 Anti-prostitution feminists argue that prostitution is a practice which leads to serious negative long-term effects for the prostitutes, such as trauma, stress, depression, anxiety, self-medication through alcohol and drug use, eating disorders and a greater risk for self-harm and suicide, as they say prostitution is an exploitative practice, which involves a woman who has sex with customers to whom she is not attracted, and which also routinely exposes the women to psychological, physical and sexual violence.Andrea Dworkin stated her opinions as