Under Pressure: Confronting the Epidemic of Stress and Anxiety in Girls
Helps parents, teachers and mentors tell healthy stress from harmful anxiety in girls, and shows what to say about avoided fears, shyness, bad grades, sexual harassment and the pressure to always say yes.

Table of Content
1. Introduction
1 min 03 sec
Most adults assume that a stressed, anxious girl needs her stress taken away. In Under Pressure, clinical psychologist Lisa Damour argues nearly the opposite: some stress makes girls stronger, and the real risk often lies in how adults respond to it. She wrote the book because, in recent years, stress and anxiety levels in girls have climbed sharply. Girls face pressures at home, at school and in the wider culture that boys largely escape.
Damour’s case is that the grown-ups in a girl’s life can soften most of that damage. They can learn to tell healthy pressure from harmful pressure. They can help girls face what scares them. And they can challenge the messages that teach girls to doubt their ability, blame themselves and never refuse a request. You’ll meet a teenager dreading a chemistry test, a cautious ten-year-old, a gymnast who could not quit and a room of girls describing what boys do to them at school. Each story ends with words a parent, teacher or mentor can use.
2. Tell good stress from the harmful kind
1 min 56 sec
The same broken arm can make one girl tougher and seriously shake another. What separates them has surprisingly little to do with the injury, and it changes how adults should read a worried child.
3. Walk toward the fear instead of around it
1 min 50 sec
A tearful teenager begged for a way out of a chemistry exam, and getting her excused would have been easy. Damour refused, and what happened next shows why the kind-looking rescue backfires.
4. Give a shy child time for second thoughts
1 min 57 sec
Worried parents arrived convinced their quiet daughter had social anxiety. Damour saw no disorder at all, only a temperament researchers can spot in babies, and a simple way to let it work in her favor.
5. Turn a bad grade into a next step
1 min 45 sec
Girls now beat boys at almost every stage of education, yet they are the ones who say school stresses them out. The gap comes down to how each reads a report card.
6. Make sure she never carries the blame
1 min 49 sec
A group of teenage girls at an all-girls school described what boys do to them every day. Their psychologist noticed that many of them were unsure whether the harassment was their own fault, and one girl wondered if wearing leggings had invited it.
7. Teach her that no is an acceptable answer
1 min 48 sec
A talented gymnast decided to quit, then found herself training longer hours and coaching younger children too. Her sleepless nights reveal a double standard most adults reinforce without noticing.
8. Conclusion
1 min 16 sec
Under Pressure keeps returning to one figure: the adult standing next to the girl. In Damour’s account, pressure is part of growing up, and some of it builds strength. Whether it becomes lasting anxiety often depends on what that adult does next. Rescue a girl from a test and the fear grows. Call her shyness a disorder, treat her grades as verdicts, stay silent about harassment or frown when she refuses a request, and the adult has added to the weight she carries.
Damour also asks adults to keep their own fears in proportion. Endless news and clickbait can make it sound as though teenage girls are in crisis and everything is getting worse. Yet research she cites shows that today’s teens experiment less with drugs, alcohol and smoking, have less casual sex, and wear seatbelts and bike helmets more often. Your teenager may well behave better than you did.
Pick one moment this week. When a girl wants to escape something that scares her, help her take one small step toward it. When a grade upsets her, call it a snapshot of what she knows today. When she turns down a request, make sure she hears no disapproval from you.
Girls will always face pressure. What they need is an adult beside them who is not afraid of it.
About this book
What is this book about?
Girls are reporting far more stress and anxiety than before, and the adults around them often can't tell whether to step in, back off or worry more. Clinical psychologist Lisa Damour starts from a reassuring point: some stress helps girls grow, and anxiety is a useful alarm. The trouble starts when the alarm rings all day, or when a girl lacks the support to handle what she is facing. Damour draws on her work with girls and families. There's Jamie, a teenager desperate to skip a chemistry test, and Alina, a cautious ten-year-old whose parents feared she was socially anxious. There's Nicki, a gymnast who could not say no to her coach, and a group of teenagers at an all-girls school who described being harassed by boys in their daily lives. Each case shows how a well-meant adult response can feed a girl's anxiety, or ease it. Readers get specific language and steps. They learn how to help a girl take small steps toward a fear, give a shy child time to reconsider, explain a bad grade as a snapshot rather than a verdict, open a conversation about harassment and teach that refusing a request is acceptable.
Book Information
Who it's for
Parents of daughters
Parents of daughters who seem constantly worried, shy or overloaded and want to know when to step in.
Teachers, coaches and counselors
Teachers, coaches and school counselors who see girls crumble over grades or struggle to refuse requests.
