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How Does Abuse Affect Mental Health?

Beverley Stewart • June 18, 2023

How Does Abuse Affect Mental Health?

 

The affects of domestic abuse on a person’s mental health can be debilitating and long term. Every abuse situation is unique, and the ways in which we respond mentally to abuse are also very individualised. Here we look at how abuse can affect mental health while in an abusive relationship, and then how our mental health may be affected after leaving the relationship and starting the process of rebuilding our lives. 


(Some information on Abuse Terminology is found at the end of this article.)


 

Mental Health Issues During an Abusive Relationship

If you have experienced Intimate Partner Violence, you may experience many emotions — anger, confusion, fear, or even a sense of numbness, or an inability to connect with any emotions at all. You could also feel a misplaced sense of shame or guilt over what you’re experiencing.


The trauma associated with Intimate Partner Violence can lead to many psychological problems. These can include: 


  • Anxiety disorders
  • Depression
  • Drug and Alcohol Abuse
  • Poor self esteem
  • Inability to trust / develop future relationships
  • No sexual desire / unsafe sexual behaviour
  • Body image issues
  • Eating disorders (this is an attempt to control one aspect of your life when you feel you have no control elsewhere)
  • Sleep disorders (eg. due to fear, rumination, or anxiety)
  • PTSD (including flashbacks, being easily startled, memory issues, nightmares, angry outbursts or mood swings, severe anxiety, and uncontrollable thoughts and feelings as a result of experiencing trauma.)
  • Suicidal Ideation


While remaining in the abusive relationship, these mental health issues grow and worsen. Although you may attempt to hide the abuse from others, emotional issues such as these can become noticeable to those around you, and they may suspect things are not as they seem.   (Read here about why victims stay in abusive relationships.)


Mental Health Issues After Leaving an Abusive Relationship

It can take considerable time to adjust to an abuse-free life where you can experience a sense of safety. This is especially so if the abuse was carried out over a long period of time. Healing takes patience and persistence. It will require you to draw on all your strengths and resources to rebuild your sense of self. This is a period where a great deal of support is required.



You may need to work on specific aspects of your new life including:


SELF ESTEEM - During the adjustment period, feelings of hopelessness and a general apprehension about the future may be common.  Feelings of low self-worth can be present, and a lack of motivation may be experienced.  Victims also unfortunately often blame themselves for what has occurred and carry a sense of shame.

  

Note:  This is not your fault.  You did nothing to cause the abuse. You are an amazing human being that didn’t deserve what happened to you.


RELATIONSHIPS – You may struggle to trust others, especially in terms of romantic relationships.  Your experience of abuse will make forming new relationships very difficult.  You may find yourself shutting others out because you don’t want anyone getting too close. Relying on others is something you may try to avoid.  Sharing what’s happened with friends and family may be something you also resist.  


Note: Despite how much you don’t want anyone close to you, this is exactly the time you need the support of others.  You don’t have to do this alone, and the emotional support of others will greatly assist you on the road to recovery.


EMPLOYMENT / STUDIES – Your job or education can be difficult while dealing with the associated mental health issues resulting from the abuse.  If you’re experiencing anxiety, depression, trust issues, and a general lack of motivation – daily routines can be an uphill battle.  Cognitive issues such as procrastination, poor concentration, memory problems, decision making, and impacted reasoning skills can all add to the difficulties you might experience. 


Note:  Keep at it.  With every little win you get, your mental health will gradually improve as you come to see how strong and capable you are.


PHYSICAL HEALTH - Research has shown the strong connection between mental health and physical health.  The brain and the gastrointestinal system are intimately connected. When we don’t eat properly, our mental health can be affected via the gut microbiome. Also, depression, hopelessness and a lack of motivation can cause a lack of physical activity. This exacerbates the psychological issues. For example, if you’re feeling depressed you won’t be motivated to exercise. If you don’t exercise your depression may increase. 


Note: Physical activity can bring mental health benefits including elevated mood and reduced stress – so exercise if you can.  Healthy eating will also lead to improved mental health. 


CHILDREN– The mental health of children must also be addressed.  If children were aware of the abuse, their mental health will also be adversely affected.  When a child witnesses intimate partner violence, they themselves are victims of abuse, and this must addressed to minimise long term suffering as children develop and grow into adulthood.  The abusive role modelling demonstrated by parents, can cause children to replicate abuse in their own lives later as they become involved in relationships.


Note:  Your children will need your ongoing support and the support of a professional is also highly recommended.


In The End ....

You need to know that what happened was not you’re fault. You also need to know that you are not alone. The earlier you can get psychological support, the more you prevent long term mental health issues, and the sooner you can start to feel safe and live the life you deserve. 


Crisis Support contact numbers can be found on FAQ page here.


To find out more about Relationship Counselling click here, or go to Contact Page to make an enquiry



NOTES:   Abuse Terminology:


To clarify some terminology in this article the following may be helpful.


ABUSE - The terms “Domestic and Family Abuse”, “Intimate Partner Violence”, “Domestic Violence” ….. are often used interchangeably. According to the AIHW (Australian Institute Health and Welfare) “Domestic Violence” is a set of violent or intimidating behaviours, usually perpetrated by current or former intimate partners, where a partner aims to exert power and control over the other, through fear. The AIHW states that Domestic Violence includes behaviours such as:


  • physical violence (eg, hitting, choking, slapping, kicking and beating, use of weapons)
  • sexual violence (eg, unwanted touching, rape/forced sexual intercourse, and other forms of sexual coercion)
  • emotional/psychological abuse (eg. intimidating, humiliating, insults, belittling, verbal abuse, making threats)
  • coercive control (eg. controlling access to finances, monitoring movements, isolating from friends and family, restricting employment, education or access to medical care).

 

Unfortunately, some in society still only consider it a crime to leave marks on their partners body, and they disregard the scars that can be left on a victim mentally.


VICTIM/SURVIVOR - There can be differences of opinion on whether to use the word “Victim” or “Survivor” when talking about those experiencing abuse. Both terms have their place and serve different purposes. Under federal law, a "victim" means “an individual who suffers direct or threatened physical, financial, or emotional harm as a result of the commission of a crime”. “Victim” is a legal definition necessary within the criminal justice system. “Survivor” is often used elsewhere as a term of empowerment to convey that a person has started the healing process and may have gained a sense of safety in their life.


GENDER – While statistics show that the majority of abuse victims are female, it should be noted that victims can be male, female, and LGBTIQ.

 

The Australian Institute of Family Studies, 2015, reports that People who identify as lesbian, gay, bisexual, trans, intersex or queer (LGBTIQ) experience intimate partner violence at similar rates as those who identify as heterosexual. Unfortunately, there has been less research conducted on this group at this point, so specific statistics are harder to locate.

 

 

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