Your surroundings can have a big influence on how you’re feeling. A bit of sunshine, green space, and accessible mental health resources can go a long way.
So, which cities have the optimal environment for mental well-being?
To mark World Mental Health Day on Oct. 10, LawnStarter compared over 190 of the biggest U.S. cities to rank 2022’s Best Cities for Mental Wellness.
We considered 33 metrics based on mental, physical, social, financial, and environmental factors. These include factors like access to therapists, cost of living, average sleep levels, meditation classes, and urban gardening-friendliness.
See how your city is doing below, followed by our analysis and expert tips.
Contents
- City Rankings
- Highlights and Lowlights
- Mental Wellness By the Numbers
- Ask the Experts
- Methodology
- Take a Mindful Moment
City Rankings
See how each city fared in our ranking:
Overall Rank (1=Best) | City | Overall Score | Mental Wellness and Access Rank | Physical Wellness Rank | Mindfulness and Social Wellness Rank | Financial Wellness Rank | Environment Rank |
---|---|---|---|---|---|---|---|
1 | Naperville, IL | 71.07 | 8 | 34 | 23 | 1 | 3 |
2 | Pasadena, CA | 70.81 | 1 | 27 | 1 | 132 | 85 |
3 | Seattle, WA | 68.72 | 9 | 8 | 12 | 12 | 149 |
4 | Fremont, CA | 68.16 | 15 | 1 | 22 | 41 | 46 |
5 | San Francisco, CA | 67.92 | 3 | 18 | 3 | 94 | 24 |
6 | Bellevue, WA | 67.54 | 5 | 11 | 16 | 24 | 116 |
7 | Alexandria, VA | 67.33 | 2 | 31 | 5 | 32 | 62 |
8 | Irvine, CA | 67.09 | 7 | 4 | 46 | 78 | 17 |
9 | Fort Collins, CO | 66.03 | 45 | 3 | 20 | 21 | 36 |
10 | Santa Rosa, CA | 65.58 | 34 | 9 | 11 | 90 | 8 |
11 | Scottsdale, AZ | 65.57 | 21 | 25 | 2 | 35 | 65 |
12 | San Diego, CA | 65.31 | 28 | 7 | 15 | 92 | 32 |
13 | Oakland, CA | 65.25 | 6 | 10 | 36 | 81 | 77 |
14 | Salt Lake City, UT | 64.70 | 92 | 2 | 7 | 25 | 117 |
15 | San Jose, CA | 64.50 | 12 | 6 | 60 | 51 | 88 |
16 | Portland, OR | 64.45 | 60 | 5 | 17 | 28 | 107 |
17 | Huntington Beach, CA | 64.15 | 19 | 26 | 9 | 56 | 39 |
18 | Madison, WI | 63.73 | 64 | 12 | 58 | 5 | 89 |
19 | Minneapolis, MN | 63.57 | 71 | 19 | 26 | 6 | 82 |
20 | Atlanta, GA | 63.03 | 16 | 42 | 4 | 63 | 138 |
21 | Torrance, CA | 62.78 | 4 | 21 | 73 | 102 | 54 |
22 | Austin, TX | 62.77 | 23 | 35 | 8 | 49 | 134 |
23 | Frisco, TX | 62.67 | 14 | 66 | 54 | 13 | 15 |
24 | Sunnyvale, CA | 62.51 | 10 | 13 | 101 | 52 | 47 |
25 | Boise, ID | 61.96 | 67 | 15 | 116 | 14 | 10 |
26 | Overland Park, KS | 61.62 | 32 | 65 | 69 | 3 | 43 |
27 | Orange, CA | 61.08 | 18 | 23 | 59 | 77 | 52 |
28 | Raleigh, NC | 60.90 | 30 | 41 | 34 | 27 | 120 |
29 | Fullerton, CA | 60.58 | 13 | 29 | 84 | 74 | 63 |
30 | Olathe, KS | 60.40 | 113 | 48 | 78 | 4 | 22 |
31 | Denver, CO | 59.64 | 36 | 58 | 21 | 62 | 80 |
32 | Durham, NC | 59.54 | 39 | 32 | 57 | 23 | 163 |
33 | Plano, TX | 59.51 | 24 | 59 | 65 | 53 | 40 |
