Post-Traumatic Stress Disorder significantly impacts women's health, presenting unique and often unseen challenges, says Dr Jyoti Kapoor, emphasising the importance of recognising these distinct issues to provide effective support and treatment
A complex mental health condition, PTSD can affect anyone who has experienced a traumatic event. However, research has shown that the disorder can have a particularly significant impact on women’s health. From heightened risk factors to unique symptom presentations, understanding how PTSD affects women is crucial for providing effective support and treatment.
Gender Disparities in PTSD Prevalence: Studies consistently show that women are more likely than men to experience PTSD in their lifetime. This heightened vulnerability can be attributed to various factors, including the prevalence of traumatic experiences such as sexual assault, intimate partner violence, and childhood abuse, which disproportionately affect women.
Impact on Physical Health: PTSD doesn’t just manifest in psychological symptoms; it also takes a toll on physical health. Women with PTSD are more likely to experience a range of health issues, including chronic pain, cardiovascular problems, gastrointestinal disorders, and autoimmune diseases. The chronic stress associated with PTSD can weaken the immune system and disrupt various bodily functions, contributing to these health complications.
Reproductive Health Challenges: PTSD can intersect with women’s reproductive health in several ways. Research suggests that women with PTSD may have higher rates of menstrual disorders, infertility, and pregnancy complications. Additionally, the stress of living with PTSD can exacerbate symptoms of premenstrual syndrome (PMS) and menopause.
Increased Risk of Substance Abuse and Self-Harm: Many women with PTSD turn to substance abuse as a way to cope with their symptoms. Alcohol and drugs may provide temporary relief from distressing thoughts and emotions, but they can exacerbate mental health issues and lead to addiction. Furthermore, women with PTSD are at higher risk of engaging in self-harming behaviors, such as cutting or burning themselves, as a maladaptive coping mechanism.
Relationship and Social Implications: It can strain relationships and social connections, leading to isolation and loneliness. Women with PTSD may struggle to maintain healthy interpersonal relationships due to symptoms such as hypervigilance, avoidance, and emotional numbing. This social withdrawal can further exacerbate feelings of alienation.
Barriers to Treatment: Despite the significant impact of PTSD on women’s health, there are several barriers to accessing effective treatment. Stigma surrounding mental health issues, particularly in certain cultural and societal contexts, may prevent women from seeking help. Additionally, the shortage of specialized services and the high cost of mental health care can pose significant obstacles to treatment access.
Tailored Approaches to Treatment: Effective treatment for PTSD in women requires a tailored approach that addresses the unique biological, psychological, and social factors at play. Psychotherapy, particularly trauma-focused therapies like cognitive-behavioral therapy (CBT) and eye movement desensitization and reprocessing (EMDR), has been shown to be highly effective in reducing
PTSD symptoms. Medications such as antidepressants may
also be prescribed to alleviate symptoms of depression and anxiety commonly associated with PTSD.
Importance of Social Support: Building a strong support network is crucial for women coping with PTSD. Peer support groups, community organizations, and online forums can provide a sense of belonging and validation. Cultivating supportive relationships with friends, family members, and healthcare providers can also play a pivotal role in recovery.
Education and Advocacy: Raising awareness about the impact of PTSD on women’s health is essential for reducing stigma and improving access to care. Education campaigns aimed at healthcare providers, policymakers, and the general public can help dispel misconceptions and foster empathy for those living with PTSD. Additionally, advocating for policies that prioritize mental health services and address the root causes of trauma can create a more supportive environment for women seeking treatment.
The writer is DR JYOTI KAPOOR Senior Psychiatrist Founder-Director, Manasthali