Mental Health in 2023: The Year in Review

A review of the major mental health headlines, statistics, and significant research findings from 2023.

This is the third installment of a series published annually that explores the major mental health headlines and research findings in a year. This post looks at mental health in 2023.

For previous years, see Mental Health in 2022: The Year in Review and Mental Health in 2021: The Year in Review.


Mental Health in 2023

Mental health in 2023 presented a complex landscape, shaped by the lingering effects of the COVID-19 pandemic, the increasing pervasiveness of artificial intelligence (AI), polarized politics, and the ongoing opioid crisis.

The year saw a growing recognition of the importance of mental health and a call for increased investment in mental health services and research, with the World Health Organization (WHO) launching a global campaign to make mental health a universal human right.

In this article, I will review major mental health findings and news stories from 2023, as well as highlight some of the promising new research that is being conducted in the field of mental health.

January

  • January 4, 2023

    The Substance Abuse and Mental Health Services Administration (SAMHSA) releases the results of the 2021 National Survey on Drug Use and Health. The survey found:

    • Nearly 6 in 10 Americans aged 12 and older reported using at least one substance, with alcohol being the most common.
    • Over 4 million young people in the U.S. reported using tobacco products or vaping devices.
    • 60 million Americans, or 45% of alcohol users, regularly engaged in binge drinking.
    • Marijuana was the most commonly used illicit drug, with 18.7% of people reporting use.
    • 1 in 4 young adults and nearly 1 in 10 adolescents had a substance use disorder.
    • 1 in 5 adolescents reported experiencing major depression.
    • 22.8% of adults reported having a mental illness.
    • Over 3 million (12.7%) teens had serious thoughts of suicide in the past year, with 1.5 million (5.9%) making a plan and 892,000 (3.4%) attempting it.
    • Among adults, 4.8% had serious thoughts of suicide, 1.4% made a suicide plan, and 0.7% attempted suicide.
  • January 5, 2023

    Scientists uncover a surprising new use for clonidine, a 50-year-old blood pressure medication, as a potential new treatment for PTSD.

  • January 9, 2023

    Americans rank inflation, recession, and gun violence as their top anxiety-inducing current events, according to an American Psychiatric Association poll.

  • January 10, 2023

    New research suggests that acts of kindness could be a valuable tool for tackling depression. The study found that doing good deeds for others led to benefits not seen in two other traditional treatment methods.

  • January 13, 2023

    In a press release, the American Psychological Association explains research linking the stress of daily political news consumption to a decline in mental wellbeing.

  • January 19, 2023

    Researchers find that Black Americans were less likely than White Americans to receive buprenorphine, a medication used to treat opioid addiction, when visiting the emergency room. The odds of a Black patient being prescribed buprenorphine were nearly 40% lower than those of a White patient.

  • January 19, 2023

    A team of scientists uncovers a new use for a medication used to treat a common skin condition, as a promising treatment for alcohol use disorder. Study participants who received the medication, called apremilast, reduced their alcohol intake by more than half.

February

March

April

  • April 3, 2023

    The FDA clears a monitoring device that detects when a person’s breathing slows to a dangerous level due to opioid use, a potential gamechanger for preventing fatal overdoses.

  • April 4, 2023

    According to new data, 17% of American adults report feeling lonely, only a slight decrease from previous years during the pandemic’s peak.

  • April 6, 2023

    The Pew Research Center reports that gun deaths among U.S. children and teens rose 50% in 2 years.

  • April 7, 2023

    Only 1 in 5 adults in the United States rate current economic conditions as excellent or good, with 35% rating the economy as poor. 8 in 10 Americans say they are dissatisfied with the state of the nation, and an increasing number of Americans expect economic conditions to worsen in the coming year.

  • April 10, 2023

    Duke developmental psychologists find that children judged Alexa to be smarter and more human-like than Roomba, but that both were deserving of kindness and neither deserved to be yelled at or harmed.

  • April 10, 2023

    President Biden signs a bipartisan congressional resolution, ending the U.S. national emergency response to the COVID-19 pandemic. More than 1.13 million Americans have died from COVID-19.

  • April 12, 2023

    The ongoing shortage of commonly prescribed ADHD medications, initially announced by the FDA in October 2022, continues to persist without any clear resolution.

  • April 12, 2023

    Xylazine’s growing role in overdose deaths nationwide prompts the Biden-Harris Administration to designate fentanyl combined with xylazine as an emerging threat to the United States.

  • April 13, 2023

    Research indicates that a 3-day weekend has a positive impact on both mental and physical health, supporting the 4-day work week trend.

  • April 26, 2023

    A Pew Research Center report finds that more Americans died from gun-related injuries in 2021 than in any other year on record, with active shooting incidents on the rise. Of the firearm deaths, 54% were suicides and 43% were murders. This reflects a 23% increase since 2019 (before the onset of the COVID-19 pandemic).

  • April 27, 2023

    The results of the American Psychological Association’s 2023 Work in America Survey suggest that mental wellbeing is a high priority for most employees. More than 9 in 10 Americans said it was important to work for an organization that valued their psychological wellbeing and provided mental health support. The majority of American workers also reported satisfaction with the current mental health support provided by their employers. At the same time, nearly 6 in 10 workers reported burnout and 1 in 5 employees reported workplace toxicity.

May

June

  • June 7, 2023

    A study published in JAMA Network Open finds that ChatGPT provided critical resources only about 20% of the time when asked serious public health questions related to abuse, suicide, or other medical crises.

  • June 12, 2023

    According to research published by the American Psychological Association, workers who frequently interacted with artificial intelligence systems were more likely to experience loneliness, increased after-work drinking, and insomnia.

  • June 13, 2023

    According to the National Institutes of Health (NIH), there has been a dramatic rise in overdose deaths among young people aged 14-18 in recent years. Although buprenorphine is the only opioid addiction treatment approved by the FDA for use in adolescents, buprenorphine treatment is limited among adolescents. Only 1 in 4 residential addiction treatment facilities for adolescents offer buprenorphine in the United States.

  • June 15, 2023

    Research indicates that men died from overdose at 2-3 times greater a rate than women in the United States in 2020-2021.

  • June 15, 2023

    The American Psychological Association finds that children who received high-quality childcare as babies, toddlers, and preschoolers did better in science, technology, engineering, and math through high school. This effect was more pronounced in children from low-income families.

  • June 21, 2023

    SAMHSA issues an advisory on the mental health symptoms and conditions associated with long COVID-19, including fatigue, sleep disturbances, depression, anxiety, psychosis, cognitive impairment, obsessive compulsive disorder, and post-traumatic stress disorder, among others.

  • June 26, 2023

    In a fascinating research study, the American Psychological Association sheds light on why some people are willing to believe conspiracy theories. In an analysis of 170 studies, researchers found that conspiracy theorists are driven strongly by intuition, feel a sense of antagonism and superiority toward others, and perceive dangers or threats in their environment. Those who strongly believed in conspiracy theories were also more likely to be insecure, paranoid, emotionally volatile, impulsive, suspicious, withdrawn, manipulative, egocentric, and eccentric.

  • June 27, 2023

    Although the world is still in a heightened negative state, positive emotions are showing signs of recovery, having stalled last year, according to new data from Gallup.

  • June 28, 2023

    The number of American adults who have never married reaches a new high.

  • June 29, 2023

    The American Psychological Association denounces the Supreme Court’s decision to overturn the rights of Harvard University and the University of North Carolina to consider the race of student applicants.

    “Without purposeful attention to achieving diverse student bodies, our institutions of higher learning are likely to grow even more racially and ethnically polarized.”

July

August

  • August 3, 2023

    The HHS releases a report showing that the national uninsured rate reached an all-time low of 7.7% in early 2023, with approximately 6.3 million people gaining coverage since 2020, coinciding with the beginning of the Biden-Harris Administration in January 2021.