34 | Santa Clarita, CA | 59.21 | 20 | 47 | 75 | 119 | 12 |
35 | Lincoln, NE | 59.10 | 75 | 53 | 91 | 9 | 31 |
36 | Sacramento, CA | 58.93 | 50 | 61 | 29 | 83 | 27 |
37 | Colorado Springs, CO | 58.87 | 143 | 16 | 77 | 44 | 29 |
38 | Grand Rapids, MI | 58.79 | 27 | 70 | 28 | 43 | 106 |
39 | Denton, TX | 58.61 | 52 | 56 | 48 | 31 | 90 |
40 | Las Vegas, NV | 58.50 | 115 | 36 | 33 | 139 | 6 |
41 | Eugene, OR | 58.48 | 124 | 14 | 35 | 71 | 123 |
42 | McKinney, TX | 58.43 | 29 | 95 | 55 | 33 | 18 |
43 | Los Angeles, CA | 58.41 | 25 | 28 | 37 | 174 | 114 |
44 | Escondido, CA | 58.33 | 93 | 30 | 25 | 120 | 50 |
45 | Virginia Beach, VA | 57.73 | 99 | 89 | 40 | 17 | 20 |
46 | Chula Vista, CA | 57.70 | 61 | 37 | 99 | 99 | 14 |
47 | Tampa, FL | 57.49 | 84 | 87 | 14 | 87 | 25 |
48 | Elk Grove, CA | 57.48 | 59 | 72 | 71 | 64 | 7 |
49 | Glendale, CA | 57.18 | 22 | 22 | 105 | 162 | 37 |
50 | Orlando, FL | 57.10 | 35 | 76 | 6 | 154 | 127 |
51 | Long Beach, CA | 57.06 | 17 | 43 | 79 | 158 | 91 |
52 | Oceanside, CA | 56.85 | 66 | 44 | 63 | 118 | 51 |
53 | Lakewood, CO | 56.83 | 74 | 38 | 88 | 30 | 98 |
54 | Vancouver, WA | 56.72 | 62 | 40 | 72 | 76 | 103 |
55 | Sioux Falls, SD | 56.67 | 57 | 92 | 119 | 2 | 81 |
56 | Hayward, CA | 56.47 | 37 | 20 | 130 | 101 | 60 |
57 | Tempe, AZ | 56.41 | 77 | 55 | 38 | 96 | 109 |
58 | Washington, DC | 56.41 | 11 | 86 | 93 | 50 | 150 |
59 | Spokane, WA | 56.41 | 117 | 24 | 104 | 42 | 84 |
60 | Reno, NV | 56.20 | 138 | 46 | 82 | 60 | 11 |
61 | Albuquerque, NM | 56.19 | 179 | 17 | 97 | 45 | 28 |
62 | St. Paul, MN | 55.95 | 85 | 33 | 173 | 15 | 66 |
63 | Anaheim, CA | 55.90 | 43 | 49 | 90 | 114 | 86 |
64 | Riverside, CA | 55.79 | 48 | 67 | 42 | 85 | 172 |
65 | Tucson, AZ | 55.77 | 152 | 51 | 41 | 122 | 16 |
66 | Miami, FL | 55.72 | 33 | 94 | 10 | 170 | 108 |
67 | Pittsburgh, PA | 55.66 | 47 | 90 | 51 | 26 | 180 |
68 | Corona, CA | 55.59 | 49 | 64 | 76 | 69 | 125 |
69 | Boston, MA | 55.34 | 69 | 45 | 95 | 133 | 42 |
70 | Omaha, NE | 55.16 | 73 | 79 | 114 | 16 | 72 |
71 | Greensboro, NC | 54.90 | 105 | 54 | 45 | 97 | 159 |
72 | Richmond, VA | 54.89 | 55 | 98 | 30 | 117 | 105 |
73 | Jersey City, NJ | 54.79 | 40 | 63 | 74 | 148 | 49 |
74 | Charlotte, NC | 54.71 | 68 | 75 | 68 | 57 | 141 |
75 | Fort Lauderdale, FL | 54.65 | 31 | 132 | 13 | 111 | 152 |
76 | Santa Ana, CA | 54.24 | 51 | 60 | 110 | 137 | 63 |
77 | New York, NY | 54.16 | 44 | 52 | 62 | 187 | 92 |
78 | Oxnard, CA | 53.78 | 53 | 68 | 113 | 140 | 23 |
79 | Tallahassee, FL | 53.51 | 128 | 82 | 27 | 79 | 165 |
80 | Lexington, KY | 53.42 | 145 | 108 | 52 | 20 | 110 |
81 | Henderson, NV | 53.31 | 114 | 81 | 141 | 104 | 1 |
82 | Huntsville, AL | 53.31 | 141 | 85 | 61 | 19 | 175 |
83 | Garden Grove, CA | 53.22 | 41 | 57 | 122 | 136 | 95 |
84 | Phoenix, AZ | 52.88 | 133 | 62 | 80 | 113 | 115 |
