25. Pennsylvania

Pennsylvania is right in the middle in terms of stress, which is why it ranks as the 25th most-stressed state. It ranks # 19 in work-related stress, #31 in money stress, #24 in terms of family stress and #22 in health stress. Taking these factors into consideration, there's plenty of room for improvement.
24. Illinois
23. Ohio
22. Idaho
21. Michigan
20. South Carolina

Like many other southern states, South Carolina performs poorly when it comes to the health metrics of its residents (14th worst in the country). Though it has beautiful beaches, the state has high rates of sedentary behavior. It also has high rates of obesity and is not a state that has expanded Medicaid coverage. Unsurprisingly, worries about your personal health contribute to higher overall personal stress levels.
19. Indiana

Indiana does okay when it comes to family and work stress, ranking #30 in both, but health and safety-related stressors are a whole other story. Over the years, health problems such as diabetes, obesity and infant mortality have been a significant concern for the state. On top of this, tobacco use and opioid abuse are prominent in the state.
18. New York

New York is the 18th most-stressed state in the country with plenty of family and money stressors. But where New York really suffers is when it comes to work stress. Work stress ranks #9 in the country. To make matters worse, it has the 3rd least amount of affordable housing, which means New Yorkers are really have to work hard to keep a roof over their heads.
17. North Carolina
16. Texas
15. Arizona
14. Oregon
13. Florida
12. Georgia

Unlike the other states on this list, Georgia doesn't rank in the top 10 for most of four main categories, except for family-related stress. That being said, it ranks worse than the national average across all metrics. Its other poor-performing areas are money-related stress and health-related stress.
11. Tennessee
10. Alaska

Alaska's rankings are a little all over the place. When it comes to money worries, the state is the third least stressed. So how did it nab a spot in the top 10 of the most stressed? A #1 ranking in the work stress category surely didn't help. Alaska averages the most hours of work per week of any other state in the country.
9. Oklahoma

When it comes to individual rankings, Oklahoma is the 5th most stressed state regarding health concerns, the 6th most stressed about work, and the 8th most stressed about family matters. All of this adds up a solid 9th place rating overall. At least, money issues have improved recently, with the state ranking 21st in money-related issues, whereas before it was in the top 10.
8. Alabama
7. Kentucky

The string of southern states continues with Kentucky. The Bluegrass State struggles with individual health, having high levels of obesity and sedentary lifestyle choices. Residents here also experience the third-fewest hours of sleep every night on average. The only states with worse nights sleep are West Virginia and Hawaii.
6. Nevada

When it comes to family stress, Nevada leads the nation as the most stressed in the country. This metric is informed by high separation and divorce rates, the cost of childcare, poor parental leave policies, and the share of parents without access to emotional support. Overall, the Silver State ranks 6th most stressed.
5. West Virginia
4. Arkansas

Arkansas splits the difference between its individual rankings. It's in the top 5 for two of them but then decidedly average for the other two. Health is the state's worst performer and ranks the highest in the country, even after expanding Medicaid. Meanwhile, money stress (6th in the nation) also contributes to residents' overall worries.
3. New Mexico
2. Mississippi
1. Louisiana

The Pelican State has the sad distinction of being the most stressed state in the nation. Like Mississippi, it ranks in the top 10 in all four individual metrics. Its two worst areas, money- and work-related stress, are closely followed by family-related stress, all three being in the top 5 worst in the country.
