"19th Nervous Breakdown" is a song by the English rock band The Rolling Stones. Written by Mick Jagger and Keith Richards, recorded in late 1965 and released as a single in early 1966, it reached number 2 on both the US and UK charts, while topping the NME charts.

The song was written during the group's 1965 tour of the United States and recorded at the conclusion of their fourth North American tour during the Aftermath album sessions, between 3 and 8 December 1965 at RCA Recording Studios in Hollywood, California.

Jagger came up with the title first and then wrote the lyrics around it. The opening guitar figure is played by Keith Richards while in the verses Brian Jones plays a bass-note figure that derives from "Diddley Daddy" by Bo Diddley, a major influence on the Rolling Stones' style. Here the riff is extended into a long blues chord progression behind verbose lyrics similar to those of their previous UK single, "Get Off of My Cloud", and the verse alternates with a bridge theme. The track is also known for Bill Wyman's so-called "dive-bombing" bass line at the end. At almost four minutes' duration, it is long by the standards of the time.

Like many early Rolling Stones recordings, "19th Nervous Breakdown" has been officially released only in mono sound. A stereo mix of the song has turned up in private and bootleg collections. One version of the stereo mix features a radically different vocal from Jagger, who alternates between mellow on the verses and rawer on the chorus.

"19th Nervous Breakdown" was released as a single on 4 February 1966 in the UK and reached No. 2 in the United Kingdom Record Retailer chart. However, it hit No. 1 in the NME chart and the BBC's Pick of the Pops chart, both widely recognised in Britain at the time, and was the fifth best-selling single of 1966 in the UK (achieving greater full-year sales than both Nancy Sinatra's "These Boots Are Made for Walkin'", which had prevented "19th Nervous Breakdown" from reaching No.1 on the Record Retailer chart, and The Rolling Stones' next single release, "Paint It Black", which reached No.1 on the Record Retailer chart for a week at the end of May 1966).

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