Societal norms place different expectations on women than men. This creates a situation where women with substance abuse issues are more likely to keep their struggles secret. The pressure to conform to societal expectations of being nurturing caregivers and family pillars adds an unspoken burden.

Compared to their male counterparts, women face unique pressures to maintain a balance between strength and compassion. They must be capable and respected without being intimidating.Women in society face a delicate balance of being both capable and appealing without crossing certain boundaries. They must avoid being perceived as too weak or overpowering, and maintain a level of attractiveness that does not attract inappropriate behavior. It is a difficult line to navigate, requiring a delicate balance between being adequate and not excessive. For most it's exhausting but for some, its almost impossible.  Moreover, the connection between substance abuse and past traumas, particularly sexual abuse, cannot be overlooked.

These societal pressures, combined with personal suffering, can push women into seeking solace in alcohol or other substances as a form of escape.