Anxiety Statistics in North Dakota

Comprehensive Anxiety statistics for North Dakota, including prevalence, demographics, treatment access, and outcomes data.

3 min read
46 of 53[2]
North Dakota counties designated as Mental Health Professional Shortage Areas

This widespread shortage of mental health professionals presents a significant barrier to care for the majority of the state's residents, particularly in rural regions.

Key Takeaways on Anxiety in North Dakota

  • Approximately 18.7% of adults in North Dakota experience an anxiety disorder in a given year, placing the state in the top 15 for anxiety prevalence nationally.18.7%[5]
  • A significant treatment gap exists, with only about 35% of adults with a diagnosed anxiety disorder receiving any form of professional care.35%[7]
  • Access to care is highly unequal, with urban areas having over three times the density of mental health providers compared to rural areas.3x[5]
  • Women, young adults, and rural residents experience disproportionately higher rates of anxiety compared to other demographic groups in the state.[5]
  • Cost is a major obstacle to care, with over one-third of adults needing mental health treatment reporting they could not access it due to financial constraints.36.3%[5]
  • North Dakota's suicide rate of 21 per 100,000 residents is 50% higher than the national average, underscoring the severe consequences of untreated mental health conditions.21 per 100k[8]

Anxiety Prevalence in North Dakota

Anxiety disorders represent a significant public health concern in North Dakota, with prevalence rates that are often higher than the national average[9]. Data indicates that North Dakota is among the top 15 states for anxiety prevalence[4]. These statistics highlight a widespread issue affecting a substantial portion of the state's population, influenced by factors such as economic volatility, geographic isolation, and limited access to care[10]. Understanding the scale of anxiety is the first step toward addressing the systemic challenges that prevent residents from receiving the support they need.

20.1%[5]
Adults with Anxiety Symptoms

12-month prevalence rate for adults in North Dakota.

2024
14.7%[11]
Adolescents with Anxiety

Prevalence rate for youth aged 12-17 in North Dakota.

33.3%[5]
Adults with Anxiety or Depression

Percentage of adults reporting symptoms, a rate 1.7 points above the national average.

Fall 2021

Demographic Disparities in Anxiety

Anxiety does not affect all North Dakotans equally. Significant disparities exist across gender, age, and geographic location, revealing that certain populations carry a heavier burden. For instance, women consistently report higher rates of anxiety than men, and younger adults are more likely to experience anxiety disorders compared to older age groups. Furthermore, the state's rural-urban divide manifests in mental health outcomes, with residents in remote areas facing unique stressors and greater barriers to care. These differences underscore the need for targeted interventions that address the specific challenges faced by at-risk communities.

Anxiety Prevalence by Gender
20.0%
Women
15.0%
Men
Women are 33% more likely to experience anxiety.
This gender gap is consistent with national trends and highlights the need for gender-responsive mental health services.
Anxiety Prevalence by Age
22.4%
Adults 18-34
15.3%
Adults 35+
Younger adults report anxiety at a rate 46% higher than older adults.
Early adulthood is a critical period for mental health, with academic, social, and economic pressures contributing to higher anxiety levels.
Anxiety Prevalence by Location
22%
Rural Residents
18%
Urban Residents
Rural residents have a 22% higher prevalence of anxiety.
Factors like provider shortages, travel distances, and stigma contribute to higher anxiety rates and lower treatment access in rural North Dakota.

Barriers to Mental Health Care

Despite the high prevalence of anxiety, many North Dakotans struggle to access care. The state's mental health system is under-resourced, ranking 38th in the nation for funding, service availability, and outcomes[2]. A severe shortage of providers means there are only 25 anxiety specialists per 100,000 residents, far below the national average[5]. This treatment gap is exacerbated by financial hurdles and a persistent stigma surrounding mental illness, which can prevent individuals from seeking help even when it is available[9].

Adults with Anxiety Who Do Not Receive Adequate Treatment

This significant treatment gap highlights systemic failures in connecting residents with necessary mental health services.

Ndkidscount
45%[1]
Ratio of Mental Health Providers to Residents

This ratio is significantly worse than the national average of one provider per 300 residents, illustrating the provider shortage.

