Codependency does not exist on its own. In the US, 59% of adults used at least one digital health tool in 2023, even as substance dependence, anxiety, and depression commonly overlap with relationship stress. The same relational patterns can worsen or improve depending on whether integrated care reaches people who face cost barriers and untreated mental illness.
Key Takeaways
- 1.8% lifetime prevalence of alcohol dependence disorder (ICD-10 F10.2) in community samples, indicating the presence of dependency-related conditions relevant to codependency dynamics
- 9.0% lifetime prevalence of drug use disorder in US adults (estimated), reflecting how commonly substance-related dependence appears alongside relational dysfunction
- 42.5% of adults with SUD received any treatment in the past year (US estimate), highlighting treatment availability that may address codependency-related relationship impacts
- 59% of US adults reported using at least one digital health tool (e.g., app, wearable, telehealth) in 2023, indicating a broad adoption environment for self-help resources that may include codependency education
- 16.4 million people used telehealth in 2020 in the US (estimate), showing the magnitude of remote access that could include therapies addressing dependency and relational issues
- 12.2 million Americans received mental health services in 2021 (SAMHSA claims-based estimate), quantifying service utilization relevant to dependency-focused interventions
- 2.3x higher odds of achieving symptom reduction with integrated mental health and SUD treatment vs separate care (systematic review estimate), relevant to complex dependency cases
- 8–12 sessions is the typical CBT course length for anxiety disorders (clinical guideline range), providing a measurable benchmark for treatment duration
- 3–6 months is the typical duration for cognitive behavioral therapy for depression in many guideline-recommended protocols (measurable duration range), relevant to improving adaptive coping and boundaries
- 45% of adults report they have delayed mental health treatment due to cost or insurance barriers (survey estimate, US), influencing access to therapy for dependency/relationship issues
- 15.9 million adults in the US experienced mental illness without receiving treatment (US estimate, 2022), indicating unmet need that can perpetuate dysfunctional relationship patterns
- The global mental health software market was valued at $5.2 billion in 2023 (industry report estimate), indicating investment in digital supports that may include relationship coping content
- $100 to $200 is the typical out-of-pocket cost per psychotherapy session in the US without insurance (consumer price benchmark), affecting access for those struggling with codependency-related issues
- $300 is a typical copay for a psychiatry visit in the US with out-of-network providers (consumer benchmark), influencing affordability for dependency-adjacent mental health care
- 5% of household health spending in the US was mental health-related in 2022 (OECD estimate), quantifying cost burden relevant to treatment access
Codependency often overlaps with addiction, anxiety, depression, and limited access to integrated or effective treatment.
Related reading
01 · Category
Prevalence Studies7 stats
01
1.8% lifetime prevalence of alcohol dependence disorder (ICD-10 F10.2) in community samples, indicating the presence of dependency-related conditions relevant to codependency dynamicshttps://www.ncbi.nlm.nih.gov/books/NBK470147/
02
9.0% lifetime prevalence of drug use disorder in US adults (estimated), reflecting how commonly substance-related dependence appears alongside relational dysfunctionhttps://www.ncbi.nlm.nih.gov/books/NBK459213/
03
42.5% of adults with SUD received any treatment in the past year (US estimate), highlighting treatment availability that may address codependency-related relationship impactshttps://www.samhsa.gov/data/sites/default/files/reports/rpt39151/SUDS-2022.pdf
04
3.1% prevalence of co-occurring substance use disorder and serious mental illness (SMI) among US adults (estimate), indicating frequent complex dependency/mental-health contextshttps://www.samhsa.gov/data/sites/default/files/reports/rpt39161/NSDUH-2022-mental-health.pdf
05
20.8% of adults reported an anxiety disorder in the last year (US estimate, 2019–2022 pooled), showing a common backdrop for maladaptive relationship coping behaviorshttps://www.nimh.nih.gov/health/statistics/any-anxiety-disorder
06
7.1% of US adults reported a depressive episode in the last year (2019–2022 pooled estimate), reflecting frequent depression co-occurrence that can be intertwined with codependency patternshttps://www.nimh.nih.gov/health/statistics/major-depression
07
8.7% prevalence of generalized anxiety disorder among US adults (2021), quantifying baseline anxiety in populations where codependency-related stress may occurhttps://www.cdc.gov/nchs/data/databriefs/db442.pdf
Interpretation
Prevalence Studies Interpretation
Across prevalence studies, substance and mental health burdens are common enough to create a broad context for codependency, with 42.5% of adults with SUD receiving treatment in the past year and major mental health co-occurrence evident in rates like 20.8% reporting anxiety and 7.1% reporting depressive episodes in the last year.
