Substance use—whether alcohol or drugs—affects millions of women in the U.S., often in ways that are distinct from men. According to the Substance Abuse and Mental Health Services Administration (SAMHSA), in 2020:
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About 19.5 million women aged 18 or older (roughly 15.4%) reported using illicit drugs in the past year.
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Nearly 31.1 million women (about 24.6%) engaged in binge drinking—defined as consuming 4 or more drinks on a single occasion—within the past month.
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Among adolescent girls aged 12–17, 11.6% reported current alcohol use and 7.5% reported current illicit drug use.
These numbers reveal a troubling reality: substance use—whether to cope with trauma, stress, mental health issues, or life pressures—is a widespread and serious issue for women. And yet, women often face more barriers to getting help, from stigma to caregiving responsibilities. According to an article and resource hub on addicted.org, there are numerous ways for women to find the care and support they are needing.
1. Common Challenges
Challenges Women Often Face:
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Social stigma & guilt – Women frequently experience shame or fear of judgment, which can discourage them from seeking help.
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Trauma and mental health history – Many women in recovery have histories of trauma, domestic violence, or mental health conditions intertwined with substance use.
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Faster progression & health impacts – Biological differences mean women often progress faster into dependence and face greater health risks like liver damage or anemia.
2. Signs It’s Time to Get Help
Addicted.org outlines clear indicators that recovery support may be needed:
- Changes in mood, energy, or sleep patterns
- Secretive behavior or minimizing use
- Increased emotional sensitivity or avoidance
- Neglecting personal care or responsibilities
- Using alcohol, pills, or other substances to cope with emotional overwhelm
- Difficulty maintaining healthy relationships or boundaries
- Health concerns related to prolonged use, such as fatigue, hormonal issues, or chronic conditions
3. What to Look for in a Program
- Outpatient and Day Programs: Allow women to stay involved in family life while receiving structure, accountability, and therapeutic support.
- Residential Treatment with Family Support: Longer-term care options that include parenting support, child visitation, or coordination with family services.
- Counseling Focused on Emotional Health and Boundaries: Programs that help women explore self-worth, rebuild trust, and learn how to prioritize themselves again.
- Trauma-Informed Care: Many women have experienced trauma—treatment should be compassionate, gentle, and empowering
How First Call Can Help
At First Call, we understand that every woman’s journey with substance use is different—and so is her path to healing. That’s why we offer personalized, compassionate support designed to meet women exactly where they are.
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Assessment and Referral Services
Whether you’re just starting to explore help or ready for treatment, our professional team can guide you through your options with care and confidentiality. -
Family Support
We recognize the role family plays in recovery. Our programs include education and support for parents and loved ones, helping you rebuild and strengthen important relationships. -
Recovery Advocacy
Work one-on-one with a Recovery Advocate—someone who’s walked a similar path and is trained to help you set goals, stay accountable, and feel supported throughout your journey. -
Community Resources
Whether you need help with housing, childcare, employment, or legal services, we can connect you to a trusted network of support.
Frequently Asked Questions (FAQs)
1. Why do women often start using substances?
Women may begin using drugs or alcohol for a variety of reasons—stress, trauma, relationship issues, or mental health challenges like anxiety or depression. Many also use substances to cope with pain, both physical and emotional. Gender-based trauma, such as domestic violence or sexual abuse, is a common underlying factor.
2. How is addiction different for women than men?
Women typically become addicted more quickly than men—a phenomenon known as “telescoping.” They often face more severe physical consequences sooner and are more likely to experience co-occurring disorders like PTSD or eating disorders. Social stigma and caregiving roles also make it harder for women to seek treatment.
3. Are there programs that allow women to bring their children?
Yes. Some women-focused programs offer on-site childcare or even allow children to stay with their mothers during residential treatment. These services help reduce the barrier of childcare and create a supportive environment for mothers in recovery.
4. How do I talk to a loved one who might have a substance use problem?
Approach them with compassion, not judgment. Express concern about specific behaviors you’ve noticed and offer to help them explore resources. Avoid shaming or blaming language, and be ready with information about supportive, women-centered treatment options.
5. What if I’ve tried treatment before and it didn’t work?
Reoccurrence can be a part of recovery—not a sign of failure. Many women require more than one attempt to achieve lasting sobriety. With the right support system, trauma-informed care, and programs that meet your unique needs, recovery is possible.