What Are the Most Common Mental Health Disorders?

woman seeing psychiatrist for mental health issue

Summary: The most common mental health disorders are anxiety disorders and depressive disorders. Anxiety includes disorders like generalized anxiety disorder (GAD), social anxiety disorder (SAD), and specific phobias, while depressive disorders include major depressive disorder (MDD), dysthymia (PDD), and bipolar disorders (BD I&II).

Key Points:

  • Media outlets began reporting on increases in mental health disorders before the COVID-19 pandemic.
  • The pandemic may have exacerbated upward trends in prevalence for mental health disorders such as anxiety and depression.
  • New studies include prevalence trend data from 1990-2019 and 2019-2023, which allow us to assess the impact of COVID on mental health.
  • Understanding prevalence trends allows us to plan our treatment response now and in the near future.

Are We Really in a Mental Health Crisis?

If you follow health and wellness news online at all, you’ve probably seen your share of headlines warning about increasing mental health problems among virtually all age groups in the U.S. We can track the relevance of these headlines by referring to a series of public health advisories on mental health related topics published by the Office of the Surgeon General of the United States (OSG):

  1. 2021: Protecting Youth Mental Health
  2. 2022: Framework for Workplace Mental Health &Well Being
  3. 2023: Social Media and Youth Mental Health
  4. 2023: Our Epidemic of Loneliness and Isolation
  5. 2024: Parents Under Pressure: Parental Mental Health and Wellbeing
  6. 2026: Surgeon General’s Warning on the Harms of Screen Use

That’s an average of one mental health advisory per year over the past six (6) years. That leads to the logical conclusion that there must be something happening.

Is it a crisis? Is it an epidemic?

Those words may feel like an overstatement, but when suicide became a leading cause of death for young people age 10-24 in the 2010s, those words feel less like an exaggeration and more like a hard reality we need to face.

However, before we go further, we should find out whether the prevalence of mental health disorders is increasing. We have reliable data for prevalence both around the world and here in the U.S. That will help us understand whether using language like crisis and epidemic is appropriate or unnecessarily alarmist, and also allow us to report on what the most common mental health disorders are, both around the world and here in the U.S.

Mental Health Disorders: Data From the Global Burden of Disease (GBD) Studies

Researchers recently conducted large-scale review of the worldwide prevalence of mental health disorders based on data collected for the Global Burden of Disease Study 2023. The details on mental health in the publication “Updated Trends in the Global Prevalence and Burden of Mental Disorders, 1990–2023: A Systematic Analysis for the Global Burden of Disease Study 2023” are the source of the global statistics we share below. Here’s how the study authors summarize their goal:

“The 2023 iteration of the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) estimated prevalence, incidence, and health burden for 375 diseases and injuries, including 12 mental disorders. We assess past, current, and emerging trends in the prevalence and burden of mental disorders across sexes and age groups, for 21 regions, 204 countries and territories, from 1990 to 2023.”

The researchers cite the following impetus for focusing on mental health disorder data 2023 GBD:

The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2021 estimated that 1·1 billion individuals across the globe were living with a mental disorder in 2021, making mental disorders the sixth-leading cause of all health burden and the second leading cause of disability globally across all ages.”

To establish accurate prevalence estimates, the research team gathered information from 50+ studies on mental disorders, over 2000 sources on prevalence, and 200+ additional general studies on the impact of mental health disorders and related factors. The publication includes the latest prevalence data and observed increase in prevalence of the following mental health disorders and conditions:

  1. Anxiety disorders
  2. Depressive disorders
  3. Dysthymia
  4. Bipolar disorders
  5. Schizophrenia
  6. Autism spectrum disorders
  7. Conduct disorder
  8. Attention-deficit hyperactivity disorder
  9. Eating disorders
  10. Intellectual disabilities
  11. Other mental health disorders

Let’s take a look at what they found.

Mental Health Disorders: Are They Increasing, Decreasing, or Staying the Same?

First, the general trends, which appear to indicate a steady increase over the past several decades.

