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Depression Mental Health Ptsd in Women Women's Mental Health

How Being a Woman Affects Addiction, Mental Illness and Trauma

Are you grateful to be female? Is femininity a gift or a curse to you?

If you’re like a lot of women, you may have mixed feelings about it. In particular, it can be hard to separate out what you yourself feel about your own femaleness, from all that has been said to you, in so many words, about what being a woman means.

Can you find your true Self under the pile of projections that were thrown over you, the many rules of conduct you were taught, the words put in your mouth?How were you mirrored? What explanations were given to you, as a way of helping you understand what you feel, what you want, how you are to find your way in this world? Did the explanation of your own motivations that was given to you match what you really were experiencing on the inside? Did your role models show you what a woman can be in full?

Without knowing you personally, we here at Villa Kali Ma can venture a guess: probably not. The chances that you were seen, and reflected, for what you actually are – a vivid aliveness, a source of powerful agency, a genius creator in your own right – are slim. Because the understanding of how women and men have been wounded, and what they each need to come into more balanced fullness, is still in its infancy.

Writing about women’s rage in Coming Home to Myself: Reflections for Nurturing a Woman’s Body and Soul, Jungian analyst Marion Woodman says:

“There’s personal anger, but underneath there’s often universal rage; and when we are possessed, God help the man who’s on the end of that. Deep rage is not about the man; deep rage is this: Nobody ever saw me. Nobody ever heard me.

As long as I can remember, I’ve had to perform. When I tried to be myself, I was told, That’s not what you think, that’s not what you ought to do. So, just like my mother and her mother, I put on a false face. My life became a lie. That’s deep rage. We have lived our lives behind a mask. Sooner or later —if we are lucky— the mask will be smashed.”

In this age of heightened pressure and deepened pain for all humans, comparisons and distinctions between the male and the female experience can come out in even greater clarity.

At Villa Kali Ma, we uphold the fact that women are special. Men are special too. It’s not a competition, actually. But women have an experience of life that requires special care and tending, a kind of attention that’s distinct from the kind that best nurtures men. We have shared humanity with all humans, but we are not identical and the differences between us need to be honored.

That honoring – of the ways that men and women experience embodiment and socialization differently – informs our unique, holistic treatment programs for women.

Women experience mental illness, trauma, and addiction differently than men. Here are some considerations we keep in mind in all of our treatment programs.

Women, Complex Trauma and PTSD

Women are more vulnerable to traumatization than men. A major source of traumatization for women, in addition to the types of trauma that affect all genders equally (like physical abuse or neglect in childhood), is sexual violence.

Women are more likely to have sexual trauma originating from childhood sexual abuse, intimate partner violence, sexual assault, and sexual harassment. Women are also more vulnerable to traumatization from criminally motivated violence, like mugging or kidnapping. Women who have experienced sexual violence are significantly more likely to attempt suicide and to be given a diagnosis for a severe mental health disorders.

The impact of traumatization in mental health is extensive. Many mental health diagnoses reflect the presence of symptoms and coping styles originally stemming from trauma. In women in particular, it is important to tease apart which symptoms may be healed through resolution of traumatic responses, as opposed to mental illness which may be present for biological or hereditary reasons.

Gendered Diagnoses: Depression, Anxiety, and Borderline Personality

Top among risk factors for development of a mental health diagnosis like depression or anxiety is simply being a woman. Women are statistically more likely to experience mental health symptoms, by a meaningful factor. In the case of anxiety, for example, women are twice as likely as men to be diagnosed.

Given the higher incidence of traumatization among women, this imbalance in distribution of symptoms which could be coming from traumatization isn’t necessarily surprising. At the same time, biological influences, such as the impact of female hormones on mental health, trauma, and addiction have been shown to play a role as well.

Certain mental health diagnoses have a history of being disproportionately assigned to women, such as Borderline Personality Disorder. Borderline Personality Disorder is under review in some areas of the mental health field, due to its high correlation with trauma.

