Child Abuse and Neglect
Recognizing the Signs and Making a Difference
Child abuse is more than bruises and broken bones. While physical abuse might be the most visible, other types of abuse, such as emotional abuse and neglect, also leave deep, lasting scars. The earlier abused children get help, the greater chance they have to heal and break the cycle—rather than perpetuate it. By learning about common signs of abuse and what you can do to intervene, you can make a huge difference in a child’s life.
Understanding child abuse and neglect
Child abuse is more than bruises or broken bones. While physical abuse is shocking due to the scars it leaves, not all child abuse is as obvious. Ignoring children’s needs, putting them in unsupervised, dangerous situations, or making a child feel worthless or stupid are also child abuse. Regardless of the type of child abuse, the result is serious emotional harm.
|Myths and facts about child abuse and neglect|
Myth: It's only abuse if it's violent.
Fact: Physical abuse is just one type of child abuse. Neglect and emotional abuse can be just as damaging, and since they are more subtle, others are less likely to intervene.
Myth: Only bad people abuse their children.
Fact: While it's easy to say that only "bad people" abuse their children, it's not always so black and white. Not all abusers are intentionally harming their children. Many have been victims of abuse themselves, and don’t know any other way to parent. Others may be struggling with mental health issues or a substance abuse problem.
Myth: Child abuse doesn't happen in “good” families.
Fact: Child abuse doesn't only happen in poor families or bad neighborhoods. It crosses all racial, economic, and cultural lines. Sometimes, families who seem to have it all from the outside are hiding a different story behind closed doors.
Myth: Most child abusers are strangers.
Fact: While abuse by strangers does happen, most abusers are family members or others close to the family.
Myth: Abused children always grow up to be abusers.
Fact: It is true that abused children are more likely to repeat the cycle as adults, unconsciously repeating what they experienced as children. On the other hand, many adult survivors of child abuse have a strong motivation to protect their children against what they went through and become excellent parents.
Child Abuse Hotlines:
Effects of child abuse and neglect
All types of child abuse and neglect leave lasting scars. Some of these scars might be physical, but emotional scarring has long lasting effects throughout life, damaging a child’s sense of self, ability to have healthy relationships, and ability to function at home, at work and at school. Some effects include:
Lack of trust and relationship difficulties. If you can’t trust your parents, who can you trust? Abuse by a primary caregiver damages the most fundamental relationship as a child—that you will safely, reliably get your physical and emotional needs met by the person who is responsible for your care. Without this base, it is very difficult to learn to trust people or know who is trustworthy. This can lead to difficulty maintaining relationships due to fear of being controlled or abused. It can also lead to unhealthy relationships because the adult doesn’t know what a good relationship is.
Core feelings of being “worthless” or “damaged.” If you’ve been told over and over again as a child that you are stupid or no good, it is very difficult to overcome these core feelings. You may experience them as reality. Adults may not strive for more education, or settle for a job that may not pay enough, because they don’t believe they can do it or are worth more. Sexual abuse survivors, with the stigma and shame surrounding the abuse, often especially struggle with a feeling of being damaged.
Trouble regulating emotions. Abused children cannot express emotions safely. As a result, the emotions get stuffed down, coming out in unexpected ways. Adult survivors of child abuse can struggle with unexplained anxiety, depression, or anger. They may turn to alcohol or drugs to numb out the painful feelings.
Recognizing the different types of child abuse
Abusive behavior comes in many forms, but the common denominator is the emotional effect on the child. Children need predictability, structure, clear boundaries, and the knowledge that their parents are looking out for their safety. Abused children cannot predict how their parents will act. Their world is an unpredictable, frightening place with no rules. Whether the abuse is a slap, a harsh comment, stony silence, or not knowing if there will be dinner on the table tonight, the end result is a child that feel unsafe, uncared for, and alone.