  • August 4, 2023

    The Food and Drug Administration approves the first pill to treat postpartum depression, a condition that affects around 1 in 7 postpartum women in the United States.

  • August 7, 2023

    The Center for Countering Digital Hate releases a report indicating that AI tools generate and promote harmful content about eating disorders 41% of the time.

  • August 8, 2023

    Wildfires devastate Maui, killing 98 people by smoke, flames or drowning, and reducing the historic resort town of Lahaina to ash and ruins.

  • August 10, 2023

    OnPoint NYC, operator of the only recognized overdose prevention centers in the United States, announces that they have prevented over 1,000 potentially fatal overdoses in New York City.

  • August 10, 2023

    Across nearly all gender, age, and education groups, roughly half of adults in America have experimented with marijuana, a new national average.

  • August 14, 2023

    More than 6 in 10 Americans drink alcohol with 19% of drinkers saying they sometimes overindulge.

  • August 17, 2023

    Research indicates that marijuana and hallucinogen use and binge drinking reached historic highs among adults 35 to 50 in 2022. While binge drinking has generally declined for the past 10 years among younger adults, adults aged 35 to 50 in 2022 reported the highest prevalence of binge drinking ever recorded for this age group.

  • August 19, 2023

    Americans are smoking cigarettes at historically low rates, with only 12% of Americans smoking cigarettes.

  • August 22, 2023

    Young Americans are drinking alcohol less and less frequently according to Gallup. Conversely, drinking has increased among adults aged 55 and older.

  • August 29, 2023

    Researchers near human trials for vaccines to prevent fentanyl and heroin drug overdoses; they anticipate testing vaccines in humans in early 2024. The Phase 1 human trials will be conducted with Dr. Comer at Columbia University in New York City.

  • August 29, 2023

    The Biden-Harris Administration asks the Drug Enforcement Administration to loosen federal restrictions on marijuana, moving the classification of marijuana from Schedule I to Schedule III.

  • August 29, 2023

    JAMA Network Open research indicates that new synthetic opioids, such as the fentanyl analogue and nitazenes, are among the fastest growing types of opioids linked to overdose. Some nitazenes are up to 10 times more potent than fentanyl, requiring more doses of naloxone, an opioid-reversal medication, to revive victims.

  • August 31, 2023

    From 1999 to 2020, drug overdose deaths in the United States quadrupled, with the highest increases in White and Native Americans and in Midwest areas, according to research published in The American Journal of Medicine.

  • August 31, 2023

    The HHS secretary recognizes International Overdose Awareness Day in a statement, announcing new overdose prevention funding.

    “Drug overdose does not discriminate – rich or poor, Black or white, urban or suburban, drug overdoses reach every corner of our society.”

September

  • September 5, 2023

    In a one-of-a-kind study, researchers map where in the body different types of love are felt and how strongly they are experienced.

  • September 6, 2023

    The California State Assembly passes a bill legalizing psychedelics, including mescaline, dimethyltryptamine (DMT), psilocybin, and psilocin. In a news release, Senator Scott Wiener noted, “We know these substances are not addictive, and they show tremendous promise in treating many of the most intractable conditions driving our nation’s mental health crisis.”

  • September 8, 2023

    The 988 Suicide & Crisis Lifeline adds American Sign Language (ASL) services for people who are deaf and hard of hearing.

  • September 11, 2023

    More than 1 in 5 Americans fear that technology will make their jobs obsolete, with the fear more pronounced in college-educated workers, according to data from Gallup.

  • September 12, 2023

    Most Americans say that being a man in the United States helps a person get ahead, according to a Pew Research Center survey. In contrast, more Americans say that being a woman actually hurts someone’s ability to get ahead.

  • September 13, 2023

    Research identifies a 50-fold increase in U.S. overdose deaths involving fentanyl and stimulants since 2010, rising from 0.6% (235 deaths) in 2010 to 32.3% (34,429 deaths) in 2021, marking a concerning “fourth wave” in the opioid epidemic. 

  • September 14, 2023

    A Pew Research Center report finds that many Americans are pessimistic about the institution of marriage and the family. What’s more, marriage and parenthood were seen as less important than career or having close friends when it came to fulfillment in life.

  • September 18, 2023

    A new study indicates that higher buprenorphine doses were associated with improved retention in treatment for opioid use disorder.

  • September 19, 2023

    According to data from Pew Research Center, Americans are exhausted by politics, and a growing number of Americans express dislike for both political parties.

  • September 20, 2023

    SAMHSA releases Recovery from Substance Use and Mental Health Problems Among Adults in the United States, a report that provides data on Americans in recovery. For substance use specifically, 72.2% of adults with addiction considered themselves to be in recovery or to have recovered from their drug or alcohol use problem. For mental health, 66.5% considered themselves to be in recovery.

  • September 20, 2023

    Researchers transform brain signals into audible speech by decoding signals from the brain through a combination of implants and AI, predicting the words people wanted to say with an accuracy of 92 to 100%.

  • September 23, 2023

    A trial of a preventive HIV vaccine begins enrollment in the United States and South Africa.

  • September 26, 2023

    According to Pew Research Center, Black Americans are far more likely to view news coverage of Black people in a negative rather than positive light.

  • September 27, 2023

    JAMA Psychiatry publishes a study indicating that decriminalizing drugs in Oregon and Washington did not increase overdose deaths 1 year post implementation.

October

  • October 4, 2023

    Researchers develop a prediction model using machine learning to calculate the risk of opioid relapse among individuals receiving treatment as early as 3 weeks into treatment.

  • October 7, 2023

    Hamas attacks Israel, killing hundreds and taking hostages, shocking the world.

  • October 10, 2023

    On World Mental Health Awareness Day, the HHS secretary issues a statement addressing the mental health challenges faced by Americans and recognizing that mental health is a basic human right.

    “In America, and around the world, we’ve come to a powerful realization: Mental Health is Health. Full stop.”

  • October 11, 2023

    Gallup and the Institute for Family Studies publish a research brief, revealing that American teenagers spend an average of 4.8 hours per day using social media, far more time than they spend watching television, doing homework, perusing hobbies, and playing video games.

  • October 11, 2023

    The American Psychological Association releases a statement in response to Hamas’ attack on Israel, condemning the violence and warning of the long-term psychological effects of fear and traumatic stress on mental wellbeing.

    “The psychology community stands in solidarity with all who are working to protect and safeguard human life during this conflict… We call for peace, dialogue, and conflict resolution as a pathway to ending the conflict, which is necessary for us to begin the work to prevent the suffering that will continue to result from ongoing violence.”

  • October 18, 2023

    A JAMA Network Open study indicates that telehealth increases opioid treatment access and retention, strengthening the evidence that receiving addiction care through telehealth is safe and beneficial, and that it should be made available to those who need it.

  • October 19, 2023

    The American Psychological Association publishes research that found 4 in 10 people preferred to remain ignorant in certain situations. When study participants were given the choice to learn how their actions would affect someone else, an astonishing 40% of people chose ignorance.

  • October 24, 2023

    About a quarter of the world feels lonely, according to a recent Meta-Gallup survey of more than 140 countries.

  • October 27, 2023

    Research suggests that by 2040, the number of people living with dementia could reach 1.7 million, marking a significant increase of over 40% from previous projections.

  • October 30, 2023

    As overdose rates among children and teens continues to rise, the Biden-Harris Administration calls on schools to stock naloxone, adding that faculty and students alike should be prepared to use the nasal spray to stop an overdose.

  • October 31, 2023

    President Biden signs an Executive Order focused on regulating artificial intelligence by establishing new standards for safety and security, protecting Americans’ privacy, advocating for consumers and workers, and promoting innovation and competition.