85 | Rancho Cucamonga, CA | 52.73 | 26 | 100 | 107 | 110 | 130 |
86 | Chicago, IL | 52.67 | 42 | 111 | 86 | 68 | 147 |
87 | Aurora, IL | 52.49 | 107 | 110 | 134 | 18 | 34 |
88 | Yonkers, NY | 52.35 | 56 | 78 | 176 | 82 | 21 |
89 | Rochester, NY | 52.14 | 129 | 97 | 32 | 125 | 131 |
90 | Salem, OR | 52.03 | 164 | 93 | 43 | 54 | 119 |
91 | Chesapeake, VA | 51.98 | 142 | 138 | 87 | 11 | 68 |
92 | Salinas, CA | 51.80 | 89 | 73 | 106 | 161 | 33 |
93 | Midland, TX | 51.76 | 111 | 183 | 67 | 22 | 4 |
94 | Winston-Salem, NC | 51.57 | 131 | 121 | 100 | 66 | 9 |
95 | Anchorage, AK | 51.52 | 166 | 39 | 145 | 36 | 140 |
96 | Cincinnati, OH | 51.51 | 137 | 113 | 18 | 88 | 186 |
97 | Knoxville, TN | 51.46 | 172 | 107 | 19 | 65 | 168 |
98 | Joliet, IL | 51.45 | 120 | 116 | 174 | 8 | 78 |
99 | Peoria, AZ | 51.32 | 159 | 102 | 109 | 29 | 30 |
100 | Mesa, AZ | 51.32 | 118 | 104 | 111 | 70 | 45 |
101 | Modesto, CA | 51.31 | 91 | 101 | 89 | 131 | 71 |
102 | Providence, RI | 51.06 | 119 | 84 | 108 | 103 | 76 |
103 | St. Petersburg, FL | 50.98 | 100 | 96 | 121 | 95 | 70 |
104 | El Paso, TX | 50.93 | 86 | 83 | 178 | 173 | 2 |
105 | Pomona, CA | 50.92 | 46 | 50 | 160 | 164 | 126 |
106 | Chandler, AZ | 50.87 | 79 | 142 | 118 | 47 | 35 |
107 | Aurora, CO | 50.86 | 135 | 74 | 167 | 48 | 59 |
108 | Des Moines, IA | 50.39 | 147 | 122 | 144 | 7 | 101 |
109 | Palmdale, CA | 50.37 | 58 | 71 | 165 | 153 | 75 |
110 | Tacoma, WA | 50.18 | 126 | 119 | 55 | 59 | 184 |
111 | Chattanooga, TN | 50.15 | 125 | 117 | 53 | 61 | 190 |
112 | Ontario, CA | 49.85 | 65 | 91 | 129 | 128 | 139 |
113 | Thornton, CO | 49.62 | 148 | 99 | 179 | 46 | 38 |
114 | Fontana, CA | 49.49 | 70 | 112 | 175 | 80 | 56 |
115 | San Antonio, TX | 49.46 | 98 | 77 | 123 | 157 | 142 |
116 | Murfreesboro, TN | 49.17 | 139 | 179 | 31 | 10 | 182 |
117 | Pembroke Pines, FL | 48.89 | 54 | 144 | 157 | 72 | 74 |
118 | Nashville, TN | 48.82 | 108 | 153 | 49 | 89 | 181 |
119 | Springfield, MO | 48.67 | 182 | 123 | 47 | 75 | 156 |
120 | Bakersfield, CA | 48.61 | 102 | 134 | 83 | 141 | 104 |
121 | Dallas, TX | 48.37 | 81 | 105 | 115 | 180 | 136 |
122 | Houston, TX | 48.19 | 76 | 109 | 70 | 184 | 189 |
123 | Miramar, FL | 48.03 | 78 | 158 | 158 | 91 | 44 |
124 | Buffalo, NY | 48.02 | 173 | 69 | 154 | 105 | 113 |
125 | Moreno Valley, CA | 47.95 | 90 | 88 | 163 | 126 | 154 |
126 | Bridgeport, CT | 47.93 | 112 | 80 | 189 | 144 | 61 |
127 | Worcester, MA | 47.91 | 169 | 126 | 124 | 39 | 83 |
128 | Savannah, GA | 47.75 | 136 | 150 | 50 | 143 | 146 |
129 | Fort Wayne, IN | 47.72 | 162 | 135 | 126 | 37 | 79 |
130 | Hollywood, FL | 47.71 | 82 | 170 | 81 | 129 | 96 |
131 | Lancaster, CA | 47.65 | 63 | 103 | 169 | 151 | 133 |
132 | McAllen, TX | 47.63 | 38 | 131 | 171 | 181 | 48 |
133 | Glendale, AZ | 47.47 | 132 | 133 | 127 | 121 | 69 |
134 | Indianapolis, IN | 47.45 | 165 | 143 | 64 | 55 | 183 |