Eating Disorders, Self Harm and Body Image

Women are socialized to identify with their physical appearance to a great degree, and are expected to uphold perfectionistic standards of beauty at great cost to themselves. Beauty standards for women are extremely narrow, favoring not only certain body types and abilities, but also assigning higher or lower value along lines of race and ethnicity.

This socialization factor makes the mental health topic of self-love and self-acceptance very challenging for women. Women have been trained from birth to reject or disdain our physical bodies as inadequate when not perfectly matching given ideals. Women who are considered beautiful by the mainstream standards enjoy privileges of higher social status, but typically suffer from feeling the highly conditional nature of that status. Such women are made aware how much of their good social fortune depends upon maintaining physical desirability, as well as cooperating with the boundary intrusion and open attempts at exploitation by unwholesomely interested parties.

Women are generally encouraged to try to change their bodies to be more appealing to men, in whatever way may be required in order to have a greater chance of fitting into the standard. Extreme behaviors, such as eating disorders, over-exercising, undergoing harsh beauty treatments, and shaming the self when not meeting standards, are topics more commonly affecting women than men.

Women who are given the message that they are less attractive to men than other women in their peer group may suffer low self-esteem and shame related to their appearance, but women who are considered beautiful suffer shame and low self-esteem due to the underscoring of the message that what is lovable about them is limited to their ability to perform in the role of “desirable female”. These issues are installed, experienced, and processed in distinctly gendered ways.

Women’s Boundaries in a context of Sexualization and Objectification

Women are expected to be ok with being objectified, if not overtly sexualized, beginning in puberty or even already in childhood in some contexts. Very often, women face social pressure to tolerate subtle or obvious transgression of their boundaries to greater or lesser degrees. Women are frequently trained out of the ability to detect their boundaries, let alone protect them.

Objectification means being thought more of in terms of usefulness for gratifying another person’s needs, rather than regarded as having personhood and agency in her own right. Women are socialized to expect greater reward and ease in life when tolerating some degree of violation of boundaries, including basic boundaries of safety from intrusive sexual energy or other harm.

In its most benign form, this socialization makes the mental health topic of boundaries very challenging for women. Women are socially reinforced to say yes to what they would like to say no to, to say no what they would like to say yes to. This makes the topic of recovering women’s right to experience anger, and its connection to boundaries, self-protection, and self-care, a core treatment issue for many women.

Emotional Caretaking and Women’s Work

Women are largely socialized to be emotional caretakers of people around them and to perform “invisible work” without being asked or noticed. Women frequently provide emotional support, attention, and encouragement to the men in their lives, including work colleagues and bosses, without explicit recognition or appreciation of this function as requiring energy and skill. For related reasons, many women develop patterns of codependency, which can make treatment more difficult than for men, who may feel less relationally fused and oriented towards survival through the specific strategy of psychological enmeshment with others.

Although some of this has changed, women are generally expected to assume household and child-rearing tasks, as something that “goes without saying”. Women are still unconsciously expected to assume a caretaker role in the workplace, if not for material comforts like getting coffee and making a nice environment for people, then for emotional comforts, such as attending to the psychological atmosphere in the room, helping people to feel at ease, seen, and acknowledged.

Women and men performing in the same role at work are still sometimes paid quite differently, women being paid less than men on average, even within the same job title and responsibilities. The gap in pay widens further when looking at overall pay, versus comparing people in the same roles, reflecting an “opportunity gap” across higher paid roles. Finally, performance of traditionally masculine work roles is given greater financial reward, while professions centered on more nurturing roles, professions generally dominated by women, like social work, child, elder and dependent adult care, nursing, and teaching, are paid far less.

Setting aside the psychological implications of valuing women less than men, women are strongly socialized to place the emotional and physical nurturance needs of others first, which makes appropriate selfishness difficult. More problematically in the immediate sense, is that due to ongoing problems with pay inequality, many women are financially dependent on their abusers.

Treating Women with Care

At Villa Kali Ma, we understand why it is that women do better in female-only healing environments, for all the reasons outlined above and many, many more.