Trends in Worldwide Mental Health Between 1990-2023

  • Totals:
    • 1990: 599 million
    • 2019: 970 million
    • 2023: 1.17 billion
  • Worldwide increase 1990-2019: 61.9%
  • Worldwide increase 2019-2023: 20.62%
  • Total worldwide increase 1990-2023: 95.5%

That set of data contextualizes the prevalences and increases we’ve observed in the past several years. Prevalence of mental health disorders increased by 62 percent over 30 years (1990-2019), then increased 1/3rd of that amount in just over 1/10th the time (2019-2023).

That’s something that caught our attention, and which we should be concerned about. It supports the warnings we all heard before COVID and indicates that the pandemic may well have increased the rate at which mental health disorders are increasing worldwide.

The figures show the overall rate of mental health disorders is increasing with each passing year. Understanding these default facts on the ground can help us calibrate our expectations and prepare our resources for the changes and increases in patient needs implied by these steady, upward increasing trends.

Now let’s look at the prevalence and trends by disorder.

Mental Disorders Worldwide Between 1990-2023

Schizophrenia:

  • 1990: 15 million
  • 2023: 27 million
  • Increase: 79%

Major depressive disorder (MDD):

  • 1990: 102 million
  • 2023: 236 million
  • Increase: 131%

Dysthymia:

  • 1990: 48 million
  • 2023: 89 million
  • Increase: 85.6%

Bipolar disorders:

  • 1990: 21 million
  • 2023: 36 million
  • Increase: 68.7%

Anxiety disorders:

  • 1990: 182 million
  • 2023: 470 million
  • Increase: 158.6%

Anorexia nervosa:

  • 1990: 2.5 million
  • 2023: 4.0 million
  • Increase: 57.8%

Bulimia nervosa:

  • 1990: 8.1 million
  • 2023: 14 million
  • Increase: 75.1%

Autism spectrum disorders (ADHD):

  • 1990: 30 million
  • 2023: 52 million
  • Increase: 72.4%

Attention-deficit hyperactivity disorder (ADHD):

  • 1990: 66 million
  • 2023: 86 million
  • Increase: 31.1%

Conduct disorders:

  • 1990: 31 million
  • 2023: 40 million
  • Increase: 28%

Intellectual disability (IDID):

  • 1990: 57 million
  • 2023: 69 million
  • Increase: 21%

Other mental disorders:

  • 1990: 70 million
  • 2023: 128 million
  • Increase: 83%

Again, we see observational data supporting the idea we may well be in a mental health crisis or ongoing epidemic of poor mental health. Researchers observed significant increases in every major mental disorder and category of mental health disorder included in the study.

The Most Common Mental Health Disorders: Prevalence of Anxiety, Depression, Other Disorders

Now we’ll break down that data by order of prevalence in 2023, from greatest to least.

Mental Disorders in Order of Prevalence, 2023

  1. Anxiety disorders: 470 million
  2. Depressive disorders: 236 million
  3. Other: 128 million
  4. Dysthymia: 89 million
  5. Attention-deficit hyperactivity disorder (ADHD): 86 million
  6. Intellectual disability (IDID): 69 million
  7. Autism spectrum disorders (ADHD): 52 million
  8. Conduct disorders: 40 million
  9. Bipolar disorders: 36 million
  10. Schizophrenia: 27 million
  11. Bulimia nervosa: 14 million
  12. Anorexia nervosa: 0 million

The most common mental health disorders are anxiety and depression, followed by other, dysthymia (mild but persistent depression), and attention-deficit hyperactivity disorder (ADHD). Those figures are eye-opening: combined, over half a billion people on earth report a diagnosis of anxiety or depression, with another half billion reporting the presence of one or more of the less common mental health disorders.

Do we call this a crisis?

We’ll reserve judgment on what to call our current situation. What we do know is that millions of people need professional support every day. We’ll look at the data for the U.S. in a moment. First, we’ll break down that data by percentage of increase from 1990-2023, from largest to smallest.

