Understanding the Differences Between Men and Women in Addiction

In the past, research only looked at how men were affected by addiction. Unfortunately, this medical bias...

Addiction
March 21, 2025

In the past, research only looked at how men were affected by addiction.

Unfortunately, this medical bias didn't recognize substance use in women is a different type of disorder.

However, in the 1990s women started being included in these studies.

Now researchers recognize there are numerous differences between men and women who have this disorder.

Sex and Gender

Part of why substance use in women is different from that in men has to do with sex (biology) and gender (culturally defined roles).

According to researchers, women struggle with substance abuse mainly due to their biological makeup (e.g., hormones, menstrual cycle, fertility, pregnancy, breastfeeding, menopause).

Women themselves say that their primary reasons for addiction have to do with self-medicating for things like controlling weight, fighting exhaustion, coping with pain, and managing mental health issues.

Woman wearing a hat

Susceptibility

Researchers have found that men are more likely to become addicts.

Their substance abuse stems either from their desire to be a part of the group or from peer pressure.

Substance use in women begins with their desire to self-medicate.

From there their use of illicit substances quickly spirals into addiction.

Mental Health Issues

Substance use in women is likelier to occur when they're victims of domestic violence.

Family issues (e.g., divorce, loss of child custody, death of a partner or child) also trigger substance use in women.

Overall men aren't as likely to self-medicate for these types of mental health issues.

As an additional note here, it's unfortunate that women have chosen to self-medicate in this way.

Typically, it makes the situation worse as they'll then start suffering from things like panic attacks, anxiety, and depression.

Recovery

Although men get addicted to lower doses of substances than women they still experience more intense withdrawal symptoms.

However, when substance use in women occurs, women are likelier to suffer from its side effects (e.g., liver damage).

Not only do they experience more physical effects on their heart and blood vessels, but they're also more likely to overdose.

Woman with flowers

Risk of Relapse

Men are fortunate in that they're less likely to relapse.

This is something research has discovered when looking at how long men can abstain from using their substance of choice.

However, women respond to substances differently.

They tend to experience intense cravings which is why they're more likely to relapse.

Other Reasons Why Substance Use in Women is Different From Men

There are other reasons why substance use in women is different from that in men.

However, researchers have discovered that the differences in substance use in women versus men have a lot to do with the fact that women respond differently to substances.

Researchers believe that this is because of their hormones, but brain chemistry also plays a role here.

Drugs are known to change a woman's brain in a different way making drugs like cocaine more potent for the women who use them.

Conclusion

Despite the differences in substance use in women and men, the truth still remains that recovery will save your life.

If the cost of addiction has become unbearable, we want you to know that we're here for you.

At Overcomers Counseling we want to work with you so that you can have a healthier, more fulfilling life.

Resources

https://www.samhsa.gov/data/sites/default/files/NSDUH-DetTabs-2016/NSDUH-DetTabs-2016.pdf

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4539872/ https://# (resource links here)

Author
Jennifer Luttman, LPC, ACS

I am a Licensed Professional Counselor, and owner of Overcomers Counseling. I'm dedicated to helping individuals find strength and healing through life’s challenges. With a deep understanding of mental health and years of professional experience, I specialize in fostering hope and resilience while equipping her clients with tools to thrive. Passionate about empowering others, she creates a safe, supportive space where everyone feels seen, valued, and capable of overcoming obstacles on their path to well-being.

Common Questions about Addiction

What is alcohol abuse?

Alcohol abuse is a pattern of drinking that leads to problems in one's personal, professional, or social life.

What are the signs of alcohol abuse?

Some common signs of alcohol abuse include drinking more than intended, neglecting responsibilities, and continuing to drink despite negative consequences

Can alcohol abuse be overcome?

Yes, alcohol abuse is a treatable condition. However, it often requires professional treatment to overcome. With the right support, though, anyone can overcome alcohol abuse and regain control of their life. It's important to reach out for help if you or someone you know is struggling. With the right treatment, anyone can overcome alcohol abuse and regain control of their life.

Where can I get help if I'm struggling with alcohol abuse?

If you think you might be struggling with alcohol abuse, the first step is to talk to your doctor. Your doctor can help you assess your drinking habits and recommend treatment options. There are also many different types of treatment programs available for alcohol abuse, so you can find one that fits your needs and circumstances. Additionally, support groups can be a valuable resource for anyone struggling with alcohol abuse. These groups provide a safe space to share your experiences and connect with others who are facing similar challenges.

How is alcohol abuse different from alcoholism?

Alcoholism refers to a disease that is characterized by a strong craving for alcohol and an inability to control one's drinking.

What is the treatment for alcoholism?

Treatment for alcohol abuse often includes counseling, support groups, and medication. With the right help, your spouse can recover from alcoholism and go on to lead a healthy and happy life.