Sticks and stones may break my bones but words will never hurt me? Contrary to this old saying, emotional abuse can severely damage a child’s mental health or social development. Examples of emotional child abuse include:
- Constant belittling, shaming, and humiliating a child
- Calling names and making negative comparisons to others
- Telling a child he or she is “no good," "worthless," "bad," or "a mistake"
- Frequent yelling, threatening, or bullying
- Ignoring or rejecting a child as punishment, giving him or her the silent treatment
- Limited physical contact with the child—no hugs, kisses, or other signs of affection
- Exposing the child to violence or the abuse of others, whether it be the abuse of a parent, a sibling, or even a pet
Child neglect—a very common type of child abuse—is a pattern of failing to provide for a child's basic needs, whether it be adequate food, clothing, hygiene, or supervision. Child neglect is not always easy to spot. Sometimes, a parent might become physically or mentally unable to care for a child, such as with a serious injury, untreated depression, or anxiety. Other times, alcohol or drug abuse may seriously impair judgment and the ability to keep a child safe.
Older children might not show outward signs of neglect, becoming used to presenting a competent face to the outside world, and even taking on the role of the parent. But at the end of the day, neglected children are not getting their physical and emotional needs met.
Physical abuse involves physical harm or injury to the child. It may be the result of a deliberate attempt to hurt the child, but not always. It can also result from severe discipline, such as using a belt on a child, or physical punishment that is inappropriate to the child’s age or physical condition.
Many physically abusive parents and caregivers insist that their actions are simply forms of discipline—ways to make children learn to behave. But there is a big difference between using physical punishment to discipline and physical abuse. The point of disciplining children is to teach them right from wrong, not to make them live in fear.
The difference between discipline and physical abuse
In physical abuse, unlike physical forms of discipline, the following elements are present:
Unpredictability. The child never knows what is going to set the parent off. There are no clear boundaries or rules. The child is constantly walking on eggshells, never sure what behavior will trigger a physical assault.
Lashing out in anger. Physically abusive parents act out of anger and the desire to assert control, not the motivation to lovingly teach the child. The angrier the parent, the more intense the abuse.
Using fear to control behavior. Parents who are physically abusive may believe that their children need to fear them in order to behave, so they use physical abuse to “keep their child in line.” However, what children are really learning is how to avoid being hit, not how to behave or grow as individuals.
Sexual abuse: A hidden type of child abuse
Child sexual abuse is an especially complicated form of abuse because of its layers of guilt and shame. It's important to recognize that sexual abuse doesn't always involve body contact. Exposing a child to sexual situations or material is sexually abusive, whether or not touching is involved.
While news stories of sexual predators are scary, what is even more frightening is that sexual abuse usually occurs at the hands of someone the child knows and should be able to trust—most often close relatives. And contrary to what many believe, it’s not just girls who are at risk. Boys and girls both suffer from sexual abuse. In fact, sexual abuse of boys may be underreported due to shame and stigma.
The problem of shame and guilt in child sexual abuse
Aside from the physical damage that sexual abuse can cause, the emotional component is powerful and far-reaching. Sexually abused children are tormented by shame and guilt. They may feel that they are responsible for the abuse or somehow brought it upon themselves. This can lead to self-loathing and sexual problems as they grow older—often either excessive promiscuity or an inability to have intimate relations.
The shame of sexual abuse makes it very difficult for children to come forward. They may worry that others won’t believe them, will be angry with them, or that it will split their family apart. Because of these difficulties, false accusations of sexual abuse are not common, so if a child confides in you, take him or her seriously. Don’t turn a blind eye!
Help for child sexual abuse:
1-888-PREVENT (1-888-773-8368) – Stop It Now
1-800-656-HOPE – Rape, Abuse & Incest National Network (RAINN)
Or visit ChiWorld.org for a list of other international child helplines.
Warning signs of child abuse and neglect
Child abuse is not always obvious. But by learning some of the common warning signs of abuse and neglect, you can catch the problem as early as possible and get both the child and the abuser the help that they need.
Of course, just because you spot a red flag doesn’t automatically mean a child is being abused. It’s important to dig deeper, looking for a pattern of abusive behavior and warning signs, if you notice something off.
