado ranked 51st among U.S. states and the District of Columbia for adult mental health in 2021 but 45th in 2022. For overall mental health, Colorado ranked 30th in 2022.

What is the best state to live in with a mental illness? ›

New Jersey comes in as the number one best state to live in the US for your family's mental health in 2022. Data has shown that symptoms of mental illness among adults in New Jersey (16.14%) are lower than the national average in the US (21.1%)1.

Which states have best care for the mentally ill? ›

Wisconsin, Illinois and Pennsylvania have the best mental health care in the nation. Twenty-one percent of Americans have a mental health issue. Fifty-five percent of people with a mental illness aren't receiving care. Twenty-eight percent of people with a mental illness experience unmet needs.

Where is the best place to live if you have mental health issues? ›

Licensed care homes, assisted living facilities and nursing homes provide highly structured living for people with severe mental illness, disability or medical complications. With access to staff 24-hours a day and meals provided, residents usually pay most of their income except for a small allowance.

What is a good state of mental health? ›

It means you are in a state of wellbeing where you feel good and function well in the world. According to the World Health Organization, good mental health is when you can: cope with the normal stresses of life. work productively.

What US state has the most depression? ›

States with the Highest Depression Rates
  • Oregon. Oregon has the highest rate of depression in the United States at 25.20%. ...
  • West Virginia. West Virginia has the second-highest depression rate in the United States of 24.62%. ...
  • Maine. ...
  • Arkansas. ...
  • Kentucky. ...
  • Hawaii. ...
  • New Jersey. ...
  • 3. California.

What city has the highest depression rate? ›

Billings, Montana

What is the hardest mental illness to live with? ›

Individuals with Borderline Personality Disorder (BPDs) become overwhelmed and incapacitated by the intensity of their emotions, whether it is joy and elation or depression, anxiety, and rage. They are unable to manage these intense emotions.

What is the #1 most diagnosed mental disorder? ›

Depression. Impacting an estimated 300 million people, depression is the most-common mental disorder and generally affects women more often than men.

Does Colorado have good mental health care? ›

(KKTV) - Colorado is ranked at the very bottom when it comes to mental illness and access to health care according to Mental Health America.

What is the anxiety rate in Colorado? ›

As shown in the figure below, from February 1 to 13, 2023, 29.8% of adults in Colorado reported symptoms of anxiety and/or depressive disorder, compared to 32.3% of adults in the U.S.

What state has the best mental health care in 2023? ›

Access to Care Ranking 2023
47 more rows

What state has the best mental hospital? ›

The States with the Best Mental Health Services (Most Access)
  • Massachusetts.
  • Oregon.
  • Delaware.
  • Maine.
  • Vermont.
  • Alaska.
  • Rhode Island.
  • Connecticut.
Jul 8, 2020

Which states have the best mental hospitals? ›

  • McLean Hospital. Belmont, MA 02478-1064. ...
  • Johns Hopkins Hospital. Baltimore, MD 21287-2182. ...
  • Massachusetts General Hospital. Boston, MA 02114-2696. ...
  • New York-Presbyterian Hospital-Columbia and Cornell. 1-445-545-2492. ...
  • UCSF Health-UCSF Medical Center. ...
  • Resnick Neuropsychiatric Hospital at UCLA. ...
  • Mayo Clinic. ...
  • Yale New Haven Hospital.

Where do people go when they have bad mental health? ›

Contact your local crisis team.

The crisis team support people who are in a mental health crisis and need urgent help. You might need a medical or social care professional to refer you to the team. But you can ask the team about this if you aren't sure. Sometimes you can refer yourself.

What city has the most mental health issues? ›

Denver is the best city for mental health, while Dallas is the worst. These are determinations made in a recent study by CertaPet, a telehealth company, which analyzed the 50 most populous U.S. cities to find the best and worst places to live for mental health treatment.

WHO states there is no health without mental health? ›

The WHO constitution states: "Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity." An important implication of this definition is that mental health is more than just the absence of mental disorders or disabilities.

Which state is best for treatment? ›

Within India, Hyderabad (specifically Chennai) is regarded as the most efficient state for medical treatment in India. It is known as the 'health capital of India'.

What city in the US has the lowest rate of depression? ›

Some other notable stats: Miami, Hialeah, Fort Lauderdale and Pembroke Pines, Florida, all have the lowest depression rate (12.5%), which is 2.3 times lower than in Charleston, West Virginia, the city with the highest depression rate (28.9%).

What city has the best mental health care? ›

City Rankings
Overall Rank (1=Best)CityOverall Score
1Naperville, IL71.07
2Pasadena, CA70.81
3Seattle, WA68.72
4Fremont, CA68.16
54 more rows
Oct 19, 2022

Can you be depressed because of where you live? ›

You might experience depression or low self-esteem because of housing problems. For example, this may happen if you need to move around a lot, making you feel less secure and affecting your relationships. Your living situation might make you feel lonely. This might happen if you live alone.

What are the top 3 mental health? ›

Of those, the three most common diagnoses are anxiety disorders, depression and post-traumatic stress disorder (PTSD).

What is the difference between a mental health problem and a mental illness? ›

The terms “mental health” and “mental illness” are sometimes interchanged, but they differ in meaning. While mental health refers to anyone's state of mental, emotional well-being, mental illnesses are diagnosed conditions that affect thoughts and behaviors.

What are the 4 types of mental health? ›

mood disorders (such as depression or bipolar disorder) anxiety disorders. personality disorders. psychotic disorders (such as schizophrenia)

What state has the highest rate of anxiety? ›

West Virginia had the highest percentage of adults reporting symptoms of anxiety or depression in the first half of December 2021, according to a ranking Kaiser Family Foundation released Jan. 13.