135 | Lubbock, TX | 47.42 | 150 | 136 | 131 | 130 | 19 |
136 | Kansas City, MO | 47.22 | 178 | 118 | 128 | 40 | 135 |
137 | Birmingham, AL | 47.11 | 146 | 127 | 39 | 169 | 187 |
138 | Syracuse, NY | 46.89 | 158 | 106 | 139 | 109 | 144 |
139 | Port St. Lucie, FL | 46.87 | 134 | 156 | 138 | 116 | 13 |
140 | St. Louis, MO | 46.64 | 83 | 163 | 102 | 124 | 167 |
141 | Louisville, KY | 46.52 | 188 | 124 | 96 | 34 | 164 |
142 | Tulsa, OK | 46.48 | 167 | 115 | 120 | 106 | 162 |
143 | Little Rock, AR | 46.46 | 121 | 161 | 85 | 98 | 169 |
144 | Stockton, CA | 46.39 | 96 | 139 | 172 | 135 | 58 |
145 | Arlington, TX | 46.24 | 94 | 129 | 161 | 147 | 132 |
146 | Fort Worth, TX | 46.20 | 127 | 130 | 149 | 134 | 122 |
147 | Cape Coral, FL | 45.95 | 123 | 165 | 135 | 123 | 41 |
148 | Wichita, KS | 45.63 | 184 | 137 | 140 | 38 | 111 |
149 | Fresno, CA | 45.61 | 87 | 160 | 150 | 150 | 67 |
150 | Newport News, VA | 45.38 | 160 | 159 | 117 | 67 | 121 |
151 | Baton Rouge, LA | 45.16 | 101 | 184 | 24 | 156 | 191 |
152 | San Bernardino, CA | 45.03 | 116 | 141 | 143 | 127 | 174 |
153 | Columbus, OH | 45.02 | 153 | 140 | 147 | 86 | 161 |
154 | Oklahoma City, OK | 44.89 | 163 | 146 | 152 | 58 | 151 |
155 | Garland, TX | 44.84 | 110 | 120 | 168 | 183 | 101 |
156 | Grand Prairie, TX | 44.80 | 106 | 148 | 151 | 159 | 87 |
157 | Laredo, TX | 44.78 | 72 | 125 | 188 | 188 | 26 |
158 | Hialeah, FL | 44.49 | 103 | 151 | 182 | 155 | 57 |
159 | Rockford, IL | 44.34 | 154 | 166 | 132 | 115 | 128 |
160 | Irving, TX | 44.16 | 80 | 167 | 159 | 167 | 100 |
161 | Clarksville, TN | 44.07 | 181 | 180 | 44 | 100 | 158 |
162 | North Las Vegas, NV | 43.94 | 174 | 128 | 191 | 168 | 5 |
163 | Norfolk, VA | 43.62 | 170 | 173 | 133 | 84 | 97 |
164 | Philadelphia, PA | 43.39 | 130 | 147 | 162 | 179 | 129 |
165 | Dayton, OH | 42.95 | 190 | 145 | 92 | 146 | 143 |
166 | Amarillo, TX | 42.79 | 180 | 172 | 137 | 107 | 55 |
167 | Milwaukee, WI | 42.52 | 168 | 149 | 185 | 112 | 118 |
168 | Baltimore, MD | 42.48 | 121 | 168 | 148 | 165 | 137 |
169 | Macon, GA | 42.14 | 187 | 155 | 98 | 145 | 153 |
170 | New Orleans, LA | 42.06 | 95 | 174 | 156 | 176 | 160 |
171 | Mobile, AL | 42.00 | 175 | 176 | 66 | 152 | 192 |
172 | Corpus Christi, TX | 41.80 | 171 | 157 | 146 | 177 | 99 |
173 | Akron, OH | 41.44 | 189 | 152 | 166 | 73 | 157 |
174 | Springfield, MA | 41.40 | 192 | 114 | 184 | 138 | 93 |
175 | Jacksonville, FL | 41.38 | 177 | 181 | 112 | 108 | 170 |
176 | Mesquite, TX | 41.09 | 140 | 162 | 170 | 182 | 145 |
177 | Paterson, NJ | 40.96 | 109 | 154 | 187 | 189 | 94 |
178 | Columbus, GA | 40.84 | 156 | 177 | 142 | 149 | 124 |
179 | Newark, NJ | 40.61 | 97 | 175 | 180 | 190 | 53 |
180 | Fayetteville, NC | 40.32 | 144 | 188 | 94 | 175 | 178 |
181 | Brownsville, TX | 39.74 | 88 | 189 | 164 | 192 | 73 |
182 | Pasadena, TX | 39.72 | 104 | 171 | 177 | 185 | 177 |
