Regional location plays a role in stress, as factors like disability or diabetes, untreated mental conditions like anxiety or depression, high unemployment rates, risky behaviors including cigarette smoking and alcohol abuse, and/or social circumstances such as lower incomes contribute to stress levels. 

States ranking higher in mental stress percentages were struggling more-so economically than their low-stress neighbors. Health services, medications, and hospital visits are all mighty expensive without health insurance, and those in economically dire situations more often than not do not have the means to afford the insurance.

However, loss of income is not, and should not be equated with, loss of happiness or life itself. Effectively managing stress or getting the required help necessary can help alleviate stressors commonly associated with an economy in recession. The following are some tips from the Substance Abuse and Mental Health Services Administration (SAMHSA) for dealing with tough economic times:

1. Keep things in perspective. Remind yourself of all the great things you have in your life to prevent becoming resentful or bitter of financial downfall. 
2. Strengthen connections with loved ones or those who are there for emotional support. Having someone to lean-on and talk to through rough patches is an invaluable resource in the fight against depression. 
3. Engage in physical activities like sports or exercise, which are natural stress reducers. 
4. Don’t be afraid to ask for help. Medical practitioners, spiritual leaders, counselors, or a community health center can all assist you through troubled times.