Americans' latest assessment of their mental health is worse than it has been at any point in the last two decades. Seventy-six percent of U.S. adults rate their mental health positively, representing a nine-point decline from 2019. … Although the majority of U.S. adults continue to rate their mental health as excellent (34%) or good (42%), and far fewer say it is only fair (18%) or poor (5%), the latest excellent ratings are eight points lower than Gallup has measured in any prior year.