What is the number one cause of depression in the US? ›

There's no single cause of depression. It can occur for a variety of reasons and it has many different triggers. For some people, an upsetting or stressful life event, such as bereavement, divorce, illness, redundancy and job or money worries, can be the cause. Different causes can often combine to trigger depression.

Where do the most depressed people live? ›

Depression is a major cause of morbidity worldwide, as the epidemiology has shown. Lifetime prevalence estimates vary widely, from 3% in Japan to 17% in India. Epidemiological data shows higher rates of depression in the Middle East, North Africa, South Asia and U.S.A than in other regions and countries.

What is the most unhappy city in America? ›

24/7 Wall St reviewed the happiness score from digital health company Sharecare's Community Well-Being Index for 383 metropolitan areas around the country to determine which cities are the most miserable in the U.S., with Pine Bluff, Arkansas taking the top spot due to its high poverty rate and low annual household ...

What is the saddest city? ›

Welcome to Norilsk, also known as 'most depressing city' in the world. Norilsk is the most northerly city in Russia. It is located in Krasnoyarsk Krai region of Siberia, eastern Russia. The situation is so bad there that not even a single road goes there.

Which country is number 1 in depression? ›

Mental Health Statistics by Country
#CountryDepression Rate
111 more rows

What is the most misdiagnosed mental illness? ›

Bipolar is one of the most frequently misdiagnosed mental health issues. Somewhere between 1.4 and 6.4 percent of people worldwide are affected by bipolar disorder. However, it's hard to say which number is more accurate due to the frequency of wrongful diagnosis.

What mental illness gets worse with age? ›

Personality disorders that are susceptible to worsening with age include paranoid, schizoid, schizotypal, obsessive compulsive, borderline, histrionic, narcissistic, avoidant, and dependent, Dr.

What is the hardest mental illness to diagnose? ›

Borderline personality disorder (BPD) can be hard to diagnose because the symptoms of this disorder overlap with many other conditions, such as bipolar disorder, depression, anxiety, and even eating disorders.

What is the easiest mental illness to treat? ›

Sometimes anxiety disorders can cause fear so intense it totally disables its victims. Anxiety disorders are the most common of all mental illnesses, and they are also the most treatable.

What are 5 signs of mental health problems? ›

  • Feeling sad or down.
  • Confused thinking or reduced ability to concentrate.
  • Excessive fears or worries, or extreme feelings of guilt.
  • Extreme mood changes of highs and lows.
  • Withdrawal from friends and activities.
  • Significant tiredness, low energy or problems sleeping.
Dec 13, 2022

What is the most common anxiety disorder? ›

Generalised anxiety disorder (GAD)

GAD is the most common type of anxiety disorder. The main symptom of GAD is excessive worrying about different activities and events. You may feel anxious a lot of the time if you have GAD. You might feel 'on edge' and hyper-alert to your surroundings.

What is walking dead syndrome? ›

Walking corpse syndrome (also called Cotard's syndrome or Cotard's delusion) is a rare neuropsychiatric condition in which patients believe parts of their body are missing, or that they are dying, dead, or don't exist.

Which mental illness causes most deaths? ›

Effective Anorexia Treatment Programs to Lower Your Risk

The anorexia death rate is the highest of all mental illnesses as it is a very complex and complicated disorder. It requires early diagnosis and access to care with close follow-up and often long-term treatment.

What are the most complex mental illnesses? ›

Complex mental health issues are impactful, severe, enduring, or episodic. They can involve high levels of psychological distress, exposure to trauma, and/or conditions such as schizophrenia, personality disorders, and bipolar disorder.

What city has the highest mental illness rate? ›

Based on the data, the U.S. city with the most depression is Billings, Montana. CEUFast says about 31% of residents out of a population of 181,000 have been told they're depressed by a professional. Meanwhile, Kingsport, Tennessee, ranks second, with 30.6% of residents told they have depression.

How does Texas rank in mental health? ›

May 6, 2023 Updated: May 15, 2023 8:09 a.m. The status of mental healthcare in Texas is the worst in America, a new Forbes study found. For years, Texas has marked its spot as the most uninsured state in the union.

What are the 3 most common mental disorders in America? ›

According to the Centers for Disease Control and Prevention (CDC), roughly 1 in every 5 Americans is currently living with a mental illness. Of those, the three most common diagnoses are anxiety disorders, depression and post-traumatic stress disorder (PTSD).

Where has the worst mental health? ›

The United States, Colombia, the Netherlands and Ukraine tended to have higher prevalence estimates across most classes of disorder, while Nigeria, Shanghai and Italy were consistently low, and prevalence was lower in Asian countries in general.

What city has the best mental health services? ›

City Rankings
Overall Rank (1=Best)CityOverall Score
1Naperville, IL71.07
2Pasadena, CA70.81
3Seattle, WA68.72
4Fremont, CA68.16
54 more rows
Oct 19, 2022

What state has the best mental health funding? ›

In this Article
47 more rows

Which county has the best mental health care? ›

Where are the best places to live for mental health?
RankCountryRank Score
6 more rows
Mar 28, 2022

What county has the best mental health? ›

Sweden. Sweden has the top positive mental health index which basically gives the mental health status of a given population.


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Introduction: My name is Kimberely Baumbach CPA, I am a gorgeous, bright, charming, encouraging, zealous, lively, good person who loves writing and wants to share my knowledge and understanding with you.