In his opinion, a worrying sign is social maladaptation, which manifests as a decline in academic or work success, difficulties in communication, and feelings of isolation.
Boris Li emphasized that women are particularly vulnerable to stress during two periods — during motherhood (including pregnancy and the postpartum period) and during menopause.
In the context of Kyrgyzstan, the doctor noted that many women face pressure from traditional norms that limit their aspirations for education and careers, forcing them to stay home and care for children. This can lead to emotional exhaustion due to isolation and monotony in life.
Support, recognition of the importance of women's work, and the creation of a safe environment become critically important in such situations.
Discussing violence, Boris Li pointed out the variety of women's reactions, which depend on the form and intensity of the violence. If a woman has witnessed abusive relationships since childhood, she may develop learned helplessness, believing that she is unable to change her life.
Regarding physical violence, the reaction can vary from "fight or flight," when a woman tries to protect herself, to a state of stupor, when she does not know how to respond to the horrific experience. Psychological violence, such as threats and shouting, can also cause deep despair. It is worth noting that delayed reactions may differ from immediate ones.
Unfortunately, women in such situations often experience intimidation. Violence can take various forms, including financial restriction, when a woman does not have the means to leave the house. Threats to take away children or strict limitations on rights are also forms of manipulation.
The psychiatrist also pointed to societal stereotypes that make women afraid to disclose their experiences of violence, fearing shame for themselves and their families.
If there are suspicions of violence, it is important to ensure open communication, which will allow for timely assessment of the situation and action to be taken.
On a positive note, Boris Li noted that women are increasingly turning to specialists not only for medications but also for consultations and support.
When choosing a specialist, it is important to pay attention to their qualifications and methods of work, as well as to be prepared for the fact that finding the right person may take time.
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