November

  • November 1, 2023

    The results of an American Psychological Association (APA) survey on stress in America challenge the notion that things are getting back to normal after the COVID-19 epidemic. APA psychologists widely agreed there is mounting evidence that society is experiencing the psychological impacts of a collective trauma, including global conflict, racism and racial injustice, inflation, and climate-related disasters.

  • November 2, 2023

    New research links the pandemic to cognitive decline, indicating that brain health in individuals over 50 deteriorated more rapidly during the pandemic, regardless of whether or not they had COVID-19.

  • November 2, 2023

    The American Psychiatric Association, the American Academy of Addiction Psychiatry, the American Academy of Family Physicians, and the American Society of Addiction Medicine collaborate to develop educational resources highlighting what physicians and the public should know about addiction, releasing two “Top 1o” lists to raise awareness, increase understanding, and combat stigma associated with addiction.

  • November 13, 2023

    SAMHSA releases the 2022 National Survey on Drug Use and Health. The survey found:

    • Nearly 60% of Americans used tobacco products, vaped nicotine, drank alcohol, or used illicit drugs, a slightly higher rate than the previous year.
    • 7.3% of adolescents used tobacco products or vaped nicotine; of that group, 73.2% vaped only and did not use other tobacco products.
    • Of Americans who reported using alcohol, nearly 50% were binge drinkers, similar to the previous year.
    • Marijuana was the most commonly used illicit drug, with more than 1 in 5 people aged 12 or older reporting use, up from the previous year.
    • 48.7 million (nearly 1 in 5) Americans had a substance use disorder in 2022.
    • 23.1% of adults had a mental illness, an increase from the previous year, with the highest rates among young adults aged 18 to 25, followed by adults aged 26 to 49.
    • Adolescents experienced increased rates of suicidal thoughts, plans, and attempts compared to the previous year. 13.4% had serious thoughts of suicide, 6.5% made a suicide plan, and 3.7% attempted suicide.
    • Adults also experienced increased rates of suicidal thoughts and plans, but there was a slight decrease in attempts. 5.2% of adults in America had serious thoughts of suicide, 1.5% made a suicide plan, and 0.6% attempted suicide.
    • A significant majority (7 in 10) of adults with substance use or mental illness are in recovery, representing over 50 million Americans.
  • November 13, 2023

    Research published in JAMA Pediatrics indicates that nearly 1 in 5 school-aged children and preteens now take melatonin, a dietary supplement unregulated by the FDA, for sleep, with some parents routinely giving the hormone to preschoolers.

  • November 13, 2023

    A study that looked at crime trends following the establishment of opioid overdose prevention centers in New York finds that there were no significant increases in crime or calls for emergency services in the neighborhoods where the centers opened. Instead, the overdose centers helped to reduce crime and public disorder, contributing to a safer community.

  • November 15, 2023

    A team of researchers from Yale find that experiences of discrimination and acculturation during pregnancy disrupted the brain development of fetuses, in ways unrelated to general stress or depression.

  • November 17, 2023

    In a potential breakthrough for those with opioid use disorder, researchers announce the first human trial of an ingestible “smart pill” that aims to prevent opioid overdose by monitoring respiration and heartrate in real-time.

  • November 20, 2023

    The American Psychiatric Association remembers the life of Former First Lady Rosalynn Carter in a press release.

    “Few, if any, other Americans have been able to accomplish what she did for the cause of mental health. Mrs. Carter worked relentlessly to help the millions of people in this country who have mental illness or substance use disorders. She used her bully pulpit to bring the conversation about mental health out from the darkness and to advocate for a more comprehensive system of care.”

  • November 21, 2023

    A Pew Research Center survey shows that Americans are increasingly cautious about the growing role of AI in their lives. A little over half of Americans expressed concern rather than excitement about AI. In comparison, only 10% were more excited than concerned.

  • November 22, 2023

    NIH research reveals that overdose deaths increased in pregnant and postpartum women from early 2018 to late 2021. Among those aged 35 to 44, overdose mortality more than tripled during this period.

  • November 28, 2023

    Scientists find that by customizing virtual assistants (such as Siri and Alexa) to sound more like a person, users were not only more likely to have a better overall experience but were more skeptical and analytical when processing information provided.

  • November 29, 2023

    A majority of Asian adults in America say they have experienced racial discrimination in their daily lives, with nearly 40% of Asian Americans having been called offensive names by complete strangers.

  • November 29, 2023

    A long-term research project finds no evidence to support cannabis as method for reducing opioid use. The study followed participants over a span of 18 to 20 years.

  • November 30, 2023

    According to an American Psychological Association poll, nearly 9 in 10 Americans are stressed about the holidays, reporting concerns such as not having enough money, missing loved ones, and anticipating family conflict.

December

Mental Health in 2023: Conclusion

To conclude, it’s been quite a year for mental health. While 2023 saw encouraging signs of recovery for some Americans impacted by the pandemic’s emotional toll, the year also presented significant challenges. The opioid epidemic continued to escalate, claiming more lives, while suicide rates rose at alarming rates and gun violence took a devastating toll.

However, amidst these sobering trends, glimmers of hope emerged for mental health in 2023. Increased access to treatment offered a lifeline to many, while ongoing research on novel treatment approaches for mental illness and addiction promised further breakthroughs.

When Harvard scholar Kari Nadeau was asked to sum up 2023 in one word, she chose the word “resilience.”

“I would say resilience is the word of the year, given how much our world has faced, how much individuals have suffered, and how much sorrow the public has experienced. I don’t use that word lightly, so to give more context, I believe that resilience is the ability to be cautiously optimistic and find purpose despite difficulties around us.”

Kari Nadeau

Mental Health in 2022: The Year in Review

A review of mental health in 2022 in America, a year that left many Americans in distress and uncertain about the future.

I’m a little late in publishing Mental Health in 2022; I’d planned on posting at the start of 2023, but then… life happened. Anyway, I think it’s worth the wait, and I hope you enjoy this article as part of an ongoing post series that highlights the major findings and stories in mental health each year.


MENTAL HEALTH IN 2022: THE YEAR IN REVIEW

In a USA TODAY/Suffolk University Poll, 1,000 American voters were asked to describe the state of the U.S. in 2022.

“Some Americans feel bad about the state of the country today. Most of the rest feel even worse.”

The most common response, provided by 31% of those polled was:

“TERRIBLE”

Here’s the total breakdown:

Terrible (31%)

Chaotic (20%)

Divided (16%)

Depressed/angry (6%)

Encouraging (5%)

Decline (4%)

Improving (3%)

Disgusting (2%)

(Compare the 2022 stats on the state of America with the results of USA TODAY‘s 2021 poll.)


According to the National Center for Health Statistics, nearly 40% of adults reported symptoms of depression and/or anxiety in 2022. Younger adults, as well as racial minorities, LGBTQ individuals, and persons with disabilities were disproportionally impacted, consistently reporting higher rates. In comparison, only 11% of adults reported experiencing anxiety or depression in 2019.

What’s more, nearly 2 in 5 Americans rated their mental health as “poor” or “fair” in 2022, and were anticipating more stress at the start of 2023 according to a news release from the American Psychiatric Association.

What are Americans the most stressed about? 64% are worried about personal finances, 55% are concerned about uncertainty in 2023, 49% are worried about their physical health, and 41% are worried about their mental health. Other major stressors include relationships, job security, and traveling.

What word would you use to describe the state of America in 2022? What about your own state of mind this past year?


