Unseen Wounds: Understanding the Deeper Layers of Women and Substance Use
đŠââď¸ Itâs More Than a Habit. Itâs a Cry for Help.
In many Chennai households, the story of a woman struggling with alcohol, pills, or smoking doesnât begin at a partyâit begins in silence. Behind that wine glass, sleeping pill, or cigarette often lies a history of emotional pain, control, or violence.
Substance use in women isnât just about addictionâitâs often about survival, escape, or numbness. And to truly help, we must understand the emotional, relational, and gendered dimensions of their suffering.
âąď¸ Telescoping: Why Women Progress Faster into Addiction
Studies show that women experience what’s called âtelescopingââa faster trajectory from first use to dependency compared to men. This means:
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Women may start later, but get addicted quicker
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Physical and emotional health deteriorates faster
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Withdrawal symptoms (especially from alcohol or benzodiazepines) are more intense
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Many women reach crisis before anyone notices or intervenes
A woman may go from casual use to crisis within a few monthsâbecause her body, brain, and social context respond differently.
đ¤ Codependence: The Invisible Trap
In Chennaiâs conservative settings, many women are caught in codependent relationships where:
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The partner or family member misuses substances
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The woman becomes the âcaretakerâ but suppresses her own needs
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Over time, she may turn to substancesâto cope, to feel seen, or to emotionally survive
These dynamics can become self-perpetuating:
“I need him to be okay.”
“I canât leave, but I canât stay like this either.”
“I just need something to feel calm.”
Codependence makes it harder to seek help, and easier to fall into secret substance use.
âď¸ Abuse, Trauma, and Substance Use: A Painful Link
Sadly, many women who misuse alcohol, tobacco, or medication are also survivors of violenceâphysical, emotional, sexual, or verbal.
In our clinics, we see:
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Women using alcohol to numb marital abuse
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Professionals using sleeping pills after workplace harassment
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Students vaping or using cannabis after emotional neglect or toxic relationships
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Mothers misusing painkillers to deal with postpartum depression, loneliness, or partner rejection
The substance is not the primary issueâitâs the pain underneath.
đ Why Women Suffer in Silence
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Fear of stigma: âWhat will people think?â
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Fear of losing children or custody
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Fear of being labelled unstable, immoral, or unfit
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Fear of not being believedâespecially if the abuser is respected or influential
So they remain silent. High-functioning. Smiling on the outside. Breaking inside.
đ§ What True Recovery for Women Looks Like
Real healing isnât just detox or quitting alcohol. Itâs about reclaiming voice, safety, identity, and power.
At Apollo Clinic, Velachery & Tambaram, our recovery plans for women include:
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Safe, private psychiatric consultations
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Identifying and treating co-occurring anxiety, depression, or PTSD
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Trauma-informed therapy
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Relapse prevention tailored for womenâs emotional rhythms
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Addressing relationship patterns and boundary issues
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Sleep and nutrition support
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Family therapy when appropriate
We donât just âtreat addiction.â We help women heal.
đ Youâre Not Alone. Youâre Not Broken.
Substance use doesnât make you a bad woman. It means youâve been coping alone for too long.
Let us walk with youâtoward relief, recovery, and rediscovery.
đ Apollo Clinic, Velachery & Tambaram
đą 8595155808
đ www.srinivasaiims.com
âď¸ About the Author
Dr. Srinivas Rajkumar T, MBBS, MD (Psychiatry)
Consultant Psychiatrist | Apollo Clinic, Velachery & Tambaram
Dr. Srinivas specializes in womenâs mental health, addiction, and trauma recovery. He is known for offering non-judgmental, structured, and compassionate care tailored to the unique emotional and social challenges women face. He regularly counsels women from all walks of lifeâhomemakers, students, executives, survivorsâhelping them rebuild life, on their terms.