05/04/2026
We cannot provide effective mental health care if we don’t understand the realities women and AFAB individuals are living within.
Women’s mental health is not separate by accident — it is shaped by history, trauma, and systems that have too often caused harm.
From forced sterilisation and institutionalisation, to coercive practices and loss of autonomy — the mental health system itself has been, and can still be, a site of trauma. These experiences don’t disappear when someone walks into a therapy room. They live in the body, in trust, in hesitation.
And trauma is not rare.
Up to "97% of women and AFAB individuals with serious mental illness have experienced trauma" — including sexual violence, family violence, emotional abuse, childhood abuse, and systemic oppression such as poverty, racism, and ableism.
So when someone presents with distress, dysregulation, or relational intensity, we need to be thinking about what has happened to her/ or them — not just what is “wrong”.
Because too often, without this lens, we end up pathologising survival.
We see this in the high rates of Borderline Personality Disorder diagnoses in women — where complex trauma, attachment injury, and adaptive coping responses are misunderstood, labelled, and at times dismissed.
And even within care, harm can continue.
Many women and AFAB individuals experience re-traumatisation in treatment settings — through coercion, lack of privacy, not being believed, or witnessing distressing practices. For some, the system that is meant to support them has also been a place they have had to survive.
For me, this shifts how I sit with people. It’s not just about slowing things down or listening more carefully — it’s about actively holding the persons story, their context, and the systems that have shaped their experience, rather than reducing it to symptoms or diagnoses.
Because- healing is not just about symptom reduction — it’s about safety, voice, dignity, and reclaiming power.
This is what gender-responsive, trauma-informed, recovery-oriented care asks of us.
And it starts with understanding.