Mental Health in 2022: A Few Stats

The latest stats from Mental Health America indicate that the most “unwell” states, ranking high in rates of mental illness/substance use and low in access to treatment services, are (with Kansas being the most “unwell” state in the U.S.):

5️⃣ Idaho

4️⃣ Alabama

3️⃣ Arizona

2️⃣ Oregon

1️⃣ Kansas

The most “well” states, ranking low in rates of mental/substance use disorders and high in access to care, are (with Wisconsin being the “wellest” state in the U.S.):

5️⃣ Connecticut

4️⃣ Delaware

3️⃣ Massachusetts

2️⃣ Pennsylvania

1️⃣ Wisconsin

A WalletHub study examined additional wellness factors, such as physical health, work, community, and environment to rank states on overall happiness.

The bottom 5 ranking states for happiness (with West Virginia being the unhappiest state in America):

⬇️ Alabama

⬇️ Kentucky

⬇️ Arkansas

⬇️ Louisiana

⬇️ West Virginia 😞

The top 5 ranking states for happiness (with Hawaii being the happiest state in America):

5️⃣ New Jersey

4️⃣ Utah

3️⃣ Minnesota

2️⃣ Maryland

1️⃣ Hawaii 😀

What state do you live in? Do you consider your state a happy place to live?


Mental Health in 2022: Research & News

JANUARY

FEBRUARY

  • February 1, 2022

    A study suggests that medication-assisted treatment for opioid use disorder reduces recidivism in individuals who are incarcerated. These findings highlight the need for treatment (versus punishment) as a more effective method for reducing crime.

  • February 1, 2022

    Researchers discover a novel treatment that may play a major role in the treatment of alcoholism. The study, published in Cell Metabolism, illustrates how a liver-to-brain circuit is interrupted to significantly reduce alcohol consumption.

  • February 2, 2022

    A third of Americans say social media does more harm than good to their mental health, and nearly half say that social media has hurt society at large, according to a national poll.

  • February 11, 2022

    The National Highway Traffic Safety Administration publishes research indicating that a lower legal blood alcohol content level for drivers reduces fatalities and fatal crashes. Since Utah enforced a .05% BAC limit (the strictest limit in the U.S.), the fatality rate fell by 18.3%. (In comparison, the rest of the U.S. saw only a 5.9% decrease during the same time period.)

  • February 15, 2022

    A woman who received an umbilical cord blood transplant becomes the third person in the world to be cured of HIV, the virus that causes AIDS. The implications for both physical and mental health are far-reaching.

  • February 15, 2022

    Psilocybin, the psychoactive property in magic mushrooms, continues to show promise as a treatment for depression. A study looked at efficacy and safety over a 12-month period and found that not only were the antidepressant benefits long-lasting, there were no adverse reactions or consequences to psilocybin-assisted therapy.

  • February 24, 2022

    The president of the American Psychological Association releases a statement condemning Texas governor for calling on members of the public as well as licensed professionals to report parents of transgender minors. He calls the directive “ill-conceived” and asserts that it will put high-risk children at an even higher risk.

  • February 25, 2022

    The American Psychological Association expresses solidarity with Ukraine.

    “We are gravely concerned about the immediate and long-term trauma and psychological impacts on people of all ages, families, communities, and the environment. We deplore the human cost of such aggression, including violations of human rights, adverse humanitarian consequences, deep psychological distress, and the loss of dignity and freedom. We stand in solidarity with all who are raising their voices and working tirelessly to protect and safeguard human life.”

    American Psychological Association

MARCH

  • March 2, 2022

    The American Psychiatric Association releases a statement on the impact of the war in Ukraine, asserting that “the war in Ukraine will have adverse mental health effects on individuals and communities around the world.”

    “The American Psychiatric Association sends our support to all who are experiencing pain and suffering from these deeply troubling events, including those directly exposed to armed conflict, those displaced from their homes and country, those providing care and protection to civilians, friends and family of Ukrainian citizens, and the Ukrainian diaspora around the globe.”

    American Psychiatric Association
  • March 7, 2022

    The American Psychiatric Association finds that nearly half of Americans reported that the pandemic didn’t have a major impact on their daily habits, with 26% reporting their habits had changed for the better. However, approximately 1 in 5 Americans reported smoking or drinking more since the pandemic.

  • March 14, 2022

    President Biden signs the Violence Against Women Act (VAWA) Reauthorization of 2022 to establish and support comprehensive, cost-effective responses to domestic violence, sexual assault, dating violence, and stalking.

  • March 18, 2022

    The American Psychiatric Association releases the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition, Text Revision (DSM-5-TR) to include a new diagnosis (prolonged grief disorder), codes for suicidal behavior as well as non-suicidal self-injury, and a redesigned diagnosis classification system. (More info here.)

  • March 21, 2022

    In a news release, the National Institute on Drug Abuse (NIDA) asserts that non-suicidal self-injury shares commonalities with addiction, including craving, tolerance, escalating severity, getting “clean,” “relapsing,” and being in “recovery.” Researchers came to this conclusion based on an extensive analysis of posts and comments on a Reddit self-harm forum. More research in this area is needed to explore self-injury as a behavioral addiction.

  • March 27, 2022

    During the Oscars, Will Smith slaps Chris Rock, who was presenting an award on stage, after Rock made a joke about Jada Pinkett Smith’s shaved head. Pinkett Smith, who struggles with hair loss due to an autoimmune disorder, has been outspoken about her condition since 2018. Since the famous slap, she’s had guests on her talk show share about the devastating effects of alopecia, bringing attention and awareness to the issue.

  • March 31, 2022

    The CDC publishes a press release illustrating the impact of COVID-19 on adolescents’ mental wellbeing. Over a third (37%) of highschoolers reported poor mental health during the pandemic, and nearly one third reported current substance use. Over half (55%) experienced emotional abuse. Over a third (36%) of teens of all races reported experiencing racism, with the highest rates among Asian (64%), Black (55%), and multiracial (55%) students. What’s more, prior data suggests that the worsening mental health of teens is a trend.

APRIL

MAY

  • May 6, 2022

    Researchers find that taking a break from social media for only one week significantly reduced participants’ symptoms of depression and anxiety while improving their overall wellbeing.

  • May 9, 2022

    Asian (21%), Hispanic (14%), and Black (32%) Americans are more likely to worry about being threatened or attacked than White Americans (4%), according to the Pew Research Center.

  • May 9, 2022

    Research published by the American Psychological Association reveals, “People around the world experienced an increase in loneliness during the COVID-19 pandemic, which, although small, could have implications for people’s long-term mental and physical health, longevity and well-being.”

  • May 15, 2022

    After SNL spoofs the Johnny Depp and Amber Heard defamation trial, sex and culture critic Ella Dawson tweets, “Domestic violence is not a joke. Rape is not a joke. Abusers using the legal system to continue to terrorize their victims is not a joke. Abusers using accusations of defamation to silence their victims is not a joke.” The trial was widely followed, and the social media response was generally sympathetic towards Depp while critical of Heard, who had multiple emotional outbursts in the courtroom.

    “Domestic violence is not a joke. Rape is not a joke. Abusers using the legal system to continue to terrorize their victims is not a joke. Abusers using accusations of defamation to silence their victims is not a joke.”

    Ella Dawson
  • May 16, 2022

    The president of the American Psychological Association releases a statement in response to a mass shooting in Buffalo, NY, calling it a horrific hate crime, and asserting that the APA stands against racism and hate in all forms.

  • May 23, 2022

    According to the American Psychological Association, “People who deny the existence of structural racism are more likely to exhibit anti-Black prejudice and less likely to show racial empathy or openness to diversity.” It was also found that those who denied structural racism were “more likely to endorse stronger beliefs that societal inequality is acceptable” and were less concerned with social justice.

  • May 27, 2022

    Firearms are the leading cause of death in children and adolescents ages 0-19, according to a commentary published in Lancet Child and Adolescent Health. Nearly two thirds of youth firearm deaths are homicides.

JUNE

  • June 1, 2022

    The American Psychiatric Association “condemns the senseless loss of lives from firearm violence… most recently in mass shootings in Uvalde, Buffalo, Houston and more than 200 other locations across the country in 2022 so far.” The APA’s position is that gun violence is a public health crisis, and one that is preventable.