183 | Toledo, OH | 39.09 | 186 | 169 | 190 | 93 | 112 |
184 | Montgomery, AL | 38.94 | 151 | 190 | 136 | 166 | 166 |
185 | Shreveport, LA | 38.90 | 161 | 187 | 125 | 160 | 185 |
186 | Augusta, GA | 38.59 | 176 | 191 | 103 | 178 | 171 |
187 | Memphis, TN | 38.50 | 157 | 182 | 155 | 163 | 179 |
188 | Killeen, TX | 38.20 | 149 | 186 | 181 | 171 | 155 |
189 | Jackson, MS | 37.73 | 155 | 178 | 153 | 186 | 188 |
190 | Kansas City, KS | 36.89 | 183 | 185 | 183 | 142 | 173 |
191 | Cleveland, OH | 36.45 | 191 | 164 | 186 | 172 | 176 |
192 | Detroit, MI | 31.93 | 185 | 192 | 192 | 191 | 148 |
Highlights and Lowlights
Suburban Satisfaction
They say money can’t buy happiness — but it can pay for therapy. No wonder wealthy satellite cities landed at the top of our ranking.
Naperville, Illinois, takes first place overall and in Financial Wellness. A small share of adults with poor mental health and low divorce rates brought this city to the top. Similar rankings lifted Pasadena, California (No. 2), Bellevue, Washington (No. 6), and Alexandria, Virginia (No. 7). These cities are full of therapists, as well as healthy, financially stable, and well-rested adults.
Pasadena has the best access to mental health services, with more than 556 therapists per 100,000 residents. The City of Roses also boasts the most meditation classes. Naperville has the least crime (No. 1), while Alexandria is great for getting that extra boost of dopamine from biking and other exercise opportunities (No. 1).
West Coast Wellness
The laidback West Coast dominates our ranking, with Pacific cities taking up more than half of our top 20. Meditation, running, biking, yoga, and hiking are popular in this region. Movement and mindfulness can help balance hormones, reduce anxiety, and improve cognitive function.
In addition to their high scores in Physical Wellness and Mindfulness factors, Seattle (No. 3) and San Francisco (No. 5) impress with high access to therapy, green space, and sufficient sleep. Furthermore, California cities Fremont (No. 4), Irvine (No. 8), and San Diego (No. 12) have low divorce rates. Each of these five cities has low levels of poor mental health and unemployment.
However, not all that glitters is gold: Under the serene surface, long work hours, binge drinking, and drug overdose deaths put a strain on San Fran and Seattle.
Fit Minds
Outside of our top 10 cities, Grand Rapids, Michigan (No. 38), Atlanta (No. 20), and Pittsburgh (No. 67) have the next best access to local mental health providers.
Getting some exercise can help a lot when you can’t afford (or simply don’t have access to) mental health services. While Fort Collins, Colorado (No. 9), and Salt Lake City (No. 14) each have ample therapy access, they also have high rates of Physical Wellness (No. 3 and No. 2, respectively).
