News
What 100k+ journalled words reveal about women’s mental load

By Katrina Zalcmane, co-founder of Véa
101,000 journalled words. That’s what it took to make women’s mental load measurable – and what it revealed was not what we expected.
We can track a woman’s cycle to the hour, map her hormones, her fertility window, her sleep habits.
But we have had remarkably little structured visibility into the cognitive and emotional load running underneath all of it – the layer that shapes how she makes decisions, takes risks, recovers from pressure and moves through her day.
That’s where the data gets interesting.
Across those 101,000 anonymously journalled words, Véa identified the cognitive signatures of how pressure gets metabolised – not into symptoms, but into patterns.
Overgeneralisation, fortune-telling, catastrophising: the interpretive architecture through which strain quietly becomes self-doubt, avoidance and reduced capacity.
This is not a wellness story – it’s a data story. And it points to a layer of women’s health that has been consistently underinstrumented.
Véa is an neuroscience-backed AI journal that uses semantic embeddings and a state classifier trained on emotional data to read language the way a clinician might – not for keywords but for interpretive patterns.
Each entry is stored as an emotional vector, building a longitudinal map of how a user’s inner state shifts over time.
That is what made this dataset possible.
What the Data Shows
Mental load is often described in domestic terms – the remembering, the planning, the anticipating. But in practice it is also deeply interpretive.
It lives in the ongoing internal work of pre-empting what might go wrong, reading emotional atmospheres, managing self-presentation and correcting internally before anything external has even happened.
That is not just emotional strain. It is a form of continuous cognitive expenditure.
To make that visible, Véa analysed 101,000 anonymously journalled words across 150+ beta testers over 6 months.
These were not a homogenous group: new mothers, neurodivergent women, career-switchers, high performers navigating demanding roles – different lives, different pressures, same underlying patterns.
That breadth matters – it means what we found is not a niche signal. It is structural.
Across that dataset, Véa identified more than 3,000 separate instances of cognitive distortions – recurring interpretive patterns that emerge under pressure.
The five most frequently detected were overgeneralisation, fortune-telling, “should” statements, catastrophising and black-and-white thinking.
On paper these may sound like standard CBT terminology. But taken together they reveal something more significant than stress.
They show that a large part of women’s mental and emotional load is not only what women are carrying externally – it is how rapidly and repeatedly that load gets cognitively organised into threat, failure and self-correction.
What drains women is not just the event. It is the meaning-making around the event.
The Cost of Cognitive Distortions
Overgeneralisation: when one setback becomes a self-story
The most frequent pattern was overgeneralisation: turning one event into a broader conclusion.
One awkward meeting becomes “I’m not good enough”. One rejection becomes “this always happens to me”.
Under stress, the prefrontal cortex loses flexibility, making it harder to hold context and alternative interpretations.
The brain defaults to faster, simplified conclusions, often collapsing a single event into a broader narrative.
For high-performing women, this matters because it directly affects risk-taking and recovery. If one setback becomes a signal of incompetence, the cost of visibility increases.
This aligns with workplace data showing women are more likely to self-deselect from opportunities after negative feedback or perceived underperformance.
Overgeneralisation is not just negative thinking. It is a reduction in cognitive flexibility that limits forward movement.
Fortune-telling: managing problems before they exist
The second pattern was: predicting negative outcomes without evidence, e.g. “It’s going to go badly” or “They’re not going to respond” when you have no facts to back that up.
The brain operates on predictive models, continuously forecasting outcomes.
Under stress, these predictions become threat-biased and less accurate, prioritising avoidance over exploration.
For women, this overlaps with documented anticipatory mental load – the cognitive work of planning, monitoring and pre-empting problems.
The result is inefficiency: energy is spent solving for outcomes that have not occurred.
For high performers, this reduces focus, presence and execution quality because attention is allocated to imagined scenarios rather than current tasks.
“Should” statements: the language of self-surveillance
“Should” statements reflect top-down self-monitoring where behaviour is continuously evaluated against internalised standards. Under sustained pressure, this shifts from regulation to self-criticism, increasing cognitive load.
For women, these standards are often compounded. Performance, emotional regulation and relational behaviour are all being evaluated simultaneously.
Workplace data shows women face higher expectations to balance competence with likability and are more likely to experience competence-based microaggressions.
This creates a loop of self-surveillance, splitting attention between doing and evaluating.
That split is cognitively expensive.
Catastrophising: when the system defaults to threat
Catastrophising reflects rapid escalation to worst-case scenarios.
Under cognitive load, the brain shifts toward amygdala-driven threat processing, reducing the ability to hold ambiguity and increasing urgency-based interpretation.
For high-performing women managing multiple demands, even small uncertainties can trigger escalation because they are processed on top of existing load.
The outcome is distorted prioritisation. Attention is redirected toward perceived threats rather than actual strategic work.