Mentors of teenage girls
Mentors who want the right words for talking with a teenage girl about harassment.
About the Author
Lisa Damour
Lisa Damour, PhD, is an American clinical psychologist who focuses on adolescent development and mental health. She contributes to the New York Times and CBS News, appears regularly on CBS Mornings and hosts the Ask Lisa podcast. She has three New York Times bestsellers: Untangled, Under Pressure and The Emotional Lives of Teenagers. She has also worked with UNICEF and was a consultant to Pixar on the film Inside Out 2.
Ratings & Reviews
Ratings at a glance
What people think
Listeners find the material very informative, as one listener points out how it successfully bridges the gap between practical advice and research support. The book also receives praise for its readability, particularly among parents of girls and teenagers. Listeners also value how the text helps them frame stress and anxiety healthily, while one listener notes that it offers an authentic window into a girl's world.
Top reviews
This book is essentially the manual I wish I had five years ago. Damour does an incredible job of reframing stress not as a monster to be avoided, but as a functional tool for growth and resilience. I particularly loved the 'glitter jar' analogy for calming a frantic teenage brain; it's a simple, visual tactic that actually works during a meltdown. While the book definitely leans toward a specific demographic of high-achieving girls, the core psychological principles regarding anxiety are universal. The way she explains how girls often trade confidence for a 'slavish' work ethic hit home for both me and my daughter. It’s readable, backed by solid research, and offers actionable strategies rather than just vague platitudes about 'being there' for your kid. If you’re raising a girl in this high-pressure culture, this is mandatory reading.
Show moreFinally, a parenting guide that doesn't treat teenage girls like they're made of glass. Damour’s perspective on anxiety is a breath of fresh air; she argues that trying to protect our daughters from all stress actually makes them more fragile in the long run. The book provides a clear roadmap for helping them manage the 'clutch moments' of life without crumbling. I found the advice on female sexuality particularly modern and empowering, focusing on joyful agreement rather than just fear-based 'no' messages. The writing style is accessible and doesn't get bogged down in overly clinical jargon, making it easy to digest after a long day of parenting. It helped me realize that my daughter’s occasional meltdowns aren't necessarily signs of a disorder, but often just a 'brain-full-of-glitter' that needs time to settle. Truly indispensable.
Show moreEver wonder why your daughter is a total wreck after a 'minor' chemistry quiz? This book explains the biology and psychology behind those reactions in a way that actually makes sense. I loved the data showing that team sports help girls appreciate what their bodies can do rather than just how they look. It’s such a simple shift in focus, but it’s so powerful for building self-esteem. The author’s voice is calm and reassuring, which is exactly what a stressed-out parent needs. Not gonna lie, I was skeptical about another 'teen expert' book, but the practical strategies for handling digital drama and late-night texting marathons are gold. It’s a quick read that provides an accurate glimpse into the modern girl’s world. Highly recommend for any parent navigating the high school years.
Show morePicked this up on a whim because my 14-year-old was struggling with the jump to high school, and it was exactly what we needed. Dr. Damour has this way of making you feel like you're having a cup of coffee with a very smart friend who just happens to be a world-class psychologist. The 'glitter jar' metaphor is now a staple in our house. I appreciated that she doesn't just blame phones for everything, but looks at the underlying need for connection and the pressure to be 'on' 24/7. The writing is snappy and the chapters are organized by 'relational contexts,' which makes it easy to jump to the section you need most. It’s a fresh, relatable take on the age-old problems of growing up. My daughter even read a few sections and felt seen, which is the highest praise a teen can give.
Show moreAs a middle school educator in a private setting, I found many of Damour’s observations to be hauntingly accurate. She perfectly captures the 'slavish overpreparedness' that leads to burnout in bright young women. The sections on how girls communicate—specifically the 'pillar' versus 'bulldozer' archetypes—provide a fantastic framework for resolving peer conflicts that I’ve already started using in my classroom. To be fair, the book is very much aimed at the upper-middle-class experience, and it misses the mark when it comes to the stressors faced by students from lower-income backgrounds. The brief mention of racial minorities felt a bit tacked on at the end. However, her advice on encouraging team sports over aesthetic-focused activities like dance was a total 'aha' moment for me. It’s a solid resource, even if it has a bit of a blind spot regarding socioeconomic diversity.
Show moreAfter finishing Untangled last year, I wasn't sure if this would offer anything new, but I was pleasantly surprised by the depth here. Damour moves beyond the developmental stages and dives deep into the specific cultural pressures of today—especially the toxic impact of social media and the drive for 'perfection' in every arena. Truth is, some parts felt a bit repetitive if you’ve followed her work before, but the specific focus on school-related anxiety is worth the price alone. She offers a very realistic glimpse into a girl's world, including the way they often prioritize others' feelings over their own needs. I do wish she had addressed non-hetero teens with more than just a passing glance, as their stressors are often unique. Still, as a college counselor, I’ll be recommending several chapters to the parents I work with.
