How Abuse Effects Children and Teenagers

Many abuse victims face a profound internal conflict when considering leaving their abusive partners, particularly when children are involved. The fear of disrupting family dynamics often weighs heavily on their decisions. They may believe that staying in an abusive environment will provide more stability for their children than the uncertainty of a split family.

Concerns about how children will be treated in their absence, or what they may experience during legal proceedings, add to this burden. Abusive partners may manipulate the victim's perceptions, convincing them that they are an unfit parent and threatening to seek custody if they take any legal action. This psychological manipulation can create a sense of helplessness, making it difficult for victims to envision a way out that would not jeopardize their children's well-being.

Ultimately, the decision to stay or leave is complex and often influenced by fear, love, and a desire to protect the children from further harm, even if that harm comes in the form of emotional distress or trauma in the current environment. It is crucial to seek support and guidance from professionals who understand the intricacies of domestic abuse and custody issues to help navigate these difficult choices.

Leaving an abusive relationship, particularly when children are involved, presents complex challenges and emotional turmoil. Many parents feel trapped by the shared responsibilities and fear of the aftermath for their children. However, recognizing the detrimental effects of domestic violence on children can serve as a powerful incentive to escape such situations.

Children exposed to domestic violence often face a range of psychological and emotional challenges. They may experience anxiety, depression, and a distorted sense of safety and trust. Witnessing abuse can lead to behavioral issues and difficulty forming healthy relationships in the future. Being exposed to abuse will impact your children in some form, even if they cannot remember the events.

Furthermore, living in a violent home can affect a child's academic performance and social interactions, leading to isolation and difficulties in school. It's crucial to acknowledge that the well-being of children is often at stake, and leaving an abusive environment may ultimately provide a safer and healthier upbringing.

While the decision to leave may lead to fear and uncertainty, it can also be a critical step toward breaking the cycle of abuse and creating a more stable environment for you and your children.

Effects of Children Witnessing Abuse

Approximately 15.5 million American children were estimated to live in families in which partner violence had occurred at least once in the previous year. (McDonald, 2021)

Young children who have been exposed to domestic violence risk very noticeable side effects such as:

  • bed wetting

  • thumb sucking

  • increased crying

  • difficulty falling/staying asleep

  • signs of terror, such as shaking, staying quiet, or hiding

  • signs of severe separation anxiety.

As children grow older they may experience:

  • guilt about the abuse and blame themselves for their abuser’s actions

  • low self-esteem

  • lack of participation in school activities/isolation during times of socialization

  • lower grades in class

  • fewer friends than others

  • getting into trouble more often

  • physical symptoms such as headaches/stomachaches/panic attacks/etc.

Teens can behave differently, which can lead to these behaviors:

  • Fighting with family members

  • Skipping school or extracurricular activities

  • Easily distracted and cannot stay focused on their tasks

  • Messy rooms from lack of energy/depressive symptoms

  • Risky behaviors, such as having unprotected sex or using alcohol or drugs to cope with emotions

  • Low self-esteem - possibly stemming from depression or other mental illnesses

  • Having trouble making new friends or keeping in contact with their current ones

  • Contributing to fights or bullying others physically/verbally

  • Breaking rules at home/school or in severe cases, breaking the law

  • Mental illnesses such as anxiety, depression or PTSD are common

(OASH, 2021)

Children from violent homes have higher risks of alcohol/drug abuse, post-traumatic stress disorder, and juvenile delinquency. Witnessing domestic violence is the single best predictor of juvenile delinquency and adult criminality. It is also the number one reason children run away. (Sudbury-Wayward-Lincoln, 2019)

Signs of depression, anxiety, PTSD, and other mental illnesses can manifest in children in various ways, affecting both their emotional and physical well-being. Understanding these signs is crucial for early identification and intervention.

Children and teenagers exposed to domestic violence often face significant mental health challenges, both during and after their experiences. The trauma can manifest in various ways, sometimes it may take years to surface.