Warning signs of emotional abuse in children
- Excessively withdrawn, fearful, or anxious about doing something wrong
- Shows extremes in behavior (extremely compliant or extremely demanding; extremely passive or extremely aggressive)
- Doesn’t seem to be attached to the parent or caregiver
- Acts either inappropriately adult (taking care of other children) or inappropriately infantile (rocking, thumb-sucking, throwing tantrums)
Warning signs of physical abuse in children
- Frequent injuries or unexplained bruises, welts, or cuts
- Is always watchful and “on alert,” as if waiting for something bad to happen
- Injuries appear to have a pattern such as marks from a hand or belt
- Shies away from touch, flinches at sudden movements, or seems afraid to go home
- Wears inappropriate clothing to cover up injuries, such as long-sleeved shirts on hot days
Warning signs of neglect in children
- Clothes are ill-fitting, filthy, or inappropriate for the weather
- Hygiene is consistently bad (unbathed, matted and unwashed hair, noticeable body odor)
- Untreated illnesses and physical injuries
- Is frequently unsupervised or left alone or allowed to play in unsafe situations and environments
- Is frequently late or missing from school
Warning signs of sexual abuse in children
- Trouble walking or sitting
- Displays knowledge or interest in sexual acts inappropriate to his or her age, or even seductive behavior
- Makes strong efforts to avoid a specific person, without an obvious reason
- Doesn’t want to change clothes in front of others or participate in physical activities
- An STD or pregnancy, especially under the age of 14
- Runs away from home
Child abuse and reactive attachment disorder
Severe abuse early in life can lead to reactive attachment disorder. Children with this disorder are so disrupted that they have extreme difficulty establishing normal relationships and attaining normal developmental milestones. They need special treatment and support. Learn more.
Risk factors for child abuse and neglect
While child abuse and neglect occurs in all types of families—even in those that look happy from the outside—children are at a much greater risk in certain situations.
Domestic violence. Witnessing domestic violence is terrifying to children and emotionally abusive. Even if the mother does her best to protect her children and keeps them from being physically abused, the situation is still extremely damaging. If you or a loved one is in an abusive relationship, getting out is the best thing for protecting the children.
Alcohol and drug abuse. Living with an alcoholic or addict is very difficult for children and can easily lead to abuse and neglect. Parents who are drunk or high are unable to care for their children, make good parenting decisions, and control often-dangerous impulses. Substance abuse also commonly leads to physical abuse.
Untreated mental illness. Parents who are suffering from depression, an anxiety disorder, bipolar disorder, or another mental illness have trouble taking care of themselves, much less their children. A mentally ill or traumatized parent may be distant and withdrawn from his or her children, or quick to anger without understanding why. Treatment for the caregiver means better care for the children.
Lack of parenting skills. Some caregivers never learned the skills necessary for good parenting. Teen parents, for example, might have unrealistic expectations about how much care babies and small children need. Or parents who were themselves victims of child abuse may only know how to raise their children the way they were raised. In such cases, parenting classes, therapy, and caregiver support groups are great resources for learning better parenting skills.
Stress and lack of support. Parenting can be a very time-intensive, difficult job, especially if you’re raising children without support from family, friends, or the community or you’re dealing with relationship problems or financial difficulties. Caring for a child with a disability, special needs, or difficult behaviors is also a challenge. It’s important to get the support you need, so you are emotionally and physically able to support your child.
Recognizing abusive behavior in yourself
If you need professional help...
Do you feel angry and frustrated and don’t know where to turn? In the U.S., call 1-800-4-A-CHILD to find support and resources in your community that can help you break the cycle of abuse. In other countries, visit Chiworld.org for helplines.
Do you see yourself in some of these descriptions, painful as it may be? Do you feel angry and frustrated and don’t know where to turn? Raising children is one of life’s greatest challenges and can trigger anger and frustration in the most even tempered. If you grew up in a household where screaming and shouting or violence was the norm, you may not know any other way to raise your kids.