Black-and-white thinking: the rigidity behind perfection
The final major pattern was black-and-white thinking: interpreting situations in binaries, e.g “I’m either doing well or failing”.
It reflects reduced cognitive flexibility, a key function of the prefrontal cortex that allows for nuance and adaptive thinking.
It makes recovery harder and leaves very little room for partial progress, mixed feelings or ordinary human inconsistency.
For high-performing women, this often intersects with perfection pressure. Partial progress is discounted and anything below optimal performance is interpreted as failure.
This creates rigidity. It limits iteration, slows decision-making and makes sustained performance harder, not better.
What This Actually Means
Clinical surveys can tell you a woman is stressed. Journalling treated as longitudinal data tells you something different – it shows you how that stress is being interpreted, repeated and compounded over time.
A survey captures a moment. Language tracked across weeks and months captures a pattern.
That distinction is what makes this dataset structurally different from existing research: it surfaces the cognitive layer that self-report instruments are not designed to reach.
For corporate health and wellbeing
These patterns do not stay at home.
Overgeneralisation after a difficult meeting, fortune-telling before a high-stakes presentation, black-and-white thinking under performance pressure – these are showing up in the workplace every day, invisibly.
For organisations investing in women’s development and retention, this data reframes the conversation.
It is not enough to offer resilience training or mental health days.
The question is whether your wellbeing infrastructure is designed to address the interpretive load that sits underneath performance and whether the interventions you offer are actually built around how women experience that load.
Because that is where capacity is actually being lost.
For clinical and health frameworks
The most widely used depression screener in the world is nine questions long. It captures a snapshot.
What longitudinal language data offers is something clinical instruments have never been designed to provide – continuity.
A running record of how cognitive patterns shift, accumulate and respond to pressure over time, before they become a diagnosis.
That has real implications for how we screen, how we intervene early and how we build a picture of women’s mental health that goes beyond the biological and into the cognitive.
Wellness
Welsh Government urged to invest in breast cancer services

The Welsh Government has been urged to invest in breast cancer services after figures showed continuing delays in diagnosis and treatment.
Breast Cancer Now said the target for 75 per cent of patients to be seen within 62 days of initial referral has been met only three times since the Suspected Cancer Pathway was introduced in 2020.
The latest figures, published on July 23, showed that 172 patients, or 60 per cent, were seen within 62 days of being initially referred.
The charity said performance varied widely between health boards.
Melanie Sturtevant, associate director of policy, evidence and influencing at Breast Cancer Now, said: “We have a bold vision that by 2050, everyone diagnosed with breast cancer, lives and lives well, but to see this become reality in Wales we need real action and ambition from the new government for quicker and earlier diagnosis of breast cancer to save and improve lives.
“We’re ready to work with the new government to ensure people in Wales are diagnosed quicker and start treatment faster through reduced waiting times, and earlier with improved breast screening uptake through a breast screening awareness campaign, and provision of more convenient, flexible access to breast screening services.”
Breast Cancer Now called on the Welsh Government to invest in improving waiting times and warned of what it described as “complacency” in Wales.
It said health boards need greater support to identify and address the underlying causes of delays and measure performance at key stages of the cancer pathway.
The charity also urged the new government to prioritise earlier diagnosis by improving participation in NHS breast screening.
It called for Wales to meet the minimum screening uptake standard of 70 per cent and aim for the achievable standard of 80 per cent.
The charity said the NHS breast screening uptake target has been missed in Wales for the past seven years.
Breast cancer is the most common cancer among women in Wales, with 2,800 people diagnosed each year.
The number is projected to rise by 23 per cent to 3,449 cases by 2035.
Breast Cancer Now said urgent action was therefore needed from the new Welsh Government to make early diagnosis a priority.
In response, the Welsh Government said: “We recognise that performance against cancer waiting times is not where we want it to be which is why, as a new Government, we are taking decisive action on cancer by developing a 10-year National Cancer Strategy to transform the way the health service prevents, diagnoses, and treats the disease.
“The strategy will set out an ambitious vision for cancer care in Wales. This will include emphasis on earlier diagnosis of cancer, including breast cancer.
“Optimal pathways of care for all types of cancer will be developed in partnership with patients and clinical experts to ensure that modern, evidence-based care is available wherever a person lives in Wales.
“In the meantime, NHS Performance and Improvement is working with health boards in Wales to improve cancer waiting time performance.”
Pregnancy
Hospital admissions for ectopic pregnancy rising in England, study suggests

Ectopic pregnancy admissions have risen in England since 2021, according to a 20-year analysis of NHS data.
Women in the most deprived areas had more than twice the admission rate of those living in the least deprived communities.
The study was the first 20-year national analysis of NHS England data on the issue.
