A cartoon picture of a woman in an office with city buildings in the background, and she is visibly stressed.

The world’s most anxious cities

James McCay

Sep 25, 2025

Life in a bustling city can be exciting, but for some, it often comes with a hidden cost in the form of rising anxiety levels. As urban areas expand and populations grow, many residents face mounting challenges that affect both their personal well-being and the wider community.

From long commutes and crowded streets to the demands of a fast-paced work environment, cities can place constant pressure on those who live and work there. This pressure doesn’t just impact daily routines, as it can also have lasting effects on mental health, productivity, and overall quality of life.

To determine the most anxious cities in the world, the health insurance comparison experts at Compare the Market carried out some research into both general anxiety and work stress. By analysing search data for anxiety-related terms, we can identify the places where residents may be struggling most, and where greater support is needed.

And to provide deeper insights, our ranking separates large and small cities. Larger cities typically face intense competition, higher costs of living, and heavier social pressures, whereas smaller cities, though far from immune, often present different stress patterns linked to congestion, population size, and professional demands.

By comparing these environments, this study offers a clearer picture of how city size shapes levels of anxiety, giving valuable context for anyone seeking healthier surroundings or considering stress-relieving insurance plans.

Top 10 most anxious large cities in the US and Canada

When we look at large cities in the US and Canada, there are some that clearly stand out for anxiety levels and work stress:

The most anxious small cities in the US and Canada

Moving away from larger cities, let’s take a look at smaller cities in North America and how their stress levels compare to their larger counterparts:

The most anxious cities in Australia

With America and the Northwest covered, let’s now go over to Australia – starting with the country’s most anxious large cities:

Anxious Australian small cities

And now let’s see how general anxiety and stress within work environments are affecting residents of small cities in Australia:

The most anxious cities in Ireland

Finally, we’ve also included Ireland in our analysis. And instead of splitting between large and small cities, Irish cities are ranked based on the total volume of anxiety and stress-related searches per 100,000 people.

How to reduce your levels of anxiety and work stress

No matter where you are and what you do for a living, stress can get to all of us from time to time. Fortunately, there are ways to help manage it. As Steven Spicer – Executive General Manager of Health, Life and Energy at Compare the Market, says:

“Reducing work stress starts with creating a healthier work environment, where balance and support are prioritised. Simple steps like regular breaks, open communication, and mindfulness can go a long way in easing anxiety.” Mr Spicer says.

“It’s also important to think long term, and talk to your GP about your anxiety. They can prescribe medications and a treatment plan to assist, and might refer you to a mental health specialist. Australian private health insurance extras policies can cover some costs for counselling and potentially certain prescription medications, but coverage varies by policy. For Australians with health insurance or considering taking out a policy, it’s worth comparing or speaking with a Compare the Market health insurance expert to understand what’s included.”

Methodology

This dataset contains 7 rankings, with each country (except Ireland) having 2 rankings – one with a list of large cities in that country, and another with a list of smaller cities – to compare anxiety levels between cities of similar sizes.

We used 4 key work-related anxiety search prompts, with each search prompt being measured by searches per 100,000 residents. These were collected and normalised to a score between 0 and 1, and if data was missing, a score of 0 was given.

These scores were then combined to give each city a total work anxiety score out of 100, and ranked them from most to least anxious based on this. (Irish cities are instead ranked based on the total anxiety and stress searches per 100k).

The work-related anxiety search prompts used are as follows:

  • “work burnout”
  • “work depression”
  • “work stress”
  • “how to deal with work stress”

The other general anxiety and stress search prompts used are as follows:

  • “anxiety symptoms”
  • “chronic stress”
  • “how to deal with anxiety”
  • “how to manage anxiety”
  • “stress relief”
  • “stress symptoms”

The ‘Work Anxiety Score’ is calculated from the indexes of the top 4 work-related anxiety search volumes, per 100,000 population, for each city.

The ‘Total Anxiety and Stress Searches per 100k’ is the total number of searches for all 10 above search prompts, per 100,000 population.

Population was sourced using City Population figures, while keyword search volume was sourced using Google Ads keyword tool.

All data is correct as of 20/08/25. The ranking data shown is a compilation of multiple data sources and may not be representative of real life. All data is accurate with regard to the sources provided. All search data is from the period Jul 24 – Jun 25.