The focus of treatment for women, in many ways, needs to be the exact opposite of the focus of treatment for men. For instance: where many, many men need to learn to experience feelings of vulnerability safely, to lower their boundaries, and to be allowed to soften, women often need to be able to experience their right to power, independence, strength, and boundaries. While men may fear that they will not be loved and respected if they are “weak”, women often have the opposite question: Will I still be loved if I am vital, strong, a force to be reckoned with?

Similarly, where men sometimes need help understanding how their outward expressions of anger, dominance, or sexuality can impact those around them in destructive ways, many women need help with the reverse – to learn how hiding their anger and their vitality away is a problem for them and others. How have we withheld ourselves from this world, and deprived it of our awareness, wisdom, our heart, kindness? Even our pain, our tears, our sensitivity are gifts that are needed here. The type of strength that women have – the strength to feel a wound from within – is sorely missing in our rigid, fragile world.

It’s not about strong versus soft, tender versus fierce, but about allowing both, inside of all people. Here at Villa Kali Ma, we are devoted to helping the women we meet to activate whatever needs activating – all within that longs to birth into this world, but has not had the encouragement, protection, and nourishment needed to do so. If you’re looking for a place to walk a path of recovery from addiction, mental illness, and/or trauma, we’re here for you.

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Women's Mental Health

Understanding Women’s Mental Health Over a Lifetime: A Guide

Here at Villa Kali Ma, we believe in the power of gender specific treatment for women. We focus on offering services that foster mental health, trauma healing, and addiction recovery specifically for women.

Throughout the life of a woman, different mental health topics come to the fore, based on changing developmental stages. Read on for Villa Kali Ma’s overview of how women’s mental health may evolve over a lifetime.

What role do sex and gender play in mental health?

Sex and gender both play a part in mental health. There are biological differences – hormonal, chromosomal, and reproductive – between men and women, which have impacts on mental illness and recovery. Differences in social roles and expectations assigned to femininity versus masculinity also affect mental health significantly.

Some mental health disorders are more prevalent among women, for biological and/or societal reasons. Women also experience trauma and addiction in gendered ways.

Mental Health in Childhood: ADHD in girls

Mental health doesn’t exist in a vacuum. On the contrary, it is quite fluid and exists within the contexts and dynamics of the people we are most closely bonded with. During childhood, girls are not yet individuated psychologically from their family systems and are merged with their families as a whole, for better or for worse.

If a family is reasonably healthy and resourced, a girl has a better chance of having healthy thoughts, feelings, and behaviors. On the flip side, if a girl grows up in a family that is experiencing serious mental health trouble, for example in which a parent has an addiction or in which a main caregiver has major unhealed trauma themselves, the child is likely to have symptoms.

One way to understand symptoms experienced by girls is through the trauma lens, as children are psychologically and physiologically damaged by adverse childhood events like neglect, abuse, and various common forms of household trouble.

However, mental health troubles often also arise in children who are supported in reasonably healthy families. Even when protected and nourished by ideal family conditions, children are very vulnerable and can be affected negatively by many stressors that adults can handle without problem.

Little girls’ mental and emotional states are affected by their experiences in school and with their peers. They are also impacted at biological levels by exposure to chemicals through pollution, lack of access to green space, poor nutrient quality of food, and other environmental factors.

While biological differences between males and females are less important until puberty, girls are nevertheless affected by gender impacts at any age. The overall cultural devaluation of femininity (or conditional valuation of femininity for certain uses only, such as to be attractive or helpful) begins eroding a female-born person’s self-esteem right at birth.

One mental health condition that affects some girls is attention-deficit hyperactivity disorder or ADHD. The symptoms of ADHD are impulsiveness, trouble with attention, and hyperactivity. Girls are less likely to manifest hyperactivity and less likely to behave in ways that adults find disruptive. Nevertheless, girls may still be having problems with attention, which impacts their ability to organize, remember, make decisions, and prioritize.

The following symptoms are considered signs that a girl may be having trouble with ADHD-like symptoms:

  • Difficulty paying attention during class
  • Difficulty keeping up with schoolwork
  • Dreaminess
  • Higher than average levels of anxiety
  • Social withdrawal
  • Verbal aggressiveness (like teasing or name-calling)

However, please keep in mind that many conditions present in the same way, and each child is a unique being deserving of careful attention to understand what’s at play before concluding that a mental health disorder is the reason for a child’s behavior.