Dr Nicola Tempest, academic clinical lecturer in the University of Liverpool’s Department of Women’s and Children’s Health, said: “Pregnancy loss affects millions of women worldwide, yet we know surprisingly little about how its prevalence and impact has changed over time.
“Our research shows that admissions for ectopic pregnancy have continued to rise despite declining birth rates, highlighting an ongoing demand for NHS services.
“Women from the most deprived areas consistently experienced much higher admission rates for both miscarriage and ectopic pregnancy, underlining persistent health inequalities.
“Pregnancy loss should be recognised as a major women’s health research priority so we can better understand its causes and develop services that meet women’s needs and address the risk factors that are contributing to these rates.
“Importantly, research must address one of the most common and deeply personal questions women ask after pregnancy loss: ‘Why did this happen to me?’”
Ectopic pregnancy is one of the most common early pregnancy complications, with an estimated 11,000 hospital admissions each year, or around one in every 90 pregnancies.
It occurs when a fertilised egg implants outside the womb. Ectopic pregnancies result in pregnancy loss and can put the mother’s health at risk if the pregnancy continues.
Researchers at the University of Liverpool analysed hospital and maternity services data collected between 2004 and 2024.
Admissions rose significantly from 2004 to 2012, increasing by an average of around three per cent each year.
Rates remained broadly stable from 2012 to 2021 before rising significantly again.
Since 2021, admissions have increased by an average of more than four per cent a year.
The researchers said the recent rise may reflect demographic changes, including women having children later and higher rates of risk factors such as obesity.
Disruption to hospital and maternity services during the Covid-19 pandemic may also have contributed.
The study also found that miscarriage admissions fell significantly between 2018 and 2021. They rose modestly in subsequent years, although the increase was not statistically significant.
A result is statistically significant when researchers consider it unlikely to have occurred through chance alone.
For more than a decade, women in the most deprived communities had more than twice the hospital admission rate for miscarriage and ectopic pregnancy compared with those in the least deprived areas.
The researchers pointed to preventable inequalities in health, risk factors and access to care as likely contributors.
Tempest said: “These findings show that where a woman lives continues to have a profound influence on her reproductive health outcomes.
“Ultimately, reducing these inequalities will require an equity-focused approach that combines high-quality clinical care with prevention, education and services designed around the needs of the communities most at risk.
“Behind every admission for pregnancy loss, there is a woman, a family and an unanswered question, our aim and mission is not only to improve the care but also to understand and prevent it.”
Wellness
Parenthood impacts women’s health more than men’s, research finds

Parenthood is associated with changes in women’s health that are not seen in men, including reduced exercise and differences in wellbeing, new research has revealed.
Men’s health indicators varied only slightly depending on whether they were fathers, while the number and age of children were linked to changes in women’s health.
Anna Barbuscia, of the OPIK research group at the EHU-University of the Basque Country, said sharing parental responsibilities more equally could help reduce these differences.
Having children can bring significant biological, psychological and social changes, but the study found that the effects varied considerably between women and men.
Barbuscia said: “Having children has greater consequences for the health of the mother, both in the short and long term.
“This is not only because of the biological changes as a result of the pregnancy and birth, but also the psychological consequences. Our findings show a significant gender gap.”
The study, carried out by the OPIK research group, examined the relationship between motherhood and fatherhood and several health indicators.
These included psychological wellbeing, perceived health, physical exercise, alcohol consumption and smoking.
The researchers also considered whether the number and age of participants’ children influenced these indicators.
“It was observed that, in men, neither the fact of being a father, nor family characteristics, affected the health indicators. All parameters remained practically the same,” said Barbuscia.
The findings showed a different pattern among women, with the number and age of their children associated with changes in health and wellbeing.
Mothers with only one child and those with adolescent children reported more depressive symptoms.
Women living with two or more young children reported a better perception of their overall health.
“Caring for younger children usually demands greater physical effort, which may result in increased tiredness and poorer quality sleep.
“Adolescence, on the other hand, has traditionally been considered the most stressful phase for both mothers and fathers,” Barbuscia said.
The study also found a significant gender difference in physical activity.
Women generally did less regular physical exercise than men, and the gap widened when they had children.
“Only 16 per cent of mothers with young children do regular exercise, compared to 30 per cent of women who do not have children.
“In men, however, again, there was scarcely any difference between those who are fathers and those who are not,” Barbuscia said.
“This all indicates that maternity reduces the time available for personal care, which has an impact on a habit as important for health as physical activity.”
Barbuscia said the findings should be considered when designing family policies and planning healthcare services.
“Facilitating work-family balance is not enough. It is also necessary to ensure that mothers have time to look after their own health and wellbeing. Investing in this time is investing in health.”
She added that sharing parental responsibilities more equally between mothers and fathers could help reduce the inequalities observed.
“If we want to build healthy families and encourage people to have children, we need to start by ensuring that raising children does not have such an unequal impact on men and women.”
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