2025 adult mental-illness prevalence
SAMHSA’s 2025 National Survey on Drug Use and Health estimates that 54.6 million adults age 18 or older (20.6%) had any mental illness in the past year and 18.2 million (6.9%) had serious mental illness. The report says the percentage with any mental illness showed no overall change from 2021 to 2025, while serious mental illness declined from 7.9% to 6.9%.
Evidence stage: national population survey using model-based DSM-5-aligned definitions.
Limit: prevalence is not an individual diagnosis, a measure of treatment need or access, or evidence that a particular policy caused the trend.
Source: https://www.samhsa.gov/data/sites/default/files/NSDUH-2025-Annual-Release/2025-nsduh-nnr-highlights.pdf · July 2026.
Major depression and substance-use disorder can co-occur
SAMHSA reports that in 2025, 55.1 million adults had either a major depressive episode or a substance use disorder in the past year; 7.3 million (2.8%) had both. Separately, 19.7 million adults had a major depressive episode and 42.7 million had a substance use disorder.
Evidence stage: national population survey.
Limit: the 12-month co-occurrence measure does not establish that the conditions occurred at the same moment, which came first, or what treatment an individual should receive.
Source: https://www.samhsa.gov/data/sites/default/files/reports/rpt57150/2025-nsduh-annual-national-report.pdf · July 2026.
2025 provisional overdose deaths declined nationally, with important state variation
CDC/NCHS provisionally estimated 69,973 U.S. drug-overdose deaths during 2025, almost 14% below the estimated 81,313 in 2024. Estimated opioid-involved deaths declined from 55,296 to 44,564. CDC also reported that several states had declines of 25% or more while New Mexico, Arizona, and Colorado had increases of 10% or more.
Evidence stage: provisional mortality surveillance.
Limit: provisional counts are incomplete and subject to revision. A national decline does not mean every jurisdiction improved and does not establish the cause or effect of a specific treatment or policy.
Source: https://www.cdc.gov/nchs/pressroom/releases/20260513.html · May 13, 2026.