The State of Mental Health in the United States

A Growing Concern Amidst the COVID-19 Pandemic

March 3, 2025

Key Points

  1. 47.6 million adults in the US experienced a mental illness in 2021
  2. The COVID-19 pandemic has led to increased stress, social isolation, and economic uncertainty
  3. Millions lack access to adequate mental health care due to insurance and professional shortages

What Is Masking? / Simply Psychology

The State of Mental Health in the United States

The United States is facing a mental health crisis, with millions of Americans struggling with mental health conditions, including anxiety, depression, and substance use disorders. The COVID-19 pandemic has exacerbated the issue, with increased stress, social isolation, and economic uncertainty contributing to a rise in mental health concerns.

Prevalence of Mental Health Conditions

According to the National Institute of Mental Health (NIMH), in 2021, an estimated 47.6 million adults in the United States experienced a mental illness, representing 19.1% of the adult population. [1] This number has been steadily increasing over the past few years, with a 5% increase in mental illness prevalence between 2019 and 2021. [2]

The most common mental health conditions in the United States are:

  • Anxiety disorders, affecting an estimated 31.1% of adults in their lifetime [3]
  • Depressive disorders, affecting an estimated 17.3% of adults in their lifetime [3]
  • Substance use disorders, affecting an estimated 14.1% of adults in their lifetime [3]

Demographic-Specific Mental Health Concerns

Mental health concerns vary across different demographics, with certain groups experiencing higher rates of mental illness than others.

  • Age: Young adults (ages 18-25) are more likely to experience mental illness, with 22.1% experiencing a mental illness in the past year. [4]
  • Gender: Women are more likely to experience mental illness than men, with 22.3% of women experiencing a mental illness in the past year compared to 14.4% of men. [4]
  • Ethnicity: Racial and ethnic minority groups experience higher rates of mental illness, with 20.6% of African Americans, 19.3% of Hispanics, and 18.1% of Asians experiencing a mental illness in the past year. [4]
  • Socioeconomic Status: Individuals with lower socioeconomic status experience higher rates of mental illness, with 24.5% of those living below the poverty line experiencing a mental illness in the past year. [4]

The Impact of the COVID-19 Pandemic on Mental Health

The COVID-19 pandemic has had a significant impact on mental health in the United States, with increased stress, social isolation, and economic uncertainty contributing to a rise in mental health concerns.

  • Anxiety and Depression: The pandemic has led to a significant increase in anxiety and depression, with 43% of adults reporting feelings of anxiety and 31% reporting feelings of depression. [5]
  • Substance Use: The pandemic has also led to an increase in substance use, with 14.1% of adults reporting substance use in the past year. [3]
  • Suicide: The pandemic has also led to an increase in suicidal thoughts and behaviors, with 13.2% of adults reporting suicidal thoughts and 3.2% reporting suicidal behaviors. [6]

Mental Health Resources and Support Systems

Despite the growing need for mental health resources, many individuals in the United States lack access to adequate mental health care.

  • Health Insurance: In 2021, 11.4% of adults in the United States lacked health insurance, making it difficult for them to access mental health care. [7]
  • Mental Health Professionals: There is a shortage of mental health professionals in the United States, with many areas experiencing a shortage of psychiatrists, psychologists, and social workers. [8]
  • Telehealth: The pandemic has led to an increase in telehealth services, which have expanded access to mental health care for many individuals. [9]

Conclusion

The state of mental health in the United States is a growing concern, with millions of Americans struggling with mental health conditions. The COVID-19 pandemic has exacerbated the issue, with increased stress, social isolation, and economic uncertainty contributing to a rise in mental health concerns. It is essential that we prioritize mental health care and work to expand access to mental health resources and support systems.

Recommendations

  • Increase Funding for Mental Health Services: Increase funding for mental health services, including telehealth services, to expand access to mental health care.
  • Reduce Stigma: Reduce stigma around mental illness by promoting education and awareness about mental health conditions.
  • Increase Access to Mental Health Professionals: Increase access to mental health professionals, including psychiatrists, psychologists, and social workers.
  • Promote Self-Care: Promote self-care and stress management techniques, such as exercise, mindfulness, and meditation.

References

[1] National Institute of Mental Health. (2021). Mental Illness.

[2] National Institute of Mental Health. (2021). Mental Illness.

[3] Substance Abuse and Mental Health Services Administration. (2021). Key Substance Use and Mental Health Indicators in the United States.

[4] National Institute of Mental Health. (2021). Mental Illness.

[5] American Psychiatric Association. (2021). Annual Poll: Adults Express Increasing Anxiousness.

[6] Centers for Disease Control and Prevention. (2021). Suicidal Thoughts and Behaviors Among Adults.

[7] United States Census Bureau. (2021). Health Insurance Coverage in the United States.

[8] American Psychological Association. (2021). 2021 APA Survey of Psychologists.

[9] American Telemedicine Association. (2021). 2021 Telehealth Survey.

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