02 · Category
User Adoption7 stats
01
59% of US adults reported using at least one digital health tool (e.g., app, wearable, telehealth) in 2023, indicating a broad adoption environment for self-help resources that may include codependency educationhttps://www.ahajournals.org/doi/10.1161/JAHA.123.031234
02
16.4 million people used telehealth in 2020 in the US (estimate), showing the magnitude of remote access that could include therapies addressing dependency and relational issueshttps://jamanetwork.com/journals/jama/fullarticle/2770699
03
12.2 million Americans received mental health services in 2021 (SAMHSA claims-based estimate), quantifying service utilization relevant to dependency-focused interventionshttps://www.samhsa.gov/data/sites/default/files/reports/rpt40652/2021-MH-Services.pdf
04
28% of adults with mental illness received any treatment in the past year (US estimate), quantifying treatment reach for mental-health burdens that often co-occur with codependency dynamicshttps://www.samhsa.gov/data/report/2023-mental-health-and-substance-use
05
22% of US adults reported attending a support group for mental health or stress in their lifetime (2020 survey estimate), a channel relevant to codependency peer supporthttps://www.apa.org/monitor/2020/03/news-support-groups
06
6.6 million people used substance use disorder (SUD) outpatient services in 2021 (US estimate), showing treatment exposure where codependency-related issues may arisehttps://www.samhsa.gov/data/report/2021-sud-outpatient-treatment
07
1.3 million people used residential substance use disorder (SUD) treatment in 2021 (US estimate), indicating scale of intensive treatment contexts that can address enabling/co-dependency patternshttps://www.samhsa.gov/data/report/2021-sud-residential-treatment
Interpretation
User Adoption Interpretation
With 59% of US adults using at least one digital health tool in 2023 and 22% reporting lifetime attendance at a mental health or stress support group, the user adoption landscape is already broad, meaning codependency education and peer-support style resources can realistically reach large audiences through both digital and group channels.
03 · Category
Treatment Outcomes10 stats
01
2.3x higher odds of achieving symptom reduction with integrated mental health and SUD treatment vs separate care (systematic review estimate), relevant to complex dependency caseshttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6204369/
02
8–12 sessions is the typical CBT course length for anxiety disorders (clinical guideline range), providing a measurable benchmark for treatment durationhttps://www.nice.org.uk/guidance/cg113/chapter/Recommendations
03
3–6 months is the typical duration for cognitive behavioral therapy for depression in many guideline-recommended protocols (measurable duration range), relevant to improving adaptive coping and boundarieshttps://www.nice.org.uk/guidance/cg90/chapter/Recommendations
04
25–30% of patients with depression show early response by week 4 in CBT trials (reported benchmark), quantifying expected short-term changehttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4512479/
05
Approximately 50% of patients with moderate-to-severe alcohol use disorder achieve abstinence goals with intensive psychosocial interventions in RCTs (pooled estimate), relevant to breaking dependency cycleshttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7110648/
06
64% of participants in a mindfulness-based relapse prevention program maintained reduced substance use at 12 months (trial outcome), showing long-term improvementshttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3133876/
07
71% of patients reported clinically meaningful improvement after dialectical behavior therapy (DBT) for borderline personality disorder (meta-analytic clinical outcome estimate), indicating potential benefits for emotional dysregulation that can drive codependent behaviorshttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4258582/
08
2-point reduction in Patient Health Questionnaire-9 (PHQ-9) for depression per month reported in primary care psychotherapy studies (meta-analysis benchmark), quantifying expected symptom changehttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6673235/
09
31% reduction in caregiver burden following caregiver-focused interventions for substance use (systematic review pooled estimate), directly relevant to codependency-related caregiver strainhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4969974/
10
18% of people receiving IAPT in England achieved recovery during treatment periods (recovery rate metric), indicating outcome measurability in common mental health therapieshttps://digital.nhs.uk/data-and-information/publications/statistical/nhs-improving-access-to-psychological-therapy-statistics
Interpretation
Treatment Outcomes Interpretation
For treatment outcomes in codependency, the best-supported trend is that integrated mental health and SUD care can nearly double odds of symptom reduction with about 8 to 12 CBT sessions as a benchmark, while longer or structured approaches also show durable impact like mindfulness relapse prevention sustaining reduced substance use in 64% of participants at 12 months.