Recognizing that you have a problem is the biggest step to getting help. If you yourself were raised in an abusive situation, that can be extremely difficult. Children experience their world as normal. It may have been normal in your family to be slapped or pushed for little to no reason, or that mother was too drunk to cook dinner. It may have been normal for your parents to call you stupid, clumsy, or worthless. Or it may have been normal to watch your mother get beaten up by your father.
It is only as adults that we have the perspective to step back and take a hard look at what is normal and what is abusive. Read the above sections on the types of abuse and warning signs. Do any of those ring a bell for you now? Or from when you were a child? The following is a list of warning signs that you may be crossing the line into abuse:
How do you know when you’ve crossed the line?
You can’t stop the anger. What starts as a swat on the backside may turn into multiple hits getting harder and harder. You may shake your child harder and harder and finally throw him or her down. You find yourself screaming louder and louder and can’t stop yourself.
You feel emotionally disconnected from your child. You may feel so overwhelmed that you don’t want anything to do with your child. Day after day, you just want to be left alone and for your child to be quiet.
Meeting the daily needs of your child seems impossible. While everyone struggles with balancing dressing, feeding, and getting kids to school or other activities, if you continually can’t manage to do it, it’s a sign that something might be wrong.
Other people have expressed concern. It may be easy to bristle at other people expressing concern. However, consider carefully what they have to say. Are the words coming from someone you normally respect and trust? Denial is not an uncommon reaction.
Breaking the cycle of child abuse
If you have a history of child abuse, having your own children can trigger strong memories and feelings that you may have repressed. This may happen when a child is born, or at later ages when you remember specific abuse to you. You may be shocked and overwhelmed by your anger, and feel like you can’t control it. But you can learn new ways to manage your emotions and break your old patterns.
Remember, you are the most important person in your child’s world. It’s worth the effort to make a change, and you don’t have to go it alone. Help and support are available.
Tips for changing your reactions
Learn what is age appropriate and what is not. Having realistic expectations of what children can handle at certain ages will help you avoid frustration and anger at normal child behavior. For example, newborns are not going to sleep through the night without a peep, and toddlers are not going to be able to sit quietly for extended periods of time.
Develop new parenting skills. While learning to control your emotions is critical, you also need a game plan of what you are going to do instead. Start by learning appropriate discipline techniques and how to set clear boundaries for your children. Parenting classes, books, and seminars are a way to get this information. You can also turn to other parents for tips and advice.
Take care of yourself. If you are not getting enough rest and support or you’re feeling overwhelmed, you are much more likely to succumb to anger. Sleep deprivation, common in parents of young children, adds to moodiness and irritability—exactly what you are trying to avoid.
Get professional help. Breaking the cycle of abuse can be very difficult if the patterns are strongly entrenched. If you can’t seem to stop yourself no matter how hard you try, it’s time to get help, be it therapy, parenting classes, or other interventions. Your children will thank you for it.
Learn how you can get your emotions under control. The first step to getting your emotions under control is realizing that they are there. If you were abused as a child, you may have an especially difficult time getting in touch with your range of emotions. You may have had to deny or repress them as a child, and now they spill out without your control.
Helping an abused or neglected child
What should you do if you suspect that a child has been abused? How do you approach him or her? Or what if a child comes to you? It’s normal to feel a little overwhelmed and confused in this situation. Child abuse is a difficult subject that can be hard to accept and even harder to talk about.
Just remember, you can make a tremendous difference in the life of an abused child, especially if you take steps to stop the abuse early. When talking with an abused child, the best thing you can provide is calm reassurance and unconditional support. Let your actions speak for you if you’re having trouble finding the words. Remember that talking about the abuse may be very difficult for the child. It’s your job to reassure the child and provide whatever help you can.
Tips for talking to an abused child
Avoid denial and remain calm. A common reaction to news as unpleasant and shocking as child abuse is denial. However, if you display denial to a child, or show shock or disgust at what they are saying, the child may be afraid to continue and will shut down. As hard as it may be, remain as calm and reassuring as you can.
Don’t interrogate. Let the child explain to you in his or her own words what happened, but don’t interrogate the child or ask leading questions. This may confuse and fluster the child and make it harder for them to continue their story.
