
What Traditional Addiction Treatment Gets Wrong About Women With Dr. Stephanie Covington
Addiction treatment has not always been designed with women in mind—and that can profoundly shape how women experience recovery. In this episode of Sisters in Sobriety, Sonia is joined by Dr. Stephanie S. Covington, internationally recognized clinician, author, and pioneer in addiction and trauma treatment, whose groundbreaking work includes A Woman’s Way Through the Twelve Steps, Helping Women Recover, Beyond Trauma, and Awaken Your Sexuality.
Why do traditional addiction treatment and Twelve Step programs sometimes fail to reflect women’s actual experiences? How are trauma, relationships, sexuality, shame, and addiction connected? Dr. Covington examines why recovery can look different for women, what conventional relapse prevention may overlook, and why community and connection are so essential. She also discusses the gaps in addiction treatment within jails and prisons, the importance of continuity of care after incarceration, and why she prefers the term “criminal legal system” over “criminal justice system.”
The conversation breaks down the relationship between childhood trauma, genetics, emotional development, substance use, and relapse. Dr. Covington explains when trauma and addiction may need to be treated simultaneously, the difference between trauma-informed, trauma-responsive, and trauma-specific care, and the powerful shift from asking “What’s wrong with you?” to “What happened to you?” She also offers a gender-responsive perspective on the Twelve Steps, reframing concepts like the Fourth Step in ways that can reduce shame and help women see themselves more clearly in recovery.
Sonia also gets personal about working the Twelve Steps nearly nine years into sobriety, feeling disconnected from the male-centered language of traditional AA literature, dating and having sex sober for the first time, and navigating conversations around “Cali sober” and mindful substance use. Dr. Covington shares her own early experiment with moderation, why she has no desire to test whether she could drink again, and a surprisingly simple “green beans” test that can reveal just how much power alcohol or another substance has in someone’s life.
This is Sisters in Sobriety, the support community that helps women change their relationship with alcohol. Check out our substack for extra tips, tricks and resources.
Highlights
00:01:00 – Meet Dr. Stephanie Covington and the personal recovery story behind her pioneering work
00:02:20 – What early addiction treatment and Twelve Step programs got wrong about women
00:03:35 – Why women-only recovery spaces can create greater safety and vulnerability
00:04:00 – Addiction, incarceration, and the lack of real treatment inside jails and prisons
00:06:00 – Medication-assisted treatment, Twelve Step access, and what is missing behind bars
00:07:00 – Why recovery community can be critical for successful reentry after incarceration
00:08:35 – Sonia shares that she is working the Twelve Steps nearly nine years into sobriety
00:09:20 – Why A Woman’s Way Through the Twelve Steps reframes recovery through women’s voices
00:10:00 – Reimagining the Fourth Step as a compassionate “spring cleaning” of the self
00:14:00 – Should AA literature change, and why Dr. Covington focuses on the Twelve Steps over the Big Book
00:16:00 – The Twelve Steps as tools for living, not simply tools for stopping drinking
00:17:00 – Why meetings, connection, and community strengthen long-term recovery
00:18:30 – How trauma and addiction become intertwined and why genetics is only part of the picture
00:21:00 – When trauma and addiction should be treated together rather than sequentially
00:23:30 – The three major relapse risks for women: trauma, relationships, and sexual issues
00:25:30 – Why childhood trauma can have a particularly profound developmental impact
00:28:00 – Big-T versus little-t trauma—and why comparing trauma can be misleading
00:30:00 – Relationships, sexuality, shame, and the overlooked realities of women’s recovery
00:33:00 – Sonia opens up about dating, intimacy, and having sex sober for the first time
00:37:00 – Trauma-informed, trauma-responsive, and trauma-specific care explained
00:39:00 – The origin and power of shifting from “What’s wrong with you?” to “What happened to you?”
00:44:00 – Cali sober, switching substances, moderation, and whether addiction can be “transcended”
00:49:30 – Dr. Covington shares her own failed experiment with having “just one” drink
00:50:30 – The 30-day experiment and the unforgettable “green beans” test for evaluating alcohol’s role
Dr. Covington's Links
https://www.stephaniecovington.com/
https://www.instagram.com/stephaniecovingtonofficial/
SIS Links
💌 Sisters In Sobriety Substack – where the magic (and the mocktail recipes) happen
📸 Sisters In Sobriety Instagram
🌐 Kathleen’s Website Kathleen does not endorse any products mentioned in this podcast
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