    “We implore our elected officials to act on meaningful, common-sense measures and begin to heal the divisions that have prevented progress in this area of public health for far too long. This senseless loss of life must end, and as a nation, we should expect action from federal and state legislative and executive leaders. Our children and communities deserve better.”

    APA Statement
  • June 1, 2022

    In Depp vs. Heard, Amber Heard was found liable for defamation, the jury ruling her accusations of “sexual violence” and “domestic abuse” false. In a statement, Amber told the New York Post, “I’m heartbroken that the mountain of evidence still was not enough to stand up to the disproportionate power, influence and sway of my ex-husband.”

    “I’m heartbroken that the mountain of evidence still was not enough to stand up to the disproportionate power, influence and sway of my ex-husband. I’m even more disappointed with what this verdict means for other women. It is a setback. It sets back the clock to a time when a woman who spoke up and spoke out could be publicly shamed and humiliated. It sets back the idea that violence against women is to be taken seriously.”

    Amber Heard
  • June 6, 2022

    Apple announces a new Safety Check feature for iOS 16, aimed at individuals in abusive relationships. The feature provides users with an enhanced ability to control their communications and privacy.

  • June 22, 2022

    The American Psychiatric Association applauds the U.S. House of Representatives’ passage of the Restoring Hope for Mental Health and Well-Being Act (H.R. 7666). The legislation will address the nation’s mental health crisis, including high rates of overdose and suicide deaths and the impact of COVID-19.

  • June 23, 2022

    Research indicates that fewer youth attempt suicide in states with hate crime laws protecting LGBTQ individuals. This is true for both highschoolers who identify as LGBTQ as well as those who identify as straight.

  • June 24, 2022

    The Supreme Court overturns Roe vs. Wade. The ramifications of this are varied and far-reaching; one prediction is that there will be a significant increase in maternal mortality. Additionally, according to The Turnaway Study (University of California San Francisco), researchers found that being denied an abortion was linked to serious health and wellbeing consequences, including an increased risk of poverty, a greater likelihood of staying in an abusive partnership, anxiety, loss of self-esteem, decreased motivation for life goals, poorer physical health, and serious implications for both the unwanted child as well as existing children in the family.

  • June 24, 2022

    Biden signs into law federal gun safety legislation. The Bipartisan Safer Communities Act (S. 2938) includes several gun violence prevention provisions in addition to improving access to mental health care. Notably, it closes the “boyfriend loop,” banning anyone who is convicted of a domestic violence crime against someone they have a “continuing serious relationship of a romantic or intimate nature” from having a gun.

  • June 24, 2022

    The American Psychiatric Association commends Congress for passing “the first meaningful gun safety legislation in 30 years.”

  • June 27, 2022

    The findings of a JAMA Open Network study indicate that young adolescents who experience cyberbullying are more likely to report suicidal thoughts and/or attempt suicide, even more so than students who are victims of “traditional” (offline) bullying.

  • June 28, 2022

    Americans have complex views surrounding gender identity and transgender issues, according to a Pew Research Report. While a majority of Americans (64%) believe transgender individuals should be protected from discrimination, only 38% believe gender identity can be different from sex assigned at birth. What’s more, approximately 40% of Americans expressed that society has gone “too far” in accepting transgender individuals. Many Americans feel uncomfortable with nonbinary concepts of gender as well as the fast pace of change surrounding gender issues in society.

    “The issue is so new to me I can’t keep up. I don’t know what to think about all of this new information. I’m baffled by so many changes.”

    Pew Research Survey Responder on Gender Identity and Transgender Issues

JULY

  • July 1, 2022

    A largescale retrospective study indicates that medical cannabis use is associated with significant and lasting improvements in individuals with depression and anxiety. Previous research in this area has yielded mixed results; the implications of such a largescale study provide evidence to support cannabis as an effective treatment for depression/anxiety in some individuals.

  • July 6, 2022

    According to a Pew Research Report, 62% of Americans believe abortion should be legal in all or most cases. 57% of Americans disapprove of the Supreme Court’s decision to overturn Roe vs. Wade while only 41% approve.

  • July 16, 2022

    The 988-suicide lifeline is launched. This new, nationwide easy-to-remember phone number helps Americans in crisis connect with suicide prevention and mental health crisis counselors as an alternative to dialing 911.

  • July 20, 2022

    Researchers discover a neurotransmitter responsible for assigning either positive or negative emotions to events. By targeting this molecule, PTSD and related disorders may be treated more effectively.

AUGUST

  • August 4, 2022

    The American Psychological Association adopts the Racial Equity Action Plan “to utilize racial equity as a critical lens to drive APA’s strategic priorities and measure the magnitude of APA’s impact.” This follows their formal apology issued October of 2021 for their role in and contributions to systemic racism.

  • August 11, 2022

    The American Psychiatric Association reports that most Americans believe mental health programming is needed in schools, including education, staff training, and connecting students to providers. Parents’ top three concerns for K-12 students are gun violence, mental health, and cyberbullying/social media.

  • August 22, 2022

    Researchers find that the brains of children with autism, which is typically not diagnosable until age 2 or 3, appear to diverge from other infants’ brains as early as between 6 and 12 months of age. These findings point to a need for early testing and may one day lead to improved prognoses or even prevention.

  • August 24, 2022

    The American Psychological Association calls upon U.S. courts to ban the death penalty for anyone younger than 21, citing scientific research that shows adolescents’ brains continue to develop in their early 20’s.

  • August 24, 2022

    According to a study published in Health Communication, individuals who obsessively check the news are more likely to suffer from stress, anxiety, as well as poor physical health.

SEPTEMBER

  • September 1, 2022

    According to a Pew Research Report, “Americans’ ratings of the Supreme Court are now as negative as – and more politically polarized than – at any point in more than three decades of polling on the nation’s highest court.” Positive ratings fell sharply after the Supreme Court’s decision to overturn Roe vs. Wade in June.

    “Americans’ ratings of the Supreme Court are now as negative as – and more politically polarized than – at any point in more than three decades of polling on the nation’s highest court.”

    Pew Research Center
  • September 20, 2022

    A National Institute on Drug Abuse (NIDA) news release outlines a promising treatment for alcohol use disorder (AUD). Researchers found that spironolactone, a medication prescribed for heart and blood pressure problems, significantly reduced alcohol consumption. Currently, there are only three approved medications for AUD; new pharmacological treatments are needed to improve outcomes.

  • September 21, 2022

    The National Institute on Drug Abuse (NIDA) releases the NIDA 2022-2026 Strategic Plan for advancing scientific research and educating federal agencies; state and local health, education, and human services; and the legal system, as well as policymakers on addiction.

  • September 23, 2022

    The FDA clears a new protocol, named the Stanford Accelerated Intelligent Neuromodulation Therapy (SAINT), for fast and effective treatment of depression. In clinical trials, participants experienced relief after only 5 treatments.

  • September 28, 2022

    A large-scale observational study published in JAMA Psychiatry confirms a link between folic acid and reduced rates of suicide attempts and self-harm, implicating the B vitamin as a potential tool for suicide prevention.

OCTOBER

  • October 6, 2022

    An American Psychiatric Association poll finds that 79% of Americans believe mental health is a public health emergency and warrants more attention from lawmakers.

  • October 10, 2022

    A study published in JAMA Network Open reveals that 4 in 10 Americans surveyed were dishonest about having COVID-19 and/or didn’t comply with preventive measures during the height of the pandemic. Most commonly, survey participants reported misrepresenting their COVID-19 status, breaking quarantine rules, telling others they were taking more precautions than they actually were, and saying they were vaccinated when they weren’t.