Working long hours and getting limited sleep can be detrimental to physical and mental health. Sometimes, the best thing for your body and mind is simply to slow down and rest. Fort Collins is also the most well-rested city, followed by Bellevue, Washington; Minneapolis; and Overland Park, Kansas. Meanwhile, New York cities Syracuse and Buffalo, along with Dayton, Ohio, have the lowest average weekly work hours.
Big-City Blues
Cities with large populations like Chicago (No. 86), Washington (No. 58), and Los Angeles (No. 43) did not fare as well as their top-ranking suburbs.
These three cities — and New York (No. 77) — have high rates of poverty and unemployment. Residents in Chicago and Washington also suffer from higher rates of binge drinking and drug overdoses, long work hours, and poor weather. Additionally, Chicagoans and Angelenos experience higher rates of poor health, and NYC is severely lacking in access to therapists (No. 192).
At the very bottom of our ranking lie less populated cities like Detroit in last place, followed by Cleveland and Kansas City, Kansas. Each of these cities has substandard scores across the board, with particularly low access to mental health support, financial frailty, and unappealing weather.
Mental Wellness By the Numbers
Ask The Experts
Improving mental well-being can be a daunting endeavor for some, especially with the current state of the nation’s mental health care. We contacted a panel of experts to learn more about how to improve mental wellness. Read what they had to say below.
- With a psychiatrist shortage and limited mental health services available in many regions, what is one of the best free ways to boost your mental health?
- What is one way employers can benefit their workers’ mental well-being?
- What are three most common warning signs that someone is struggling with their mental health?
- What are the best first steps for someone who is considering seeking mental health treatment? What is one thing they should keep in mind or watch out for?
- More than 50% of adults with mental illness do not receive treatment. What is one way that cities can make therapy and other mental health treatments more accessible?
With a psychiatrist shortage and limited mental health services available in many regions, what is one of the best free ways to boost your mental health?
I think exercise is the single best free way to boost your mental health. Exercise reduces anxiety and stress, improves mood, and yields physical health benefits. People who do not exercise already often lack the motivation to start, so if you are one of these people, I recommend starting small and removing all barriers to getting started.
For example, you might want to sleep in your exercise clothes and put your shoes next to your bed (if you want to exercise first thing in the morning). Telling yourself that any amount of exercise is better than no exercise can also be helpful.
A lot of times people trip themselves up by telling themselves it isn’t worth it if the exercise does not meet a certain predetermined and arbitrary metric (e.g., 30 minutes of cardio, 10,000 steps), but the reality is that something is almost always going to be better than nothing, especially when we are talking about mental health benefits.
What is one way employers can benefit their workers’ mental well-being?
Employers can normalize mental health difficulties –– mental health problems are common. Most of us will struggle ourselves or will have someone close to us struggle with mental health difficulties during our lives.
Acknowledging that fact and encouraging employees to speak openly about mental health difficulties and emotions will help to destigmatize mental health challenges. The stigma associated with mental health difficulties adds a whole other layer of stress.
What are the three most common warning signs that someone is struggling with their mental health?
- Negative mood: When a person is sad, irritable, or emotionless.
- Social withdrawal: When a person retreats socially, doesn’t join in or want to be a part of social events or conversations, or stops attending gatherings.
- Functional Impairment: When a person fails to live up to their responsibilities in their work or personal life, such as showing up late to work or missing work entirely, failing to turn in assignments, missing or forgetting about major work or personal obligations, or behaving unsafely or dangerously.
What are the best first steps for someone who is considering seeking mental health treatment? What is one thing they should keep in mind or watch out for?
Many mental health providers do not accept insurance but rather generate something called Superbills. The clients are asked to pay for services upfront and then submit the Superbills to their insurance company for reimbursement (these funds go directly to them).
This approach only works for clients who have PPOs, not HMOs. If you want to go through your insurance, it will save you time to call your insurance company directly and request a list of names of mental health providers from them. You can then contact these providers to see if they have openings for new clients.
If you try to seek therapy by reaching out to therapists you find through word of mouth or therapist directories, it can be frustrating because many of these will not accept insurance or will not accept your insurance.
Many therapists have long waitlists, so it may behoove you to get on multiple waitlists at the same time. And it may be helpful to prepare for the fact that you may need to pay out of pocket if you cannot find a provider who accepts your insurance.
More than 50% of adults with mental illness do not receive treatment. What is one way that cities can make therapy and other mental health treatments more accessible?