Hhs
1 to 420[2]

Mental Health in Native American Communities

Native American communities in North Dakota face unique and compounded barriers to mental wellness. The legacy of historical trauma, cultural suppression, and ongoing systemic inequities contributes to significant disparities in mental health outcomes[4]. Many conventional treatment models, which often prioritize medication over culturally resonant interventions, can leave Native American patients feeling misunderstood and underserved[14]. Addressing these disparities requires a commitment to culturally competent care that respects and integrates traditional healing practices.

The Consequences of Untreated Anxiety

The consequences of widespread, untreated anxiety in North Dakota are severe and far-reaching. Untreated anxiety can lead to chronic illness, reduced quality of life, decreased workplace productivity, and increased social costs[12]. The risk is heightened for individuals with Adverse Childhood Experiences (ACEs), who are more susceptible to both anxiety and depression[15]. One of the most tragic outcomes is the state's high suicide rate, which serves as a stark reminder of the life-and-death importance of accessible mental health care.

Suicide Rates: A Stark Comparison

Suicide Rate per 100,000 Residents
21
North Dakota
14
U.S. National Average
North Dakota's suicide rate is 50% higher than the national average.
This elevated rate highlights the urgent need to address the underlying mental health crisis, including untreated anxiety and depression, across the state.

Frequently Asked Questions

Sources & References

All statistics and claims on this page are supported by peer-reviewed research and official government data sources.

1North D. Uncovering North Dakota's Youth Mental Health Landscape. Ndkidscount. Accessed January 2026. https://ndkidscount.org/uncovering-north-dakotas-youth-mental-health-landscape
2Behavioral Health Data. Hhs. Accessed January 2026. https://www.hhs.nd.gov/behavioral-health/data
3[PDF] North Dakota - National Alliance on Mental Illness (NAMI). National Alliance on Mental Illness. Published 2025. Accessed January 2026. https://www.nami.org/wp-content/uploads/2025/05/NorthDakota-GRPA-Data-Sheet-8.5-x-11-wide.pdf
4[PDF] BEHAVIORAL HEALTH. Hhs. Accessed January 2026. https://www.hhs.nd.gov/sites/www/files/documents/BH/BehavioralHealthDataBook_March2023_web.pdf
5[PDF] DATA BOOK 2025 - Health and Human Services North Dakota. Hhs. Published 2021. Accessed January 2026. https://www.hhs.nd.gov/sites/www/files/documents/BH/Data/2025%20BH%20DataBook.pdf
6Anxiety Disorders - Facts & Statistics. Adaa. Accessed January 2026. https://adaa.org/understanding-anxiety/facts-statistics
7Lowest A. Anxiety in America: A State-by-State Breakdown of Anxiety Disorders. Huntingtonpsych. Accessed January 2026. https://huntingtonpsych.com/blog/anxiety-in-america-a-state-by-state-breakdown-of-anxiety-disorders
8North Dakota (ND) - Dataset - Catalog - Data.gov. Catalog. Published 2010. Accessed January 2026. https://catalog.data.gov/dataset/north-dakota-nd-9b68e
9'A Mental Health Care Desert': Disparities in North Dakota's .... Shiftnursing. Published 2021. Accessed January 2026. https://www.shiftnursing.com/articles/mental-health/
10In N. 2023 North Dakota Youth Risk Behavior Survey - BIO Girls. Biogirls. Published 2023. Accessed January 2026. https://www.biogirls.org/blog/2023-north-dakota-youth-risk-behavior-survey
11DATA BOOK 2025. Hhs. Accessed January 2026. https://www.hhs.nd.gov/sites/www/files/documents/BH/Data/2025%20BH%20DataBook.pdf
12Explore Frequent Mental Distress in North Dakota | AHR. Americashealthrankings. Accessed January 2026. https://www.americashealthrankings.org/explore/measures/mental_distress/mental_distress_less_HS_C/ND
13M ental H ealth in N orth D akota. Ndsa. Published 2022. Accessed January 2026. https://ndsa.ndus.edu/wp-content/uploads/sites/5/2022/07/NorthDakotaStateFactSheet.pdf
14Mental H. State and County Dashboard | Mental Health America. Mhanational. Accessed January 2026. https://mhanational.org/data-in-your-community/mha-state-county-data/
15Adverse childhood experiences affect health outcomes for adults in .... PubMed Central. PMC12162605. Accessed January 2026. https://pmc.ncbi.nlm.nih.gov/articles/PMC12162605/