Depression, Anxiety, and Eating Disorders: Women’s Mental Health During Adolescence

During adolescence, mental health symptoms bloom for all humans, and preexisting tendencies become more prominent. Many fluctuations in mood and energy are explained by the effects of new hormones. Equally, the difficult social-emotional experiences of puberty, which represent a psychological stage of development, place great pressure on the psyche of a child.

Teenage girls are most prone to experiencing depression, anxiety, and eating disorders. These conditions may present separately or together.

Depression

Depression is generally manifested as a low mood (feeling down), negative thoughts, loss of interest in previous sources of enjoyment, and loss of physical energy, sometimes leading to an increase in the need for sleep. A depressed teenage girl may appear lethargic and sad, may withdraw from her friends, and become socially isolated. The struggle with girls experiencing depression for the first time is that they may not have words to communicate the onset of bleakness, heaviness, and desire to withdraw emotionally.

The most important thing to understand about depression is that it can be dangerous. Depression is connected with self-harm, attempted suicide, and risky behavior. Depression can also be part of substance use and/or a sign of having sustained a sexual trauma of some kind.

Common sources of depression include bullying and peer group related pain, such as exclusion by “mean girls”. Depression may be a signal of sexual boundary violation or traumatization, and it’s important to understand how vulnerable girls are to inappropriate sexual expressions by adults and peers.

If depression is observed, it’s important to engage, express care, offer help, and give love. If addressed in time, the wound to the soul may be healed before depression becomes a lingering state of being.


Anxiety

Anxiety is a common kind of suffering among teenage girls. In general, women are considered to be twice as likely as men to manifest symptoms of anxiety, and that is true in adolescence too.

Anxiety is excessive worry and tension and may include intrusive thoughts and obsessive behavior.  An anxious girl may appear worried and preoccupied, have looping thoughts, or be unable to relax.

As with depression, anxiety can be introduced by hormonal changes and is also a psychological response to a change in developmental stage. Anxiety may present as pressure placed upon oneself to perform well academically, to have a perfect appearance (leading to obsessive dieting or other disordered food behaviors), or other forms of perfectionism. Anxiety is also commonly somatically experienced, for example as a stomach ache.

Some signs of anxiety include:

  • Worrying about things that are out of one’s control
  • Physical body tension
  • Worried, uneasy appearance
  • Fidgeting, inability to relax
  • Obsessive thoughts and/or compulsive behaviors

Eating Disorders

Teenage girls frequently struggle with eating disorders. For many reasons, young women are socially trained to identify with their body weight, size, and shape, and to find self-worth (or more often, lack thereof) by critically examining how they appear in the mirror or photographs.

Eating disorders are more common among women than men in general. Adolescence tends to be the time in which eating disorders start and can include self-starving, fad dieting, self-induced vomiting, overeating, and even abuse of laxatives.

Eating disorders are very serious mental health conditions and are a form of self-harm that has addictive and compulsive aspects. Eating disorders have many physical health impacts, including damage to major organs, and are also psychologically damaging, resulting in arrested development and impairments.

Some signs of an eating disorder include:

  • Obsession with weight and body image
  • Obsession with monitoring calorie intake
  • Restricting food and dieting, trying to lose weight
  • Food rituals
  • Thin, dry brittle hair, degrading teeth and fingernails

Mental Health in Women During Adulthood: Reproductive-related mental health issues in women

During adulthood, women’s mental health continues to be affected by hormones as a strong factor in overall well-being.

Premenstrual Syndrome

A common, recurrent impact for many women is Premenstrual Syndrome (PMS). Over the week before and sometimes also during menstruation, reproductive hormones may negatively affect mood, self-esteem, and energy levels.

PMS is often accompanied by headaches, moodiness, and physical bloat. These conditions may be experienced more dramatically by women who already struggle with depression, anxiety, and eating disorders.