  • October 17, 2022

    In an American Psychiatric Association national poll, only 1 in 5 Americans believe individuals who are incarcerated receive the mental health care they need. What’s more, 75% of Americans believe mental health treatment should be available in prisons and jails. (Note: It’s estimated that nearly half of persons who are incarcerated have a mental disorder.)

  • October 19, 2022

    Homicide is found to be a leading cause of death in pregnant women and in women who had recently given birth. Most of these deaths were associated with the lethal combination of domestic abuse and firearm violence.

  • October 19, 2022

    An American Psychological Association nationwide poll reveals that 27% of Americans are stressed to the point where they can barely function. The top stressors were inflation, violence/crime, the current political climate, and the racial climate. What’s more, 76% of Americans reported having a stress-related health issue.

  • October 25, 2022

    Adidas finally drops Kanye West in response to increasingly troubling behavior and antisemitic comments, taking a major financial hit. West’s comments have been linked to at least 30 antisemitic incidents and to the slogan “Ye is Right.” West has spoken openly about his bipolar diagnosis, including what it feels like to have a manic episode. While some of his erratic behavior can be attributed to mania, his antisemitic beliefs cannot, and are indicative of something deeply rooted and far more troubling.

    “Ye is Right.”

    Antisemitic Campaign Slogan Inspired by Kanye “Ye” West’s Comments
  • October 26, 2022

    A promising study published in Pharmaceutics validates a highly effective vaccine for fentanyl use disorder. This groundbreaking vaccine essentially blocks fentanyl from entering the brain, eliminating the drug’s euphoric (and lethal) effects. Once approved by the FDA, the vaccine will be tested in human subjects in clinical trials.

  • October 27, 2022

    In the largest ever analysis conducted on mass school shootings, researchers find that of the nearly 100 mass killings examined, the shooter/killer did not have a severe mental illness. In academic settings, most mass killings were U.S.-based and involved firearms. Perpetrators were primarily white males. In the mass killings where psychosis was a factor, the killer most often used a weapon other than a firearm. Nearly half of the killers died by suicide. This analysis lends to a body of research that will help policymakers and law enforcement officials better identify risk factors and prevent mass shootings from occurring. This research also supports the American Psychiatric Association’s stance on violence and mental health.

    “It is important to note that the overwhelming majority of people with mental illness are not violent and are far more likely to be victims of violent crime than perpetrators thereof. A vast majority of firearm violence is not attributed to mental illness. Rhetoric that argues otherwise will further stigmatize and interfere with people accessing needed treatment without addressing the root causes of firearm violence. Although there is no single cause of firearm violence, individuals can and have been emboldened to act violently by inflammatory public discourse and provocative, hateful and destructive rhetoric.

    American Psychiatric Association

NOVEMBER

DECEMBER

  • December 8, 2022

    In a press release, the American Psychological Association applauds Congress for passing the Respect for Marriage Act.

    “APA has long been a strong advocate for marriage equality, based on the psychological research indicating that marriage provides substantial psychological and physical health benefits due to the moral, economic and social support extended to married couples. Conversely, empirical evidence has illustrated the harmful psychological effect of policies restricting marriage rights, particularly for same-sex couples.”

    Frank C. Worrell, APA President
  • December 22, 2022

    Research suggests that the AI driving ChatGPT may one day be able to detect early signs of Alzheimer’s by identifying speech patterns and/or features associated with early stages of dementia.


Mental Health in 2022: A Few (22) Numbers

  • 48,252 suicide deaths 1
  • 19,472 homicide deaths 2
  • 40,358 firearm deaths 3
  • 1,060 people shot and killed by the police 4
  • 647 mass shootings 5
  • 32% parents of K-12 students who are either very or extremely worried about a shooting happening at their child’s school 6
  • 23% workers worldwide who say they’ve experienced violence or harassment (including psychological harassment, i.e., bullying, intimidation, etc.) in the workplace 7
  • 80% Americans who say they enjoy the work they do 8
  • 5% young Americans who say their gender identity differs from their assigned sex at birth 9
  • 61% Americans who say they believe the legalization of same-sex marriage is good for society 10
  • 88% Americans who say that marijuana should be legal for medical or recreational use 11
  • 63% Americans who say they drink alcohol 12
  • 36% Americans who say they are “total abstainers” 13
  • 12% Americans ages 18-29 who smoke cigarettes (down from 26% in 2012) 14
  • 26% Americans ages 18-29 who smoke marijuana 15
  • 107,000 drug overdose deaths in a 12-month period ending August 2022 16
  • 2.46 billion substance abuse funding by the National Institutes of Health 17
  • $169,242 total debt owed by the average American family 18
  • 25% U.S. parents who say they’ve struggled to afford food or housing in 2022 19
  • 58% young adults who experienced high levels of psychological stress during the pandemic (2020-2022) 20
  • 51% Americans who say they are thriving in life 21
  • 83% Americans who say they are somewhat/very satisfied with their personal lives 22

  1. Dead or Kicking. (n.d.). United States Deaths in 2022. Retrieved April 2, 2023, from https://deadorkicking.com/death-statistics/us/2022/
  2. Dead or Kicking. (n.d.). United States Deaths in 2022. Retrieved April 2, 2023, from https://deadorkicking.com/death-statistics/us/2022/
  3. Dead or Kicking. (n.d.). United States Deaths in 2022. Retrieved April 2, 2023, from https://deadorkicking.com/death-statistics/us/2022/
  4. Dead or Kicking. (n.d.). United States Deaths in 2022. Retrieved April 2, 2023, from https://deadorkicking.com/death-statistics/us/2022/
  5. Brownlee, C. (2022, December 30). Gun violence in 2022, by the numbers. The Trace. https://www.thetrace.org/2022/12/gun-violence-deaths-statistics-america/
  6. Boschma, J., Merrill, C., & Murphy-Teixidor, J. (2023, January 24). Mass shootings in the U.S. fast facts. CNN. https://www.cnn.com/2023/01/24/us/mass-shootings-fast-facts/index.html
  7. Hurst, K. (2022, October 18). About a third of K-12 parents are very or extremely worried a shooting could happen at their children’s school. Pew Research Center. https://www.pewresearch.org/fact-tank/2022/10/18/about-a-third-of-k-12-parents-are-very-or-extremely-worried-a-shooting-could-happen-at-their-childrens-school/
  8. Crabtree, S. (2022, December 14). Global study: 23% of workers experience violence, harassment. Gallup Blog. https://news.gallup.com/opinion/gallup/406793/global-study-workers-experience-violence-harassment.aspx
  9. Clouet, B., & Lai, A. (2022, November 3). Global study reveals most workers enjoy what they do. Gallup Blog. https://news.gallup.com/opinion/gallup/404495/global-study-reveals-workers-enjoy.aspx
  10. Brown, A. (2022, June 7). About 5% of young adults in the U.S. say their gender is different from their sex assigned at birth. Pew Research Center. https://www.pewresearch.org/fact-tank/2022/06/07/about-5-of-young-adults-in-the-u-s-say-their-gender-is-different-from-their-sex-assigned-at-birth/
  11. Borelli, G. (2022, November 15). About six-in-ten Americans say legalization of same-sex marriage is good for society. Pew Research Center. https://www.pewresearch.org/fact-tank/2022/11/15/about-six-in-ten-americans-say-legalization-of-same-sex-marriage-is-good-for-society/
  12. Van Green, T. (2022, November 22). Americans overwhelmingly say marijuana should be legal for medical or recreational use. Pew Research Center. https://www.pewresearch.org/fact-tank/2022/11/22/americans-overwhelmingly-say-marijuana-should-be-legal-for-medical-or-recreational-use/
  13. Saad, L. (2022, December 29). What percentage of Americans drink alcohol? Gallup. https://news.gallup.com/poll/467507/percentage-americans-drink-alcohol.aspx
  14. Saad, L. (2022, December 29). What percentage of Americans drink alcohol? Gallup. https://news.gallup.com/poll/467507/percentage-americans-drink-alcohol.aspx
  15. Jones, J. M. (2022, November 28). Cigarette smoking rates down sharply among U.S. young adults. Gallup. https://news.gallup.com/poll/405884/cigarette-smoking-rates-down-sharply-among-young-adults.aspx
  16. Jones, J. M. (2022, November 28). Cigarette smoking rates down sharply among U.S. young adults. Gallup. https://news.gallup.com/poll/405884/cigarette-smoking-rates-down-sharply-among-young-adults.aspx
  17. ABC7 Chicago. (2023, January 11). Drug overdose deaths continue to trend down but remain high, CDC says. ABC7 Eyewitness News. https://abc7chicago.com/drug-overdose-deaths-2022-per-year/12690986/
  18. Mikulic, M. (2022, November 2). Total substance abuse funding by the National Institutes for Health (NIH) from FY 2013 to 2023 (in million U.S. dollars). Statista. https://www.statista.com/statistics/713359/substance-abuse-funding-by-the-national-institutes-for-health/
  19. Issa, E. E. (2023, January 10). 2022 American household credit card debt study. NerdWallet. https://www.nerdwallet.com/article/credit-cards/average-credit-card-debt-household
  20. Braga, D. (2022, December 7). One-in-four U.S. parents say they’ve struggled to afford food or housing in the past year. Pew Research Center. https://www.pewresearch.org/fact-tank/2022/12/07/one-in-four-u-s-parents-say-theyve-struggled-to-afford-food-or-housing-in-the-past-year/
  21. Pasquini, G., & Keeter, S. (2022, December 12). At least four-in-ten U.S. adults have faced high levels of psychological distress during COVID-19 pandemic. Pew Research Center. https://www.pewresearch.org/fact-tank/2022/12/12/at-least-four-in-ten-u-s-adults-have-faced-high-levels-of-psychological-distress-during-covid-19-pandemic/
  22. Gallup. (n.d.). Gallup Global Life Evaluation Index. Retrieved April 2, 2022, from https://www.gallup.com/394505/indicator-life-evaluation-index.aspx