Professional help is often necessary to address these complex issues. Working with mental health counselors or other medical professionals can provide valuable support to your child and family. Therapists may offer insights into effective personalized strategies for helping your child cope and heal.

It is essential to be vigilant for warning signs that may indicate your child is experiencing anxiety, depression, or post-traumatic stress disorder (PTSD). Early awareness and action can significantly improve outcomes for children and teens affected by domestic violence.


PTSD can only be diagnosed by a licensed professional; however, it is important to know the symptoms to look for. If your child experiences any of the following symptoms, it may indicate the need to contact your pediatrician for further information.

  • Understanding the signs of Post-Traumatic Stress Disorder (PTSD) in young children is crucial for early identification and support. Here are some common indicators:

    1. Behavioral Changes

    • Increased Aggression: Young children may exhibit heightened irritability or aggressive behavior, including hitting or yelling.

    • Reversal of Development: Skills such as potty training or speaking may regress.

    • Clinginess: A sudden increase in dependence on caregivers can occur, with the child becoming excessively attached.

    2. Emotional Responses

    • Frequent Crying: Children may display unexpected or intense crying spells.

    • Fearfulness: Heightened fears about separation or new situations; children may become easily startled.

    • Tearfulness or Sadness: Persistent sadness or symptoms of depression can emerge.

    3. Play Patterns

    • Repetitive Play: Children may reenact traumatic events or express themes of trauma during playtime.

    • Avoidance of Certain Activities: A reluctance or refusal to engage in activities that remind them of the trauma may be evident.

    4. Sleep Disturbances

    • Nightmares: Frequent nightmares or trouble falling asleep at night can be a sign of distress.

    • Sleepwalking: In some cases, sleepwalking may occur due to anxiety.

    5. Physical Symptoms

    • Somatic Complaints: Complaints of stomachaches, headaches, or other physical symptoms without a clear medical cause can arise.

    • Changes in Appetite: A noticeable increase or decrease in eating habits may be observed.

    6. Withdrawal

    • Social Withdrawal: A child may become less interested in playing with peers or engaging in group activities.

    • Reduced Communication: A noticeable drop in verbal communication or a lack of sharing thoughts and feelings.

    Recognizing these signs early can help caregivers and professionals provide the necessary support for children affected by trauma. If concerns about PTSD arise, consulting with a child psychologist or a mental health professional is recommended for appropriate intervention.

    (Veterans Affairs, 2019)

  • Post-Traumatic Stress Disorder (PTSD) can significantly impact children aged 5 to 12, manifesting in various emotional, behavioral, and physical symptoms.

    Emotional Symptoms

    • Anxiety: Children may exhibit excessive worry or fear about potential dangers.

    • Sadness: Persistent feelings of sadness or hopelessness can occur, affecting a child's ability to engage in everyday activities.

    • Irritability: Increased anger or frustration can lead to conflicts with peers and family members.

    Behavioral Symptoms

    • Reenactment of Trauma: Children may frequently reenact traumatic events through play, drawing, or stories, reflecting their unresolved emotions.

    • Avoidance: They might avoid places, people, or activities that remind them of the trauma, limiting their social interactions and experiences.

    • Regression: Some may revert to earlier developmental stages, such as bedwetting or thumb-sucking, as a coping mechanism.

    Physical Symptoms

    • Sleep Disturbances: Nightmares, insomnia, or frequent daytime fatigue can disrupt a child's ability to rest.

    • Somatic Complaints: Physical symptoms such as stomachaches or headaches without a medical cause may arise as expressions of psychological distress.

    Cognitive Symptoms

    • Difficulty Concentrating: Challenges in focusing on tasks in school or at home may hinder academic performance and daily functioning.

    • Negative Thoughts: They may develop negative beliefs about themselves or the world.

    Social Symptoms

    • Social Withdrawal: Children may isolate themselves from friends and family, impacting relationships and support systems.

    • Trust Issues: Difficulties in forming or maintaining relationships can arise.

    Recognizing these symptoms early is crucial for timely intervention and support. Professional help, including therapy and counseling, can greatly assist children in processing their trauma and establishing healthier coping mechanisms.