Premenstrual Dysphoric Disorder

In cases where symptoms are extreme, a woman might be given a diagnosis of Premenstrual Dysphoric Disorder (PMDD), a more severe form of PMS. When a woman has severe mood swings, irritability, and significant depression every month, she may meet the criteria for such a diagnosis.

However, the diagnosis of PMDD is generally reserved for women who are affected to such a degree that it is interfering with important life functions, for example, if it is affecting work and relationships. PMDD is more common among women who also have depression and anxiety.


Postpartum Depression

Women can also be affected by hormone fluctuations connected with giving birth. Postpartum depression, or the baby blues, can create mood swings, depression, anxiety, sleep problems, and overwhelm. Postpartum depression is more severe for women who already struggle with anxiety or depression.


Menopause

As a woman shifts out of her reproductive years, hormones again become a factor in mood and state of being. Many women experience depression and anxiety, partly in response to changes in phase of life. Again, women who have depression and anxiety already tend to experience hormonal impacts more intensely than other women.

Other mental health disorders in women

Due to biological and social impacts, women experience mental health disorders in gendered ways.

Substance Use Disorders

Substance use disorders have critical impacts on the body, mind, and spirit, negatively affecting relationships, work, and finances.

In terms of numbers, men make up the majority of people addicted to drugs and alcohol, though women’s use of drugs and alcohol is on the rise. Women are more likely to be prescribed addictive prescription drugs such as opiates and anti-anxiety drugs.

Women who do use substances are more likely than men to progress quickly through the stages of addiction, becoming dependent on substances. Women appear to experience greater pain levels during withdrawals and have a higher rate of relapse than men.

The stressors that cause women to seek out drugs and alcohol tend to be different than for men. Social obligations and family roles, such as parenting and caregiving of elders feature more prominently in sources of stress.

Substance use disorders frequently start during teenage years, manifesting as addiction during adulthood.


Borderline Personality Disorder

Borderline personality disorder is a difficult mental health condition affecting many people. BPD symptoms include emotional instability, impulsive behavior, intense attachment problems (fear of abandonment) leading to dramatic interpersonal relationships, and severe problems with self-worth. BPD is associated with intense anger, depression, anxiety, self-harm, suicidal gestures, substance abuse, and risky sexual behaviors.

BPD has a history of being prescribed much more often to women than to men. It is now believed to have been over-diagnosed in the past because of cultural bias against women. Currently, it is believed to affect men and women equally.


Bipolar Disorder

Bipolar disorder is a painful condition that involves severe mood swings, between mania and depression. There are different types of Bipolar Disorder, and one of them (Bipolar II) is believed to affect women more than men. Men and women are equally likely to have Bipolar I.

In general, women who have bipolar disorder are likely to also have other health problems and to be more affected by hormone-induced mood problems such as depression after giving birth.

Dementia: Mental Health in Older Adulthood

In older adulthood, mental health struggles for women center on dementia, especially Alzheimer’s, which affects more women than men.

Symptoms of Alzheimer’s include forgetting important names and faces (such as loved ones) and struggles with executive functioning.

How can a woman struggling with mental health look to the future?

At Villa Kali Ma, we believe that at any stage of life, a woman has many internal resources working in her favor. Assets like intelligence, resilience, humor, and kindness get us through and make meaning out of difficulty.

We have our hearts and our creativity, and we are adaptable creatures. Life asks us to use the many gifts we are given, to face challenges that shift and change over time, as we do.

Looking into the future, a woman can expect both that her resilience will be on her side, and that there will be times of needing more help than before.

We are not meant to stay the same. We change, and so does our mental health.

It’s important to know that at no stage is it necessary to go it alone unless we want that. Whatever aspect of our womanly life we are facing, there are women by the millions who are going through the same, and many elders ahead of us with wisdom to spare. In our common experiences, there is strength, laughter, comfort, and joy in great abundance.

Villa Kali Ma can help women ages 30-60 with mental health

At Villa Kali Ma, we help women discover their native gifts for mental health, from deep within themselves. With a signature combination of clinical Western modalities and Eastern healing approaches, we guide each woman who comes through our doors to find her unique path through her unique life.

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