Reassure the child that they did nothing wrong. It takes a lot for a child to come forward about abuse. Reassure him or her that you take what is said seriously, and that it is not the child’s fault.
Safety comes first. If you feel that your safety or the safety of the child would be threatened if you try to intervene, leave it to the professionals. You may be able to provide more support later after the initial professional intervention.
How to report child abuse (and stay anonymous)
If you suspect a child is being abused, it's critical to speak up. But reporting child abuse seems so official. Many people are reluctant to get involved in other families' lives. But child abuse is NOT merely a family matter, and the consequences of staying silent can be devastating for the child. Please speak up.
Tips for reporting child abuse
Reporting child abuse can bring up a lot of difficult emotions and uncertainty. You may ask yourself if you're doing the right thing, or question if your voice will even be heard. Here are some tips for communicating effectively in difficult situations:
Try to be as specific as you can. For example, instead of saying, "The parents are not dressing their children right," say something like, "I saw the child running outside three times last week in subzero weather without a jacket or hat. I saw him shivering and uncomfortable. He seemed to want to come inside." However, remember that it is not your job to "prove" abuse or neglect. If suspicions are all you have, you should report those as well.
Understand that you may not learn of the outcome. Due to confidentiality laws in the U.S., unless you are a mandated reporter in an official capacity, you probably won't be updated by Child Protective Services (CPS) about the results of their investigation. The family may not broadcast that they have been mandated services, either—but that doesn't mean they are not receiving them.
If you see future incidences, continue to call and report them. Each child abuse report is a snapshot of what is going on in the family. The more information that you can provide, the better the chance of getting the best care for the child.
Answers to common worries about reporting child abuse
- I don’t want to interfere in someone else’s family. The effects of child abuse are lifelong, affecting future relationships, self-esteem, and sadly putting even more children at risk of abuse as the cycle continues. Help break the cycle of child abuse.
- What if I break up someone’s home? The priority in child protective services is keeping children in the home. A child abuse report does not mean a child is automatically removed from the home—unless the child is clearly in danger. Support such as parenting classes, anger management or other resources may be offered first to parents if safe for the child.
- They will know it was me who called. Reporting is anonymous. In most places, you do not have to give your name when you report child abuse. The child abuser cannot find out who made the report of child abuse.
- It won’t make a difference what I have to say. If you have a gut feeling that something is wrong, it is better to be safe than sorry. Even if you don’t see the whole picture, others may have noticed as well, and a pattern can help identify child abuse that might have otherwise slipped through the cracks.
Reporting abuse in your home or in child custody situations
Witnessing abuse in your own home or suspecting abuse in a custody situation brings its own set of challenges and concerns. You may be afraid of what your abuser will do to you and your children if you speak up. You may also be concerned that the abuser will be able to cover his or her tracks or even turn the abuse around onto you. Culturally, it may not be acceptable for you to separate, adding additional feelings of shame and isolation. You may also be afraid of having your children taken away from you.
Don’t go it alone
Domestic violence isn’t just about black eyes. Manipulation and emotional threats to you and your children are also a form of abuse, power, and control. Fear of losing custody of the children can be extremely stressful for both women and men in abusive relationships. Child abuse allegations in divorce or child custody issues are viewed very carefully to ensure they are not motivated by vindictiveness. However, if your abuser appears professional, well-groomed, and well-spoken to the outside world, you may feel like your concerns aren’t being taken seriously. Worse, if your allegations remain unproven, they may even result in the abuser being given custody.
Therefore, if you are planning to separate, or have already separated and are in a custody battle, it is essential to get support and legal advice. Domestic violence organizations can help you connect with legal resources in your community, and may be able to provide an advocate to assist your case and attend court hearings. Domestic violence organizations can help you work out a safety plan for both you and your children, and in the U.S. can also help you make calls to CPS if needed.
Tips on how to report child abuse in your home or in a custody situation
- Stay calm. Do not let your emotions dictate your actions, and do not vent your emotions onto the people who are assigned to investigate your case (CPS, law enforcement officers, etc.).