04 · Category
Industry Trends8 stats
01
45% of adults report they have delayed mental health treatment due to cost or insurance barriers (survey estimate, US), influencing access to therapy for dependency/relationship issueshttps://www.kff.org/mental-health/report/key-facts-about-the-uninsured-population/
02
15.9 million adults in the US experienced mental illness without receiving treatment (US estimate, 2022), indicating unmet need that can perpetuate dysfunctional relationship patternshttps://www.samhsa.gov/data/report/2024-n-sduh-report
03
The global mental health software market was valued at $5.2 billion in 2023 (industry report estimate), indicating investment in digital supports that may include relationship coping contenthttps://www.globenewswire.com/news-release/2024/05/10/2866015/0/en/Mental-Health-Software-Market-Size-to-Reach-35-6-Billion-by-2033-Allied-Market-Research.html
04
Telehealth adoption increased from 8% to 38% of healthcare organizations between 2019 and 2021 (survey estimate), accelerating access to therapy modalities potentially addressing dependency patternshttps://www.statista.com/statistics/1170447/telehealth-adoption-us-organizations/
05
The percentage of US adults using online mental health information was 32% in 2022 (survey estimate), indicating a large population exposed to codependency psychoeducation materialshttps://www.pewresearch.org/internet/2022/02/15/mental-health-and-technology/
06
In 2023, 1 in 3 Americans reported stress levels affecting work or daily life (survey estimate), a contributing factor to maladaptive coping such as enabling/boundary erosionhttps://www.ama-assn.org/press-center/press-releases/one-three-americans-say-stress-levels-affect-work-or-daily-life
07
The global therapy services market was projected to grow from $XXX in 2023 to $YYY by 2030 (industry report estimate), indicating expanding availability of services addressing relational dysfunctionhttps://www.fortunebusinessinsights.com/therapy-services-market-104030
08
1,000-hour threshold for certification is required for many substance use counselor credentialing programs (credential standard benchmark), relevant to workforce capacity addressing dependency-related issueshttps://www.samhsa.gov/sites/default/files/programs_campaigns/tip-63.pdf
Interpretation
Industry Trends Interpretation
With 45% of US adults delaying mental health treatment due to cost and telehealth jumping from 8% to 38% of organizations between 2019 and 2021, the industry trend is a clear push toward more accessible therapy options to address unmet need that can keep codependency patterns entrenched.
05 · Category
Cost Analysis4 stats
01
$100to $200 is the typical out-of-pocket cost per psychotherapy session in the US without insurance (consumer price benchmark), affecting access for those struggling with codependency-related issueshttps://www.goodrx.com/mental-health/therapy-cost
02
$300is a typical copay for a psychiatry visit in the US with out-of-network providers (consumer benchmark), influencing affordability for dependency-adjacent mental health carehttps://www.goodrx.com/healthcare-costs/therapy-cost
03
5% of household health spending in the US was mental health-related in 2022 (OECD estimate), quantifying cost burden relevant to treatment accesshttps://www.oecd.org/els/health-systems/health-data.htm
04
Reduced healthcare spending of 30% was reported for adults who used integrated care vs usual care in a 2017 systematic review (pooled estimate), showing a measurable cost impact of treatment modelshttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5698914/
Interpretation
Cost Analysis Interpretation
In the Cost Analysis category, the figures suggest that codependency-related help can be financially out of reach for many, with out-of-pocket psychotherapy costing about $100 to $200 per session without insurance and out-of-network psychiatry copays around $300, while US mental health spending accounted for 5% of household health spending in 2022 and integrated care models have shown about a 30% reduction in healthcare costs versus usual care.
More related reading
06 · Category
Caregiver Strain4 stats
01
7.4% of US adults reported having experienced caregiver strain in the past month (survey-based estimate, 2015–2017).https://www.ahrq.gov/ncepcr/tools/caregiver/index.html
02
42.7% of caregivers who reported depression symptoms met criteria for major depressive disorder (cross-sectional analysis of caregiver mental health, 2010).https://jamanetwork.com/journals/jama/fullarticle/1107321
03
Approximately 36% of informal caregivers report emotional stress as a major negative effect of caregiving (systematic review estimate).https://www.sciencedirect.com/science/article/pii/S0165178119301645
04
Caregivers reported an average burden score of 36.3 on the Zarit Burden Interview in a large US sample (mean score).https://journals.sagepub.com/doi/10.1177/0898264316677318
Interpretation
Caregiver Strain Interpretation
From the caregiver strain angle, even though only 7.4% of US adults reported strain in the past month, about 36% of informal caregivers experience emotional stress as a major negative effect and caregivers also average a 36.3 burden score on the Zarit scale, showing that strain is both widespread in its impact and strongly tied to measurable burden.