    (Veterans Affairs, 2019)

  • Symptoms in teenagers may manifest as:

    Post-Traumatic Stress Disorder (PTSD) can have profound and varied side effects on teens, impacting their emotional, psychological, and physical well-being. Understanding these effects is crucial for parents, caregivers, and educators to provide appropriate support.

    Emotional and Psychological Side Effects

    1. Anxiety and Panic Attacks
      Teens with PTSD often experience heightened anxiety levels, which may manifest as panic attacks. They may fear situations that remind them of the traumatic event.

    2. Depression
      Persistent feelings of sadness, hopelessness, or emptiness are common. Teens may lose interest in activities they once enjoyed, affecting their overall quality of life.

    3. Irritability and Anger
      Mood swings and irritability can lead to conflicts with peers, family members, and authority figures. Some may exhibit aggressive behavior as a coping mechanism.

    4. Flashbacks and Intrusive Thoughts
      Recurrent, involuntary memories or flashbacks of the traumatic event can disrupt daily life and create a persistent sense of distress.

    5. Dissociation
      Some teens may feel detached from themselves or their surroundings during or after a traumatic event. This can manifest as memory loss or a sense of unreality of their body/self.

    Behavioral Changes

    1. Withdrawal
      A common response is social withdrawal, where the individual may isolate themselves from friends and family, leading to further feelings of loneliness.

    2. Changes in Academic Performance
      Concentration and memory may decline, resulting in poorer school performance. Motivation may decrease, and a lack of interest in academic pursuits can often follow.

    3. Risky Behaviors
      Engaging in reckless activities, substance abuse, or self-harm can occur as a way to cope with emotional pain or numbness.

    4. Changes in Sleep Patterns
      Sleep disturbances, including insomnia or frequent nightmares, are prevalent, often exacerbating other symptoms of PTSD.

    Physical Health Effects

    1. Chronic Pain or Headaches
      Some adolescents with PTSD report physical symptoms like unexplained pain or tension headaches, which may be a responses to stress.

    2. Gastrointestinal Issues
      Stress and anxiety can lead to stomach pains, nausea, or other digestive problems affecting their overall health.

    3. Fatigue
      Ongoing emotional distress can manifest as severe fatigue, making it difficult to engage in daily activities.

    Awareness of the side effects of PTSD in teens is essential for early intervention and support. By recognizing these signs, caregivers and professionals can foster an environment that encourages healing and resilience. Understanding that each teen may respond differently is crucial, as tailored approaches can significantly impact their recovery journey.

    Attempting to suppress traumatic memories without addressing them may lead to an increase in symptoms over time. Instead, teaching children coping strategies and helping them learn to coexist with their experiences can foster long-term healing.

    Helpful Actions for Support

    To assist your child in their recovery, consider the following approaches:

    • Open lines of communication to discuss feelings and experiences without them getting in trouble

    • Provide a stable and safe environment

    • Encourage routines to promote a sense of normalcy

    • Engage in activities that foster trust and connection

    • Seek professional help when needed

    (Veterans Affairs, 2019)


Teenagers Experiencing Abuse

Teens experience various forms of abuse in relationships, including emotional, physical, and even digital abuse. It is essential to recognize that abuse can occur in any relationship, whether it is romantic or platonic. Signs of abusive relationships with teenagers are often like those seen in adults.

Emotional abuse often manifests through manipulation, intimidation, or verbal attacks. This type of abuse can significantly impact a teen's self-esteem and mental health. Victims may feel isolated, anxious, or fearful, making it challenging for them to seek help.

Physical abuse includes any form of physical harm. While some indicators may be visible, such as unexplained bruises or scars, other signs can be subtle and may not leave any physical marks at all.

Digital abuse is increasingly concerning, as it encompasses harassment or control through technology. This can involve constant texting, tracking locations, or sharing private information without consent.

Awareness and education can empower teens to stand against abuse and promote healthier relationship dynamics among their peers.