- If this is an emergency: Call 911 or your local police.
- Document everything from this point forward, including times, dates, and places. KEEP all documents from all professionals who have an opinion about the child abuse. This includes therapists, doctors, policemen, and teachers. If a professional informs you that they have an opinion or a suspicion of child abuse, have them document that suspicion, preferably in the form of an affidavit. Be sure to get a copy of any opinions from professionals regarding your child's case.
- Have your child evaluated. Talk to medical and psychology professionals. If possible, have your child evaluated at a Child Assessment Center.
- Begin investigation. Talk to law enforcement officers to initiate an investigation into the allegation of child abuse. Any reasonable belief of abuse or neglect should be reported to the police. If you have been too afraid to voice allegations in the past, let them know. If you have previously reported abuse, communicate the fact that you are trying to protect the child from further harm
- Talk to CPS. If the abuse is not criminal, talk to CPS to initiate an investigation into the allegation of child abuse.
- Get an attorney. Get an attorney and start proceedings to gain full custody of your child and terminate the abuser's parental rights.
- Call Justice for Children (JFC). If you encounter a problem with completing steps 3-6, call JFC at 1-800-733-0059. Office hours are M-F 8-5 pm Central Standard Time.
Related HelpGuide articles
Resources and references
Warning signs of child abuse
Recognizing Child Abuse: What Parents Should Know (PDF) – Lists signs and symptoms of child abuse in children and in their parents. Covering physical abuse, emotional maltreatment, neglect, and sexual abuse, this outline is useful for teachers, family friends, and relatives. (Prevent Child Abuse America)
Understanding and Preventing Child Abuse and Neglect – A clear, objective explanation of the effects of child sexual abuse, the chances of recovery, and strategies for prevention. (American Psychological Association)
Physical child abuse
Identification of Physical Abuse – Reviews the definition of physical abuse and signs of abuse, including shaken baby syndrome (Child Welfare Information Gateway)
Shaken Baby Syndrome – Clear, comprehensive description of what SBS is, how it causes brain damage and death, its signs and symptoms, and strategies for soothing a baby before the caregiver’s frustration mounts. (Nemours Foundation)
Sexual child abuse
Prevent Child Sexual Abuse: Facts About Those Who Might Commit It (PDF) – Offers warning signs of sexual abuse in children and in their adult abusers, along with tips on how to prevent and stop it. (Stop It Now!)
Emotional child abuse
Emotional abuse – See the “Answers to common questions” on this British site for good advice about recognizing and responding to emotional child abuse. (National Society for the Prevention of Cruelty to Children)
Fact Sheet: Emotional child abuse – Information on what emotional abuse is, how it is identified, what its effects are, and what can be done to prevent it. (Prevent Child Abuse America)
Child Neglect: A Guide for Prevention, Assessment, and Intervention (PDF) – Pamphlet on what constitutes child neglect, how it affects children, what causes it, and how the community can intervene. (Child Welfare Information Gateway)
Recognizing Child Neglect – Succinct lists of physical and behavioral indicators suggesting that a child is being neglected. (Coalition for Children)
Reporting and stopping child abuse
Toll-Free Crisis Hotline Numbers – (Child Welfare Information Gateway)
What to Do if a Child Speaks Out About Abuse – Discusses what to do if either a child or a caregiver approaches you about abuse. (NSPCC)
Reporting Child Abuse – Guidance on how to find out what your responsibilities are and where to get more information. (Darkness to Light)
Child Helpline International – A global portal for children with a list of crisis lines and web resources around the world. (ChiWorld.org)
How the Child Welfare System Works – Information on the services available in the U.S. to protect the well-being of children. (U.S. Department of Health and Human Services)
Preventing child abuse
Talking to Your Child About Sexual Abuse – Helps parents talk to their children and teach them how to protect themselves against abuse, including learning about touch, and that they should never keep secrets. (U.S. Department of Justice)
Tip Sheet: Talking to Children and Teens – Discusses concrete tips on how to protect children against abuse, including talking to family members and avoiding tricks. (Stop it Now)
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