They can provide more funding for training programs for mental health professionals. There is a huge demand for students who want to gain access to the field and become mental health professionals, but entrance into Ph.D. programs is extremely competitive (between 1-5% acceptance rates), and many students need to wait between 1-5 years post-undergraduate education in order to be competitive enough to gain admittance.
These programs are funded, while master’s level programs (MSW, LMFT, LPCC) programs typically are not funded. These unfunded master’s programs pose challenges to students who wish to become mental health providers but will have difficulty funding their education. If we as a society believe we need more mental health providers, we should help fund the graduate training of these students (through grants, fellowships, and the creation of new programs).
With a psychiatrist shortage and limited mental health services available in many regions, what is one of the best free ways to boost your mental health?
One of the most important things we can do to maintain or improve our mental health is to pay attention to it — in the same way we attend to how our bodies feel, we also need to take time to consider how we are doing emotionally and psychologically. An easy way to do this is to ask yourself how you’re feeling and then give yourself a moment or two to reflect on your response.
What is one way employers can benefit their workers’ mental well-being?
As the American Psychological Association has noted, a key way employers can support workers’ mental well-being is by instituting organizational policies and practices that encourage employees to “unplug.”
These policies and practices could look like separating paid vacation days from paid sick time, encouraging workers to use all of their vacation days, and having upper management model and normalize work-life balance by taking time off themselves.
What are the three most common warning signs that someone is struggling with their mental health?
Mental health challenges can manifest in an unlimited number of ways that differ from person to person, which makes it hard to identify universal indicators of mental health concerns. Given that, a useful thing to look for is any noticeable changes in people’s behavior, appearance, or demeanor.
For example, if someone typically enjoys interacting with colleagues but becomes withdrawn, it would be worthwhile to check in with them to see how they’re doing. Even if the person is not experiencing any mental health challenges, knowing people are looking out for you can help you feel cared for and connected with others.
What are the best first steps for someone who is considering seeking mental health treatment? What is one thing they should keep in mind or watch out for?
If you’re considering getting mental health treatment, way to go! Most of us can benefit from getting support at one or many points in our lives. But know that the first provider you find may or may not be a great fit for you.
Effective mental health treatment is largely about the relationship between provider and client, so don’t be afraid to shop around. If you’re able to, go to initial appointments with more than one provider and then pick the person who you feel can best support your mental health needs and goals.
Methodology
For each of the 200 biggest U.S. cities, we gathered publicly available data on the factors listed in the table below.
We then grouped those factors into five categories: Mental Wellness and Access, Physical Wellness, Mindfulness and Social Wellness, Financial Wellness, and Environment.
Next, we calculated weighted scores for each city in each category.
Finally, we averaged the scores for each city across all categories. We eliminated 8 cities lacking sufficient data in a single category, resulting in a final sample size of 192 cities.
The city that earned the highest average score was ranked “Best” (No. 1), while the city with the lowest was ranked “Worst” (No. 192). (Note: The “Worst” among individual factors may not be 192 due to ties among cities.)
Metric | Weighting | Min. Value | Max. Value | Best |
---|---|---|---|---|
Mental Wellness and Access | ||||
Therapists per 100,000 Residents | 5 | 7.79 | 556.98 | Max. Value |
Share of Adults with Poor Mental Health Over 2 Weeks | 4 | 9.3% | 21.2% | Min. Value |
Suicides per 100,000 Residents | 3 | 5.7 | 26.7 | Min. Value |
Deaths from Mental and Behaviorial Disorders per 100,000 Residents | 3 | 5.8 | 85.2 | Min. Value |
Physical Wellness | ||||
Share of Adult Population in Poor Health | 3 | 10.1% | 35.8% | Min. Value |
Insufficient Sleep Rate | 3 | 27.2% | 51.4% | Min. Value |
Average Weekly Work Hours | 2 | 34.5 | 41.6 | Min. Value |