Mental Health in 2022: Conclusion

To conclude, 2022 was the beginning of the end of the pandemic, leaving Americans feeling uncertain about the future. Burnout, higher rates of mental illness and substance use, increased overdose deaths, and firearm deaths were common themes in 2022. Tragically, 2022 was the year that gun violence became a leading cause of death in children.

While many adults and children experienced mental distress in 2022, at the same time, measures were put in place to help Americans heal as well as feel safe again. The Biden Administration awarded over $1 million in funds to reduce burnout and improve retention in healthcare workers impacted by the pandemic, and the House passed the Restoring Hope for Mental Health and Well-Being Act to address the nation’s mental health crisis. A nationwide suicide hotline was established for individuals at risk for suicide or bystanders to quickly get the help they need.

In 2022, President Biden also signed the Violence Against Women Act and the Safer Communities Act to reduce gun violence. Controversially, the Supreme Court overturned Roe vs. Wade. It remains to be seen what the repercussions will be.

Regarding the opioid epidemic, while overdose deaths skyrocketed in 2022, groundbreaking research led to a vaccine that can prevent fentanyl addiction and overdose. This vaccine, which may be available as early as next year, will be a gamechanger.

To close, while many Americans expressed feeling mental distress and uncertainty about the future, a majority also reported feeling satisfied with their work and in their personal lives. Half of Americans, in fact, said they were not just satisfied but thriving! Despite some of the tragedies and the setbacks of the year, it appears that 2022 is the light at the end of the tunnel.

“Fear never builds the future, but hope does.”

Joe Biden

Mental Health in 2021: The Year in Review

The year in review – a rundown of notable findings and news in mental health in 2021, including statistics, research, reform, and legislation passed.

According to USA Today, a poll that asked Americans to describe 2021 in one word indicated that the year was overwhelmingly bleak for many. The top five most common responses were:

  1. Awful/terrible/bad/sucked (23%)
  2. Chaos/confusing/turmoil (12%)
  3. Challenging/hard/rough (11%)
  4. Disaster/train wreck/catastrophe (6%)
  5. Okay/good (6%)

How were such dismal views reflected in mental health in 2021? Who was impacted the most and why? What helped Americans cope?


This article reviews American mental health in 2021 – a rundown of last year’s notable research findings, statistics, and events.

Mental Health in 2021: Statistics & News

According to a 2021 Mental Health America report, the top-ranking states for overall mental wellbeing (based on rates of mental illness and access to care) are:

  1. 5) Connecticut
  2. 4) Pennsylvania
  3. 3) New Jersey
  4. 2) Vermont
  5. 1) Massachusetts

The lowest ranking states are: Wyoming, Alaska, Arizona, Idaho, and Nevada (with Nevada at the bottom).


January 5 Ketamine shows promise as a treatment for chronic PTSD by reducing symptom severity. Click here to read the study abstract. (Source: American Journal of Psychiatry)

April 1 – The Standard reports that 49% of American workers struggled with alcohol and substance use in 2020. Read the full article.

April 6 – Research indicates mental health complications in survivors of COVID-19 persist up to 6 months and beyond post-infection. (Source: Lancet Psychiatry)

April 15 – Psilocybin, the hallucinogenic chemical in ‘magic mushrooms,’ is found to be as effective for treating depression as a common antidepressant. (Source: The New England Journal of Medicine)

April 22 – 3 in 10 healthcare workers consider leaving the profession due to pandemic-related burnout. (Source: The Washington Post)

July 13 – Over half (53%) of United States public health workers report symptoms of depression, anxiety, post-traumatic stress disorder (PTSD), or suicidal thoughts since the start of the COVID-19 pandemic according to the CDC.

July 23 – Mental health workers are deployed to provide mental health support to first responders, the search and rescue teams, who worked for weeks to find victims after the condo collapse in Surfside, FL that killed nearly 100 people.

November 1 – Aaron Beck, the father of cognitive therapy, dies at 100. (Source: USA Today)

December 13 – Digital (computer and smartphone-based) treatments for mental illness may effectively reduce symptoms of depression. (Source: American Psychological Association)

December 17 – Rates of depression and anxiety increased globally during the pandemic. (Source: Psychiatry Advisor)

December 21 – The American Psychiatric Association endorses the Well Beings Mental Health Language Guide intended to address stigma around mental illness and provide readers with person-centered language. Read the news release.


Suicide is the second leading cause of death for individuals between the ages of 10 and 34 in the United States. (CDC)

A 2021 report published by Mental Health America indicates that most American employees are experiencing burnout. Furthermore, employees are not receiving the support they need to manage stress; workplace stress has a significant impact on mental health. Download the full report here.

At the end of 2020, 1 in 5 adolescents as well as 1 in 5 adults reported that the pandemic has negatively impacted their mental health. (Source: 2020 National Survey on Drug Use and Health)

Addiction & Recovery

The 2020 National Survey on Drug Use and Health indicates that nearly 60% of Americans use drugs and/or alcohol with over 20% of the population reporting illicit drug use.


January 1 – A study published in Drug and Alcohol Dependence estimates that the opioid crisis cost the economy over $1 trillion in the United States in 2017.

February 28 – According to a growing body of research, Topamax continues to show promise as a pharmacological treatment for alcohol use disorder. (Source: Neuropsychopharmacology)

June 12 – The anti-inflammatory drug ibudilast shows promise as a treatment for alcohol use disorder. A small study found that it decreased heavy drinking. (Source: Translational Psychiatry)

June 25 – Research suggests that life achievements are linked to sustained recovery. (Source: Journal of the Society of Psychologists in Addictive Behaviors)

July 5 – A pilot study indicates that high-dose gabapentin therapy may reduce harmful alcohol consumption. (Source: Alcoholism, Clinical and Experimental Research)

July 21 – Wearable devices measure and track stress reactions to help to prevent relapse. Read the article from Washington State University Insider here.

