Depression is increasing across the United States, especially among adolescents and women, according to new CDC data. Yet fewer than half of those affected are receiving therapy or counseling. Published on April 16, 2025, the findings show how the COVID-19 era and ongoing social pressures have intensified mental health challenges and revealed persistent barriers to care.
The latest data also offer a chance to reflect on Thailand’s own mental health landscape. In a country where family bonds and community support shape everyday life, policymakers, health professionals, and educators may draw lessons from global trends to strengthen prevention and intervention.
The CDC report shows that the prevalence of depression among Americans aged 12 and older nearly doubled—from 7.3% in 2015–2016 to more than 13% in 2021–2023. Among adolescent girls aged 12–19, the rate is striking: more than one in four report depression, with over half feeling persistently sad or hopeless in recent years. These figures are notably higher than those for boys. The broader context includes the lingering impacts of the pandemic, economic pressures, and ongoing global uncertainty, all contributing to psychological distress while raising awareness of mental health needs.
Despite growing recognition, treatment rates remain low. About 88% of people with depression report substantial interference in work, home, or social life, yet only around 40% have received counseling or therapy. Among adults, women’s treatment rates are higher (around 43%) than men’s (about 33%). Women are more likely than men to be prescribed antidepressants, and middle-aged adults (45–74) are more likely to receive medication than younger adults (18–44). Adolescents show the largest gap, receiving care far less frequently than their peers.
Experts debate whether rising rates reflect more true cases or greater willingness to report symptoms as stigma declines, particularly among youth and women. Some researchers note that changes in survey methods—such as online or phone-based data collection—may encourage more candid responses than traditional in-person interviews, potentially inflating prevalence figures.
A key takeaway is the gender difference in both incidence and communication around mental health. While girls are typically more willing to discuss their emotional struggles, boys have historically remained less expressive. This cultural dynamic echoes broader global patterns, including in Thailand, where traditional norms around masculinity can deter help-seeking behavior.
Concerns about antidepressant overprescribing appear less pronounced upon closer examination. Data analyses from healthcare analytics indicate that while prescriptions spiked at the height of the pandemic, overall rates have returned to pre-pandemic levels. About half of mental health medications prescribed are selective serotonin reuptake inhibitors (SSRIs). Most experts agree these medications are valuable when used appropriately, even as policy debates continue.
For Thailand, the CDC findings underscore issues already surfacing in urban youth. The Thai Department of Mental Health has reported rising hospital visits and hotline calls related to depression and anxiety, a trend that intensified during the pandemic. Thailand’s cultural emphasis on remaining calm and composed can complicate help-seeking, although public health campaigns, school-based education, and temple-based support are gradually reducing stigma. Yet access to affordable mental health care outside major cities remains a challenge.
Socioeconomic disparities persist in both countries. Wealthier individuals report lower depression rates and greater access to care. In Thailand, universal health coverage improves basic care but specialized mental health services often require long waits or out-of-pocket costs, posing barriers for low-income families and rural residents. Social norms around face-saving and stigma can further deter people from seeking help.
The rise of depression among Western adolescents mirrors rising anxiety and self-harm concerns among Thai teens, driven by cyberbullying, academic pressure, family expectations, and social media stress. Both nations have seen online learning during the pandemic deepen isolation for some while expanding access to digital counseling for others. Thailand’s Ministry of Education and the Department of Mental Health have promoted helplines and partnered with platforms on youth mental health resources.
Looking ahead, experts say public awareness and service capacity must grow further. Teletherapy can expand reach, especially in remote areas, but must be paired with ongoing stigma reduction efforts—especially among boys and men. Schools should integrate culturally sensitive stress-management and resilience curricula. Encouraging open discussions about mental health through trusted figures—from pop icons to spiritual leaders—could help normalize seeking help. Policymakers should ensure health coverage supports a broad spectrum of treatments, including medication, counseling, and community-based supports.
For readers in Thailand, the core message is clear: depression is a treatable health condition, not a sign of weakness. If you or someone you know is struggling, seek help at a local hospital, public health center, or a mental health hotline. Early support can prevent suffering and save lives.
Public health resources emphasize reliable guidance: the World Health Organization’s depression information, Thailand’s Department of Mental Health, and community support groups. As research evolves, open conversations in families, schools, and workplaces remain essential to making a real difference in mental well-being.