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Sally McManus, Professor of Social Epidemiology, City St George's, University of London

Mental health in England really is getting worse – our survey found one in five adults are struggling

Anxiety and depression were among the most common mental health issues people struggled with. Inna Kot/ Shutterstock

The proportion of people in England with poor mental health has risen sharply over the past 30 years, according to England’s most robust national mental health survey. While in 1993 15% of 16- to 64-year-olds surveyed were found to have an anxiety disorder or depression, this reached 23% in 2024.

The Adult Psychiatric Morbidity Survey (APMS) is the longest running mental health survey series in the world. It began in 1993 and has published five waves of data since. The survey series is commissioned by NHS England and conducted by the National Centre for Social Research, alongside the University of Leicester and City St George’s, University of London.

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