Living in Texas is officially bad for your mental health.

A study in this month’s American Journal of Public Health found that LGBT people in states that don’t have LGBT-inclusive employment or hate crimes protections suffer higher rates of psychiatric conditions such as anxiety disorder, post-traumatic stress disorder and dysthymia (depression).

The study concludes, “Policies that reduce discrimination against gays and lesbians are urgently needed to protect the health and well-being of this population.”