ORDER
The opinion filed September 18, 1992 is withdrawn.
B. Rоe pleaded guilty to one count of bank robbery in violation of 18 U.S.C. § 2113(a), and was sentenced under the United States Sentencing Guidelines to 145 months in prison. She appeals her sentence, arguing that the district court erred in refusing to depart downward from her applicable guideline range based on her history of childhood abuse. She also contеnds the court erred in failing to state its reasons for choosing her sentence within the guideline range. We have jurisdiction under 18 U.S.C. § 3742(a)(2) and 28 U.S.C. § 1291.
DISCUSSION
A. Refusal to Depart
The district court concluded that becausе the Sentencing Commission considered the effects of childhood abuse in formulating the guidelines, it could depart on that basis only in extraordinary circumstances.
See United States v. Boshell,
The guidelines do not specifically address the issue of childhood abuse. However, they do provide that “[mjental and emotional conditions are not ordinarily relevant in determining whether a sеntence should be outside the guidelines.” U.S.S.G. § 5H1.3 (1990). Other circuits have held that section 5H1.3 encompasses the psychological effects of abuse.
See United States v. Desormeaux,
In Vela, the defendant contended she was еntitled to a downward departure based on her history of incest and abuse. The district court declined to depart on that ground, holding that it could do so under section 5H1.3 only in extraordinary circumstances. The Fifth Circuit affirmed, stating that:
A defendant’s family history of incest or related treatment which causes defendant to incur a mental or emotional condition that affects criminal conduct, may be a ground for departure in extraordinary circumstances. It is clear that the Sentencing Commission, while leaving open the possibility that the circumstances of a defendant’s mental or emotional condition may be so extraordinary that departure from the guidelines is *1218 proper, did not consider thеse factors relevant in formulating the guidelines.
Id. at 199.
We agree with the Fifth Circuit’s position in
Vela.
The psychological effects of child abuse manifest themselves in a variety of ways. For example, victims of such abuse frequently experience profound feelings of inadequacy, isolation, confusion, low self-esteem, and guilt.
See
Chandler, Knowns and Unknowns in Sexual Abuse of Children, in
Social Work and Child Sexual Abuse,
51, 61-63 (J. Conte & D. Shore eds. 1982). Each of thesе effects constitutes either a mental or emotional condition. Because the Sentencing Commission expressly considered the impact of such conditions in formulating section 5H1.3, we hold that the psychological effects of childhood abuse may only be considered as a basis for departure in extraordinary circumstances.
See Boshell,
Althоugh the district court correctly concluded that the Sentencing Commission considered the psychological effects of childhood abuse in formulating the guidelines, it cleаrly erred in finding that the circumstances of Roe’s abusive childhood were not extraordinary. For much of her youth, Roe lived with her drug-addicted mother and her mother’s boyfriend, who was а narcotics dealer. The record indicates the mother’s boyfriend savagely beat Roe, sometimes as often as once a day, with belts, extension cords, and coat hangers. He also routinely raped and sodomized her. When Roe resisted, she was stripped naked and beaten into submission. On at least one occasion, he forсed Roe to lay naked on the basement steps while he urinated in her mouth. This abuse continued for several years until, at the age of twelve, Roe ran away from home.
Rоe continued to be abused even after she escaped from her mother’s home. Indeed, shortly after she left home, she was taken to Las Vegas by an acquaintanсe and forced to work as a prostitute. While there, she was brutally beaten by a series of pimps, customers, and boyfriends; she has been the victim of similar episodes of abuse for the past fifteen years.
Several medical experts examined Roe prior to sentencing. Each agreed that her history of abuse was exceptional. One psychologist testified that “it seems to be extreme” and “go[es] above and beyond” the type of abuse normally encountered. Another stated that “[h]er history is on the more severe side. I would say she would fit in the upper spectrum of people I have seen in jail. She is not average.” A third reported that Roe’s abuse was so severе she had become “virtually a mindless puppet.”
Based on these facts, we conclude the district court clearly erred in holding that the tragic circumstances of Roе’s abusive upbringing were not extraordinary. We therefore remand to the district court to exercise its discretion in determining whether the exceptional nature of Roe’s histоry of abuse warrants a departure from her applicable guideline range. 1
On remand, the district court may also wish to consider whether Roe’s history of abuse and neglect warrants a departure under our recent decision in
United States v. Floyd,
*1219 B. Reasons for Choosing Roe’s Sentence
The district court is required by 18 U.S.C. § 3553(c)(1) to state its reasons for choosing a sentence within the applicable guideline range if that range exceeds 24 months.
United States v. Upshaw,
The applicable guideline range for a defendant with a criminal history category VI and an offense levеl of 30 is 168 to 210 months. Roe was not sentenced within this range. Instead, she received a two-level downward departure based on coercion and duress, U.S.S.G. § 5K2.12, and was sentenced to 145 months in prison. Because Roe’s sentence fell
outside
her applicable guideline range of 168 to 210 months, section 3553(c)(1) does not apply.
Cf. United States v. Martinez-Gonzalez,
Because the district court departed from Roe’s applicable guideline range, it was required to state “the specific reasons for the imposition of a sentence different from that described.” 18 U.S.C. § 3553(c)(2). At Roe’s sentencing hearing, the court clearly stated its reasons for granting a downward departure for coercion and duress.
Under 5K2.12, the defendant moves under that guideline urging coercion. I accept the truth of the defendant’s versiоn that she was threatened by a male companion and struck before she committed the robbery.... However, the guideline makes extremely clear the reasonableness of the conduct of the defendant is to be taken into consideration in determining the extent of the departure.
The court then found that although Roe had been coerced, her conduct was not entirely reasonable and therefore only entitled her to a two-level departure. This explanation satisfied the requirements of sеction 3553(c)(2).
CONCLUSION
We VACATE Roe’s sentence and REMAND to the district court to exercise its discretion in determining whether Roe is entitled to a downward departure based on her extraordinary history of childhood abuse and neglect. We reject Roe’s contention that the district court improperly failed to state its reasons for choosing her sentenсe under 18 U.S.C. § 3553(c).
Notes
. This decision is not in conflict with our prior decision in
United States v. Morales,