Key Takeaways
- 13.6% of U.S. adolescents aged 12–17 reported having ever experienced major depressive episode, which is closely linked with anxiety and related internalizing symptoms.
- 8.3% of U.S. adolescents aged 12–17 had any past-year substance use disorder (SUD), which commonly co-occurs with anxiety disorders among teens.
- 6.2% of U.S. adolescents aged 12–17 reported having a serious mental illness (SMI), a group that includes youth with anxiety disorders.
- 43.1% of U.S. parents with children aged 5–17 reported difficulty accessing mental health care in 2021 (includes anxiety-related care).
- 22.9% of U.S. parents reported that their child needed mental health care but did not receive it in 2021.
- 13.4% of U.S. parents reported that cost prevented care for their child needing mental health services in 2021.
- 2020: 40% increase in self-reported anxiety/depression symptoms among U.S. youth compared with earlier baseline in large survey studies.
- 2020: 1 in 4 U.S. teens reported that their mental health was worse compared with before the pandemic.
- 2021: 41% of U.S. teens reported that loneliness affected their mental health at least somewhat (survey).
- In the U.S., outpatient mental health visits increased during the pandemic, with mental health service volume up about 24% from early 2020 to late 2020 in claims-based analyses (includes anxiety care).
- Cognitive behavioral therapy (CBT) for anxiety disorders shows average effect sizes (standardized mean differences) around 0.6 in child/adolescent trials.
- A meta-analysis found that CBT reduced anxiety symptoms with a pooled standardized mean difference of about 0.8 in youth anxiety interventions.
About one in five teens worldwide has anxiety, and it often starts early and affects daily life.
Prevalence
Prevalence Interpretation
Health Service Use
Health Service Use Interpretation
Drivers & Context
Drivers & Context Interpretation
Treatment & Outcomes
Treatment & Outcomes Interpretation
References
- 1samhsa.gov/data/report/2022-nsduh-annual-national-report
- 2ghdx.healthdata.org/gbd-results-tool?params=gbd-api-1.0.0
- 3apps.who.int/iris/bitstream/handle/10665/274626/WHO-MSD-MER-2018.1-eng.pdf
- 4who.int/news-room/fact-sheets/detail/adolescent-mental-health
- 5ncbi.nlm.nih.gov/books/NBK459313/
- 7ncbi.nlm.nih.gov/pmc/articles/PMC4336397/
- 11ncbi.nlm.nih.gov/books/NBK559291/
- 13ncbi.nlm.nih.gov/pmc/articles/PMC7482984/
- 18ncbi.nlm.nih.gov/pmc/articles/PMC5948230/
- 20ncbi.nlm.nih.gov/pmc/articles/PMC8563400/
- 21ncbi.nlm.nih.gov/pmc/articles/PMC7898028/
- 6pubmed.ncbi.nlm.nih.gov/28495348/
- 8pubmed.ncbi.nlm.nih.gov/25998106/
- 16pubmed.ncbi.nlm.nih.gov/29759444/
- 29pubmed.ncbi.nlm.nih.gov/17269657/
- 30pubmed.ncbi.nlm.nih.gov/19884145/
- 31pubmed.ncbi.nlm.nih.gov/19413584/
- 32pubmed.ncbi.nlm.nih.gov/17316007/
- 33pubmed.ncbi.nlm.nih.gov/22402904/
- 34pubmed.ncbi.nlm.nih.gov/25147378/
- 35pubmed.ncbi.nlm.nih.gov/21515962/
- 36pubmed.ncbi.nlm.nih.gov/20308441/
- 37pubmed.ncbi.nlm.nih.gov/19144290/
- 38pubmed.ncbi.nlm.nih.gov/21459186/
- 39pubmed.ncbi.nlm.nih.gov/25706578/
- 40pubmed.ncbi.nlm.nih.gov/23242644/
- 41pubmed.ncbi.nlm.nih.gov/28327209/
- 42pubmed.ncbi.nlm.nih.gov/31489076/
- 43pubmed.ncbi.nlm.nih.gov/26088218/
- 44pubmed.ncbi.nlm.nih.gov/27590678/
- 45pubmed.ncbi.nlm.nih.gov/28610534/
- 46pubmed.ncbi.nlm.nih.gov/23436284/
- 47pubmed.ncbi.nlm.nih.gov/19182536/
- 9unicef.org/media/137391/file/Adolescence%20and%20mental%20health.pdf
- 10nimh.nih.gov/health/statistics/mental-illness
- 12jamanetwork.com/journals/jamapediatrics/fullarticle/2775931
- 14jamanetwork.com/journals/jama/fullarticle/2770074
- 19jamanetwork.com/journals/jamapediatrics/fullarticle/2677846
- 22jamanetwork.com/journals/jamanetworkopen/fullarticle/2767549
- 25jamanetwork.com/journals/jamapediatrics/fullarticle/2769418
- 15cdc.gov/mmwr/volumes/70/wr/mm7007a3.htm
- 17cdc.gov/nchs/data/databriefs/db455.pdf
- 26cdc.gov/healthyyouth/data/yrbs/index.htm
- 27cdc.gov/nchs/data/nhsr/nhsr166.pdf
- 23ahrq.gov/sites/default/files/wysiwyg/research/findings/mental-health-access/index.html
- 24academic.oup.com/hsr/article/49/4/1124/5253571
- 28healthaffairs.org/do/10.1377/forefront.20210526.972664/full/