Mental Disorders by Size of Increase, 1990-2023

  1. Anxiety disorders:6%
  2. Depressive disorders: 131%
  3. Dysthymia: 85.6%
  4. Other: 83%
  5. Schizophrenia: 79%
  6. Bulimia: 75%
  7. Autism spectrum disorders: 72.4%
  8. Bipolar disorders: 68.7%
  9. Anorexia: 57.8%
  10. ADHD: 31.1%
  11. Conduct disorders: 28%
  12. Intellectual disability: 21%

These data align with the prevalence data for the first three categories, after which they diverge. In contrast to prevalence data, the researchers observed greater increases in schizophrenia, eating disorders, and autism spectrum disorders than the expected increases in ADHD, intellectual disabilities, and conduct disorders.

The Most Common Mental Health Disorders in the U.S.

We covered the world. Now let’s look closer to home, and find out what the most common mental health disorder are here at home.

Here’s the latest data from 2024 National Survey on Drug Use and Health (2024 NSDUH), an annual nationwide survey over 70,000 U.S. citizens that’s our standard reference source for mental health facts and figures.

First, the big-picture mental health data in the U.S.

Adults With Any Mental Illness (AMI) in 2024 in the U.S.:

  • Any mental illness: 23.4%
    • Serious mental illness: 5.6%
  • Past two-week anxiety:
    • Mild: 14.3%
    • Moderate: 4.7%
    • Severe: 2.7%
  • Past year depression:
    • Moderate: 8.2%
    • Serious: 5.6%

Now let’s look at the prevalence of mental health disorders among U.S. adults from most to least common.

Mental Health Disorders in U.S. in Order of Prevalence

Sources: Mental and Substance Use Disorders Prevalence Study (MDPS), 2024 National Survey on Drug Use and Health (2024 NSDUH), The National Institute of Mental Health (NIMH), The National Alliance on Mental lllness (NAMI)

  • Anxiety Disorders: 19.1%
  • Major Depressive Disorder: 15.5%
  • Co-occurring Substance Use Disorder and Mental Illness: 8.1%
  • Posttraumatic Stress Disorder: 4.1%
  • Bipolar Disorder: 2.8%
  • Bipolar I Disorder: 1.5%
  • Borderline Personality Disorder: 1.4%
  • Obsessive Compulsive Disorder: 1.2%
  • Schizophrenia Spectrum Disorders: 1.2%
  • Schizophrenia: less than 1%

Our prevalence figures in the U.S. mirror, for the most part, those reported in the Global Burden of Disease (GBD) reports. The data from the U.S. includes data on addiction and disorders like PTSD and obsessive-compulsive disorder (OCD), which were not measured in the GBD data.

Despite these differences, what looking at the U.S. and world data side by side shows us is that we’re all facing similar challenges:

Anxiety and depression are increasing everywhere researchers look and count.

In closing, we’ll elaborate on why that’s news we can handle.

Effective Treatment for Mental Health Disorders

Anxiety and depression are the most common mental health disorders: that’s the answer to the question we pose in the title of this article. We can handle that news because anxiety and depression are the disorders we have the most experience in treating, and they’re also the two mental health disorders for which treatment consistently works.

We know that with a combination of psychotherapy, medication when needed, family support, lifestyle changes like healthy eating, exercise, improved sleep hygiene, and complementary supports like stress reduction, education, and expressive therapies, we can help patients even with severe anxiety and depression manage symptoms and live a full and productive life.

In addition, with recent developments in areas like precision psychiatry, psychedelic psychotherapy, the potential of medications like ketamine, psilocybin, and Spravato®, and the success of brain stimulation technologies like transcranial magnetic stimulation (TMS) in helping patients with treatment-resistant depression and depression with suicidality, we know we’re ready to help patients with the most common mental health disorders get the treatment they need to live the life they want.

We know we can help because we see success every day. If you’re one of the millions of people with a common mental health disorder such as anxiety or depression, we’re ready to help. And if you have a less common mental health disorder, such as schizophrenia, obsessive-compulsive disorder (OCD), or post-traumatic stress disorder (PTSD), we know how to help you, too.

Finding Help: Resources

If you or someone you know needs professional treatment and support for a mental health disorder in the San Diego area, please contact us here at Crownview Medical. If you’re not in the San Diego area, you can find support through the following online resources:

INPATIENT & OUTPATIENT TREATMENT

158 C Avenue Coronado, CA 92118