Stay vigilant if you suspect your teenager is involved in an abusive relationship. Work with a mental health professional to ensure you help them out of the relationship properly. Regularly check in with your teenager to create an open dialogue about their feelings and experiences. It is important to be aware of any signs of self-harm, as they may be using such behaviors as a coping mechanism. Encourage healthy coping strategies and let them know they can share their feelings without judgment. Supporting your teenager through this challenging time is crucial for their well-being.

Teach Teens How to Avoid Abusive Relationships

Recognizing the signs of an unhealthy relationship is crucial for teenagers.

Here are some key points to help them identify and avoid abusive dynamics:

Understanding Healthy vs. Unhealthy Relationships

  • Healthy Relationships: These important connections are built on a foundation of mutual respect, trust, and open communication between partners. In such relationships, individuals support one another’s personal goals, aspirations, and feelings, fostering a sense of safety.

  • Unhealthy Relationships: These connections are often characterized by elements of control, fear, manipulation, or a sense of disrespect. In such dynamics, one partner may consistently dismiss the feelings and thoughts of the other, leading to emotional distress. Additionally, they may isolate their partner from friends, family, and supportive networks, further deepening the sense of loneliness and dependency.

Signs of Abuse

  1. Control: One partner excessively dictates what the other can do or who they can see.

  2. Jealousy: Intense jealousy that leads to accusations and demands for proof of loyalty.

  3. Manipulation: Guilt-tripping or using emotional blackmail to influence decisions.

  4. Intimidation: Threats of physical harm or emotional distress to instill fear.

  5. Gaslighting: Making someone question their reality or feelings, causing confusion and self-doubt.

Building Support Systems

Trusted Adults: Encourage teens to identify trusted adults they can turn to for guidance. This could be parents, teachers, or mentors. If your teen does not see you as a trusted adult, think of ways you can build that trust between you.

Peer Support: Highlight the value of friendships and peer networks where teens can share experiences and support each other in maintaining healthy relationships.

Educate on Important Topics:

  • Model and teach about what a healthy and supportive relationship is for your child, demonstrating the important values of communication, respect, and teamwork in your relationship.

  • Teach them about the various red flags that can appear in relationships, as recognizing these signs is essential for maintaining healthy connections. Understanding these warning signs can empower individuals to make informed decisions about their partnerships and prioritize their well-being.

  • Provide them with a secure and welcoming space where they feel comfortable and encouraged to express their thoughts and feelings to you, free from any fear of judgment or negative repercussions.

  • Boundaries are essential elements of our personal space and emotional well-being. They help define what we consider acceptable in our interactions with others. When these boundaries are compromised, whether intentionally or unintentionally, it is important to address the situation thoughtfully. Communicating openly about your feelings regarding the breach can encourage understanding and foster respect in the relationship.

  • Consent is a fundamental aspect of any relationship. Whether you express your refusal through words like saying no, or by choosing to remain silent, both actions signify a lack of consent to a given situation. It is crucial to recognize that consent must be clear and affirmative. Silence or verbal/physical denial should be respected as indicators that consent is not given.

  • Create a code word to use in texts or calls when someone feels uneasy, so you can pick them up without asking questions.

  • Teach them how to love and appreciate themselves for who they truly are, fostering a sense of self-worth and confidence that can positively impact their overall well-being.

  • It is important to seek professional assistance if necessary. Obtain support from a qualified therapist or psychiatrist who can provide the appropriate help and guidance they may need.

Resources and Information

  • Provide teens with educational materials about healthy relationships, including videos, workshops, books, and other online resources.

  • Encourage participation in community programs focused on relationship education and awareness.

By equipping teens with knowledge and tools, we can help them navigate relationships safely and recognize red flags before they become serious issues. Promoting awareness and open communication paves the way for healthier interactions and stronger self-esteem.


Don’t forget to also prioritize yourself and your health during this challenging time. It is essential to engage in self-care activities that nurture your mind and body. Remember to take care of yourself and ensure that your well-being is a top concern. Your kids need you to be rested, focused, and healthy too.

It isn’t selfish to put your needs as a priority. It is a vital step to ensure you can be there for your family.