In a research conducted in 2025 by Sharecare, a digital health firm, Spokane, Washington was recently recognized as one of the “saddest cities” in the entire country. In the study, cities were ranked according to a number of different characteristics, such as self-reported depression, physical health, social relationships, financial health, and access to healthcare.
According to the findings of the study, Spokane is the most depressed city in the state of Washington, ranking fifteenth overall. Based on the findings of the study, it was discovered that 23.8% of adults in Spokane have been diagnosed with clinical depression, 14.9% have had frequent mental distress, 17.1% struggle with poor physical health, and 17.8% struggle with poor mental health.
It is possible that the high rate of depression in Spokane is caused by a multitude of variables, including the following in particular:
Aspects of the economy
- High cost of living: When compared to other cities in the state of Washington, Spokane has a cost of living that is relatively significantly higher. It may become more challenging for individuals to afford fundamental requirements, such as shelter and food, as a result of this. One of the most significant factors that might lead to depression is financial stress.
- Lack of affordable housing: There is a dearth of affordable housing in Spokane, which is a problem that the city is now experiencing. This means that a significant number of individuals are either paying more for housing than they are able to afford, or they are living in conditions that are either overcrowded or below acceptable standards. Stress, financial hardship, and social isolation are all factors that can contribute to depression, and a lack of affordable housing can give rise to all three of these factors.
- High rate of poverty: In comparison to the rest of the state of Washington, Spokane has a poverty rate that is significantly higher than the national average. There is a significant correlation between poverty and depression. It is more likely that people who are living in poverty will suffer stressful life events, such as losing their jobs, becoming homeless, and not having enough food to eat or drink. They also have a lower likelihood of having access to high-quality medical treatment, which includes care for mental health issues.
Aspects of society
- Spokane is experiencing a deficit of mental health practitioners, which results in a lack of access to care for mental health issues. As a result, a significant number of individuals who require mental health care have a difficult time gaining access to it. The inability to obtain mental health care can result in untreated depression, which can become more severe over time if it is not treated.
- Isolation from those around you: Isolation from others is a significant risk factor for depression. The city of Spokane is relatively dispersed, and a significant number of its residents reside in rural areas. Consequently, this can make it challenging to interact with other individuals and to establish social support networks. Isolation from others can provoke emotions of loneliness and worthlessness, both of which can play a role in the development of depression.
- Homelessness is a problem that is prevalent in Spokane, which has a high rate of homelessness. Being without a home is a significant source of stress that can result in depression. Homeless people have a higher likelihood of experiencing additional mental health issues, such as substance abuse and post-traumatic stress disorder (PTSD), than those who are not homeless.
Indicators of the environment
- Weather: A long winter with cold temperatures and short days is typical for Spokane, which experiences a long winter. It is possible for certain individuals to suffer from seasonal affective disorder (SAD), which is a form of depression that manifests itself throughout the winter months. It is believed that the lack of sunlight that occurs throughout the winter months is the cause of seasonal affective disorder (SAD).
- The quality of the air in Spokane is not acceptable, particularly during the colder months of the year. There is evidence that pollution in the air can have a detrimental effect on both physical and mental health. It has been demonstrated through research that being exposed to air pollution is linked to an increased likelihood of developing depression.
Other aspects to consider
- Genetics: There is a belief that there is a genetic component to the condition of depression because it has been shown that depression can run in families.
- Clinical factors: Certain medical illnesses, such as persistent pain, cancer, and thyroid issues, have been shown to be associated with an increased likelihood of experiencing depression.
- Substance abuse: Substance misuse can both make depression worse and lead to depression in the first place.
- Experiencing a traumatic life experience might raise the likelihood of developing depression. Some examples of traumatic life events include being abused or neglected as a kid, the death of a loved one, or getting a major illness.
Nevertheless, in spite of these dismal numbers, it is crucial to keep in mind that Spokane is not a one-dimensional city that is simply defined by its challenges. It is a vibrant and culturally rich area to live because it has a lot to offer its citizens, which makes it a viable option.
Located in the state of Washington, Spokane is home to a diversified population, a flourishing arts and cultural scene, and an abundance of possibilities for outdoor leisure. The presence of these positives demonstrates that the city is not simply defined by its difficulties; rather, it is perceived as a dynamic and resilient community that is moving toward good change.
Despite the fact that Spokane is currently considered to be one of the “saddest cities” in the country, it is of the utmost importance to acknowledge the ongoing efforts that are being made to address these difficulties and enhance the quality of life for all of the country’s people. The city is endeavoring to improve a number of aspects, including the availability of cheap housing and the provision of help for mental health.
The decision to seek assistance is of the utmost significance if you or someone you love is going through a period of depression or mental instability. The necessary aid can be obtained through the utilization of resources such as cognitive behavioral therapy, medication, and support groups. It is also important to remember that during challenging times, you should not be afraid to seek help from your family and friends.
Final Thoughts
Despite the fact that Spokane, Washington, has been ranked as one of the “saddest cities” in the United States, the city is not entirely defined by the difficulties it faces. This is a location that has a strong cultural scene, a population that is rich and diverse, and a plethora of possibilities to enjoy the outdoors. In spite of the sad numbers, Spokane is making concerted efforts to promote the mental health and well-being of its citizens by addressing issues such as the availability of affordable housing and healthcare.
This Washington city was named one of the “Saddest Cities” in the the Entire Country.