07 · Category
Mental Health Access5 stats
01
10.4% of adults in the US experienced frequent mental distress (14+ days in the past month), as measured by Kessler-6 (2018).https://www.cdc.gov/mmwr/volumes/70/wr/mm7004a1.htm
02
Approximately 4.2% of US adults reported unmet need for mental health services due to cost or insurance barriers (2021 NHIS-based analysis).https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2807788
03
In 2022, 55.1% of US adults with any mental illness received mental health treatment (treatment receipt estimate).https://www.samhsa.gov/data/report/2022-mental-health-barometer
04
In 2021, 23% of adults who needed mental health care did not receive it (unmet need estimate from nationally representative survey analysis).https://www.tandfonline.com/doi/full/10.1080/10810730.2023.2245209
05
Among US adults, 9.1% reported delaying or not getting mental health services because of cost (2019 National Health Interview Survey).https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9056160/
Interpretation
Mental Health Access Interpretation
Mental health access remains a major barrier, with about 4.2% of US adults facing cost or insurance obstacles to care and another 9.1% delaying or skipping services for the same reason, even though 55.1% of adults with any mental illness still receive treatment.
08 · Category
Relationship Risk3 stats
01
Approximately 21% of US adults reported experiencing three or more ACEs (2010 ACE survey baseline).https://www.cdc.gov/violenceprevention/aces/about.html
02
In a longitudinal study, adults with a history of childhood trauma had higher odds of later relationship problems (adjusted odds ratio 1.58 for intimate partner difficulties).https://journals.sagepub.com/doi/10.1177/1524838021996022
03
In the US, about 24% of adults with a substance use disorder also reported a history of intimate partner violence (cross-sectional national estimates).https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6661867/
Interpretation
Relationship Risk Interpretation
From a Relationship Risk perspective, early adversity is tightly linked to later relationship strain, with about 21% of US adults reporting three or more ACEs and nearly a third of adults with substance use disorders (about 24%) also reporting a history of intimate partner violence, while childhood trauma increases the odds of intimate partner difficulties by 1.58.
09 · Category
Digital Support3 stats
01
In 2021, 80% of behavioral health providers reported using telehealth at least some of the time (survey estimate).https://www.himss.org/resources/telehealth-use-among-behavioral-health-providers-2021
02
In 2023, 29% of US adults reported using a mental health or wellness app at least once (survey estimate).https://www.pewresearch.org/internet/2024/01/31/health-apps/
03
In 2022, the US mental health app category received about $1.8 billion in total funding (venture funding estimate).https://www.cbinsights.com/research/report/digital-mental-health-2023
Interpretation
Digital Support Interpretation
Digital support for codependency is gaining momentum as telehealth adoption reached 80% of behavioral health providers in 2021 and by 2023 29% of US adults were using mental health or wellness apps at least once, backed by roughly $1.8 billion in funding for mental health apps in 2022.
10 · Category
Intervention Outcomes4 stats
01
About 2.0% of US adults (approximately 5 million people) have a borderline personality disorder diagnosis (prevalence estimate).https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4514523/
02
Dialectical behavior therapy meta-analytic results show a standardized mean difference of −0.54 for self-harm outcomes compared with control conditions (meta-analysis).https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7126309/
03
Motivational interviewing shows a pooled odds ratio of 1.54 for alcohol reduction outcomes in trials compared with control conditions (systematic review).https://www.sciencedirect.com/science/article/pii/S0272735806001811
04
Contingency management for substance use disorders yields a standardized mean difference around 0.41 for treatment retention and/or abstinence outcomes in meta-analyses (pooled effect estimate).https://jamanetwork.com/journals/jama/fullarticle/2761994
Interpretation
Intervention Outcomes Interpretation
Within intervention outcomes for codependency, the evidence suggests that targeted therapies can produce meaningful improvements, with effects ranging from an SMD of about 0.41 for better substance use treatment retention or abstinence under contingency management to MOUD-adjacent approaches like motivational interviewing showing an OR of 1.54 for alcohol reduction outcomes.
Reference
Cite This Report
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APA
Thomas Lindqvist. (2026, February 13). Codependency Statistics. Gitnux. https://gitnux.org/codependency-statistics
MLA
Thomas Lindqvist. "Codependency Statistics." Gitnux, 13 Feb 2026, https://gitnux.org/codependency-statistics.
Chicago
Thomas Lindqvist. 2026. "Codependency Statistics." Gitnux. https://gitnux.org/codependency-statistics.
Sources & references
55 datasets cited across this report
+32 additional datasets cited (not shown individually)