Drug Overdose Deaths per 100,000 Residents | 3 | 5 | 124 | Min. Value |
Binge Drinking Rate | 2 | 11.1% | 22.9% | Min. Value |
Yoga-Friendliness | 2 | 1 | 86 | Min. Value |
Runner-Friendliness | 2 | 1 | 181 | Min. Value |
Biking-Friendliness | 2 | 1 | 200 | Min. Value |
Hiking-Friendliness | 2 | 1 | 200 | Min. Value |
Access to Exercise Opportunities | 2 | 44% | 100% | Max. Value |
Premature Deaths per 100,000 Residents | 1 | 194 | 684 | Min. Value |
Child Deaths per 100,000 Residents | 1 | 25 | 105 | Min. Value |
Mindfulness and Social Wellness | ||||
Separation and Divorce Rate | 2 | 6.3% | 19.4% | Min. Value |
Meditation Classes/Centers per 100,000 | 3 | 0 | 10.6 | Max. Value |
Urban Gardening-Friendliness | 2 | 1 | 196 | Min. Value |
Dog Lover-Friendliness | 2 | 1 | 174 | Min. Value |
Cat Lover-Friendliness | 2 | 1 | 200 | Min. Value |
Financial Wellness | ||||
Food Insecurity Rate | 3 | 5% | 18% | Min. Value |
Housing Affordability Index | 3 | 36 | 99 | Max. Value |
Cost of Living Index | 2 | 75 | 204 | Min. Value |
Poverty Rate | 1 | 1.8 | 26.2 | Min. Value |
Unemployment Rate | 1 | 1.7% | 8.1% | Min. Value |
Health Insurance Coverage Rate | 2 | 69.8% | 98.2% | Max. Value |
Environment | ||||
Access to Green Space | 1 | 10% | 100% | Max. Value |
Historical Average Amount of Sunshine | 2 | 42% | 85% | Max. Value |
Historical Average Monthly Rain (in Inches) | 1 | 0.45 | 5.4 | Min. Value |
Median Air Quality Index | 2 | 25 | 101 | Min. Value |
Crime Index | 3 | 0 | 86 | Max. Value |
Natural Hazards Index | 1 | 9 | 20 | Min. Value |
Sources: Areavibes, Centers for Disease Control and Prevention, County Health Rankings & Roadmaps, Lawn Love, National Center for Disaster Preparedness, National Oceanic and Atmospheric Administration, Neighborhood Scout, Other LawnStarter Studies, Psychology Today, Trust for Public Land, U.S. Bureau of Labor Statistics, U.S. Census, U.S. Environmental Protection Agency, and Yelp
Take a Mindful Moment
Social isolation, post-pandemic stress, and inflation have left the nation riddled with depression and anxiety.
Fortunately, more people are getting access to mental health services than in previous years, thanks to reduced stigma and increased support. Yet many are still without access due to the current shortage of mental health professionals.
Getting access to mental health counseling can be difficult, especially if your metro is lacking in therapists. Thankfully, there are plenty of online options available for you to attend a telehealth therapy session from the comfort of your home.
There’s no simple fix to improving your mental health, but there are still some things you can do to feel better:
Meditate
Mindfulness meditation can help with managing stress, depression, and anxiety. Evidence shows that meditation can help relieve pain, decrease blood pressure, and improve sleep quality. Itching for a relaxing trip? Sign up for a mindfulness retreat.
Grow a garden
Get some plant friends to help cultivate your mental wellness, even if you live in a city. If you don’t have the time, energy, or will to grow a garden of your own, strolling through romantic gardens around your city can be a reviving way to spend your afternoon.
Cook something
Slowing down and taking the time to cook a meal from scratch can be a relaxing way to boost focus, confidence, and emotional well-being. Crafting a tasty, nutritious meal from ingredients in your kitchen can make you feel better physically, too.
Rest up
It’s important to get some sleep and reset your brain. Rest is important, and lack of sleep could even worsen your mental health.
Volunteer
Find an organization in your city that matters to you, and see if they’re taking on any new volunteers. By volunteering with them, you’ll likely meet new people, learn new skills, and gain a sense of purpose.
Try something new
Get a dopamine boost by learning something or having a new experience. For inspiration, you could study a language, eat at a new brunch spot, or learn how to craft a DIY project.
Move your body
Whether you prefer walking, running, hiking, biking, recreational sports, or yoga, there are numerous benefits to being active. Regular exercise can alleviate depression and anxiety, improve sleep, and reduce stress. With many people working from home these days, it’s especially important to prioritize physical activity and get outside.
Mow the lawn
Yes, even mowing the lawn can improve mental well-being. Spending time in your yard getting fresh air, moving your body, and smelling freshly cut grass can help boost your mood (unless you have a grass allergy). If the yard chores are piling up and adding to your stress, hire a local LawnStarter pro to take care of them instead.
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