Show moreThe chapter on communication styles was easily the highlight of this book for me. Learning the difference between a 'doormat,' a 'bulldozer,' and a 'pillar' gave my daughter and me a shared language to talk about her friend drama without it turning into a fight between us. Personally, I found the advice on how to handle 'emotional dumping'—where they text you their worst feelings and then move on while you're left worrying—to be a total lifesaver. However, I agree with other reviewers that the book is quite centered on a white, straight, affluent demographic. It would have been a 5-star read if it had more inclusivity. Regardless, the core advice on 'expanding capacity' through managed stress is something every parent can apply, regardless of their background.
Show moreDr. Damour has a real knack for taking complex psychological concepts and making them feel like common sense. I found the 'slavish overpreparedness' section particularly eye-opening; it explains why so many girls work twice as hard as boys but still feel less confident. To be fair, her advice on sexuality felt a little thin—I’m not sure 'doing what you want' is enough of a compass for a sixteen-year-old—but her overall approach to girlhood is incredibly respectful. The book is very much a product of her work in elite private schools, so there’s a certain level of privilege baked into every chapter. If you can look past that, the strategies for building resilience and managing the 'daily grind' of school are excellent. It's a solid 4-star read that offers a lot of peace of mind.
Show moreWhile I appreciated the central thesis that we shouldn't 'pathologize' normal teenage stress, I struggled with how narrow this book's focus is. It feels specifically written for wealthy, white families aiming for the Ivy League. If your daughter is dealing with real-world financial stressors or doesn't fit the 'high-powered elite' mold, you might find large chunks of this irrelevant. Frankly, the section on diversity felt like a token gesture rather than a deep dive into how different backgrounds affect anxiety. That said, the distinction between healthy stress that builds 'muscle' and toxic anxiety that paralyzes is a vital one. I also liked the practical tips for managing digital lives, even if I found her 'transactional' approach to grades a bit disappointing. It’s a useful tool for a very specific subset of parents, but it's far from a universal guide.
Show moreLook, if you aren't part of the top 1% or obsessing over Harvard admissions, this book might leave you feeling invisible. My biggest gripe is the frankly transactional way Damour suggests parents talk about grades—calculating the bare minimum for an A rather than fostering a genuine love of learning. It feels like she’s just coaching girls on how to win a rigged game rather than questioning the game itself. The lack of attention to socioeconomic stressors is glaring; there is zero mention of kids who can't afford the 'ski trips' or the latest tech that she assumes all girls are using. The section on racial minorities is a lame addendum that lacks any real insight. It’s a very 'private school' perspective that ignores the reality of most families. While there are a few nuggets about 'settling the glitter,' they don't outweigh the elitist tone of the rest of the book.
Show moreQuestions about this book
What is the main idea of Under Pressure by Lisa Damour?
Damour argues that stress and anxiety in girls are not always unhealthy. Some stress builds resilience, and anxiety can be a useful alarm. It becomes harmful when the alarm rings too often or a girl lacks the resources to cope. Adults help most by guiding girls toward their fears and by countering messages about grades, blame and always being agreeable.
How should parents respond when a girl wants to avoid something that makes her anxious?
Damour advises helping her approach the fear rather than escape it. Avoidance brings quick relief, but the anxiety returns and can harden into a phobia. When a teenager named Jamie wanted to skip a chemistry test, Damour suggested extra help from her teacher and online tutorials instead. Jamie took the test, did poorly, and still felt better afterward.
Why do girls worry more about grades than boys, according to Under Pressure?
Research Damour cites finds that girls weigh teachers’ feedback more heavily and see grades as a measure of their ability, so a bad mark feels like a verdict. Boys tend to blame poor grades on lack of effort. Damour suggests telling girls a test shows only what they understand that day, and that hard work can improve the next result.
What does Lisa Damour recommend saying to a girl about sexual harassment?
Ask how boys treat her and whether they show her respect. If she shares something degrading, tell her you are glad she told you and that you will help. If she does not want to talk, tell her harassment is common, that the shame belongs only to the harasser, and that she will never regret asking for your help.
Who should read Under Pressure?
It suits parents, teachers, coaches and mentors of girls, especially those dealing with a worried, shy or overcommitted child. It offers concrete language for common moments: a feared exam, a declined party invitation, a disappointing grade, a story of harassment and a request she wants to refuse. It also reminds adults that teens today are comparatively safe.
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