August 3 – Alcohol consumption is linked to nearly 750,000 cancer cases in 2020. (Source: CBS News)

September 27 – Yale researchers predict that graphic photos showing the severe consequences of smoking, which will be printed on all cigarette packages in the U.S. beginning October 2022, will save an estimated 539,000 lives. (Source: Yale News)

November 30 – Researchers explore nutritional ketosis as a treatment for alcohol use disorder. (Source: Frontiers in Psychiatry)

December 5 – TMS therapy reduces cravings and heavy drinking days. (Source: Biological Psychiatry)

December 17 – Researchers predict that a one-year increase in alcohol consumption in the U.S. during the COVID-19 pandemic will cause 8,000 additional deaths from alcohol-related liver disease, 18,700 cases of liver failure, and 1,000 cases of liver cancer by 2040. (Source: Massachusetts General Hospital)

Overdose Statistics & News

In 2019 there were 70,630 primarily opioid-involved drug overdose deaths in the United States. 72.9% of opioid-involved overdose deaths involved synthetic opioids. (Source: CDC)

The states with the highest overdose death rates are:

  • 5) Pennsylvania
  • 4) Maryland
  • 3) Ohio
  • 2) Delaware
  • 1) West Virginia

February 3 – Researchers develop experimental vaccines to block opioid-induced respiratory depression, the primary cause of overdose death. (Source: Scripps Research Institute)

February 17 – Demi Lovato reveals that she suffered from three strokes and a heart attack in 2018 as a result of a drug overdose, leaving her with permanent brain damage. (Source: ABC News)

March 4 – A 75-year old New York doctor who saw patients in a hotel parking lot is charged with murder for 5 opioid deaths after writing massive quantities of prescriptions for opioid drugs. (Source: CSB News)

April 2 – The CDC reports that overdose deaths were at their highest in 2020, a 38.4% increase compared to the previous 12-year period.

September 1 – Purdue Pharma, the maker of the highly addictive painkiller OxyContin, is dissolved in a bankruptcy settlement that requires the company’s owners, members of the Sackler family, to pay billions of dollars to address the impact of the opioid epidemic. (Source: New York Times)

September 9 – Disparities in opioid overdose deaths for Black people continue to worsen. Read the press release. (Source: National Institutes of Health-NIH)

September 22 – An NIH report indicates that methamphetamine-involved overdose deaths nearly tripled between 2015-2019. Read the press release.

October 28 – The American Medical Association commends the Biden-Harris Administration “for responding to the spike in drug overdoses with an evidence-based, humane approach to increasing access to care for patients with a substance use disorder and harm reduction services.”

November 22 – Researchers develop a wearable naloxone injector device to detect and reverse opioid overdose. Read the news release from UW Medicine.

December 1 – Fentanyl strips prevent overdose and save lives. (Source: MSN News)

December 7 – The first safe injection sites in America open in New York in Washington Heights and East Harlem. (Source: Psychiatry Advisor)

December 9 – The Metropolitan Museum of Art in New York announces it is dropping the name of the philanthropic Sackler family, whose name is linked to America’s opioid epidemic. (Source: NBC News)

Discrimination & Reform

January 18 – The American Psychiatric Association issues a public apology for their past discriminatory practices. Read the news release here.

February 25 – The House passes the Equality Act, which “prohibits discrimination based on sex, sexual orientation, and gender identity in areas including public accommodations and facilities, education, federal funding, employment, housing, credit, and the jury system.”

March 3 – The House passes the George Floyd Justice in Policing Act of 2021.

March 10 – The Emmett Till and Will Brown Justice for Victims of Lynching Act of 2021, a bill that establishes lynching as a federal hate crime, is introduced in the House.

April 8 – The CDC director declares racism a serious public health threat. (Read the media statement here.) The American Medical Association releases a response statement applauding the CDC.

May 1 – A study indicates there are significant increases in anxiety among Black emerging adults from exposure to police violence. (Source: American Psychiatric Association)

June 1 – Research establishes a link between substance misuse and transgender-related discrimination.

July 30 – Research suggests that a 2017 executive order banning foreign nationals from select Muslim-majority countries from traveling to the United States harmed the health of Muslim Americans. (Source: Yale News)

August 17 – Researchers find persistent racial and ethnic health disparities in the United States. (Source: JAMA)

October 29 – The American Psychological Association issues an apology for its longstanding contributions to systemic racism.

December 1 – A study indicates that youth who face discrimination are at a greater risk for developing a mental disorder and are twice as likely to experience severe psychological distress compared to youth who don’t experience discrimination. (Source: Pediatrics)

Mental Health in 2021 Legislation

In February, the Mental Health Justice Act of 2021 to create a grant program for training and dispatching mental health professionals (instead of law enforcement officers) to respond to psychiatric emergencies is introduced.

The House passes the Violence Against Women Act Reauthorization Act of 2021 in March.

In May, the House passes:

Also in May, the Senate passes the Improving Mental Health Access for Students Act to increase suicide prevention resources for students.

On October 26th, the House passes the Family Violence Prevention and Services Improvement Act of 2021 to expand services for victims of domestic violence.

The infrastructure act signed to law by the president in November mandates automakers to install anti-drunk driving technology systems in all new cars.

In 2021, recreational marijuana use is legalized in New York, Virginia, New Mexico, and Connecticut. While marijuana is still federally controlled, it is now legal in 19 states and the District of Columbia and medically allowed in 36 states. Read more about marijuana legalization in the United States here. (Source: U.S. News)

The States Reform Act to end federal prohibition of cannabis is introduced in November, and a Florida representative submits a legislative proposal to decriminalize all illegal drugs.


Mental Health in 2021: Conclusion

2021 – the second year marked by the COVID-19 pandemic – brought with it more distress, loss, and hardship, with no end in sight as COVID deaths in 2021 surpassed those in 2020. While the year delivered a few legislative victories and promising research findings in mental health in 2021, overall, it wasn’t a great one.

Data suggests that mental health in 2021 suffered, with increased rates of depression, anxiety, and substance use. Healthcare workers experienced severe burnout. Overdose deaths skyrocketed while thousands of lawsuits were filed against opioid makers such as Purdue Pharma who started and sustained the opioid crisis in America, profiting off the suffering and tragedy of addiction. (See the Opioid Settlement Tracker to learn more about opioid settlements and how the money is spent.)

Meanwhile, a wave of civil unrest in America, triggered by the murder of George Floyd in 2020, continued into 2021 with protests, rioting, and violence. While the movement gained strength in 2020, in 2021, many Americans looked away. At the same time, there was a political push for a more “patriotic” retelling of history – to limit what schools could teach about slavery. However, steps in the right direction were taken by both the American Psychiatric Association and the American Psychological Association when they issued public apologies for the harm they caused.

Although drug overdose deaths increased, there were significant strides taken in 2021 to win the “war on drugs” – by ending it with an awareness that this is not a war; it’s a treatable illness. 2021 saw the establishment of evidence-based, harm-reduction measures as well as legislation to decriminalize and legalize drugs. Meanwhile, medical research in 2021 revealed promising treatments to heal both addiction and mental illness.

To conclude, last year – in general – sucked. Despite this, it wasn’t entirely bad in mental health in 2021. And, 2022 could be the light at the end of the tunnel! In fact, the same poll that suggested 2021 was a “trainwreck” of a year found a majority of Americans are still hopeful for 2022.

“We must accept finite disappointment, but never lose infinite hope.”

Martin Luther King, Jr.

mental health in 2021