Domestic Violence: Understanding Intimate Partner Violence and Its Impact

Domestic violence, also known as intimate partner violence (IPV), is a serious public health issue affecting millions of people worldwide. It involves a pattern of abusive behaviors used by one partner to gain or maintain control over another partner in an intimate relationship. Understanding the complex nature of domestic violence, its impacts, and available resources is essential for survivors, their loved ones, and professionals working in this field.

Domestic violence affects people of all genders, ages, socioeconomic backgrounds, and communities. An estimated 43.5 million women and 20.7 million men in the United States have experienced contact sexual violence, physical violence, and/or stalking by an intimate partner during their lifetimes. These statistics underscore the widespread nature of this issue and the urgent need for comprehensive prevention and intervention strategies.

Table of Contents

• What Is Domestic Violence?
• Types of Intimate Partner Violence
• Who Does Domestic Violence Affect?
• Why Do People Abuse Their Partners?
• Physical Effects of Domestic Violence
• Psychological Impact of Domestic Violence
• Economic Impact of Domestic Violence
• The Cycle of Abuse
• How Therapy Can Help
• Frequently Asked Questions
• Find a Therapist

What Is Domestic Violence?

Domestic violence encompasses various forms of abuse within intimate relationships. Intimate partner violence (IPV) is abuse or aggression that occurs in a romantic relationship. Intimate partner refers to both current and former spouses and dating partners. IPV can vary in how often it happens and how severe it is. It can range from one episode of violence to chronic and severe episodes over multiple years.

The Centers for Disease Control and Prevention recognizes that domestic violence includes "physical violence, sexual violence, stalking, and psychological aggression (including coercive acts) by a current or former intimate partner." This comprehensive definition helps us understand that domestic violence extends beyond physical harm to include various forms of control and manipulation.

Types of Intimate Partner Violence

Understanding the different forms of domestic violence is crucial for recognizing abuse and seeking appropriate help. IPV can include any of the following types of behavior:

Physical Violence

Physical violence is when a person hurts or tries to hurt a partner by using physical force. This may include:

• Hitting, shoving, kicking, or choking
• Biting or hair-pulling
• Using weapons or objects to cause harm
• Forced ingestion of drugs or alcohol
• Any act that causes physical injury or pain

Sexual Violence

Sexual violence is forcing or attempting to force a partner to take part in a sex act, sexual touching, or a non-physical sexual event (e.g., sexting) when the partner does not or cannot consent. This includes:

• Rape or sexual assault
• Sexual coercion
• Unwanted sexual contact
• Reproductive coercion
• Sexually demeaning treatment

Psychological and Emotional Abuse

Psychological aggression includes expressive aggression (insulting, humiliating, or making fun of an intimate partner in front of others) and coercive control and entrapment, which includes behaviors that are intended to monitor, control, or threaten an intimate partner. Examples include:

• Name-calling, insults, and verbal put-downs
• Threats of violence toward the partner, children, or pets
• Isolation from family and friends
• Constant monitoring or surveillance
• Gaslighting and manipulation

Financial Abuse

Financial abuse involves controlling a partner's access to economic resources, which may include:

• Preventing a partner from working or accessing their own money
• Stealing from or damaging a partner's credit
• Withholding basic necessities
• Using economic dependence as a means of control

Digital Abuse

With advancing technology, digital abuse has become increasingly common and includes:

• Monitoring emails, texts, or social media
• Using technology to track a partner's location
• Sharing intimate images without consent
• Cyberstalking or online harassment

Who Does Domestic Violence Affect?

Domestic violence affects people across all demographics, though certain populations face increased risk and unique challenges.

Prevalence by Gender

Recent data from the National Intimate Partner and Sexual Violence Survey reveals:- More than 1 in 3 women (nearly 43.5 million) and more than 1 in 6 men (20.7 million) experienced contact sexual violence, physical violence, and/or stalking by an intimate partner during their lifetimes

Among women, about 1 in 5 experienced contact sexual violence (19.7%), nearly 1 in 4 experienced physical violence (22.5%), and about 1 in 8 were stalked (12.2%)

Among men, nearly 1 in 23 experienced contact sexual violence (4.4%), about 1 in 7 experienced physical violence (13.7%), and almost 1 in 24 were stalked (4.2%)

Impact on Children

Children exposed to domestic violence face significant risks:- An estimated 15.5 million children each year are exposed to at least one episode of intimate partner violence, with more than 25 percent of children experiencing repeated exposure

About 16 million women and 11 million men said that they first experienced intimate partner violence before age 18

• Research shows that children who witness violence at home are more likely to experience abuse themselves or become abusers in adulthood

Vulnerable Populations

Certain groups face heightened vulnerability to domestic violence:

Communities of Color: Research indicates that 57.7 percent of non-Hispanic AI/AN women have experienced IPV in the form of physical violence, contact sexual violence, or stalking in their lifetime, highlighting disparities in violence exposure.

People with Disabilities: Women with disabilities experienced much higher prevalence of abuse from a current or former intimate partner both before (9.5 versus 2.4 percent) and during pregnancy (5.8 versus 1.7 percent) compared to those without disabilities.

LGBTQ+ Individuals: Within the LGBTQI+ community, inconsistent prevalence rates for IPV have been reported. However, it is proposed that the rate is likely comparable to or higher than for heterosexual couples.

Adolescents: Among teens (ages 12–18) who have dated, 69 percent report ever having experienced physical, psychological, or sexual relationship abuse, indicating that violence often begins early in relationships.

Why Do People Abuse Their Partners?

Understanding the risk factors for perpetrating domestic violence is crucial for prevention efforts. While IPV is indiscriminate of sex, gender, relationship type, and socioeconomic status, women in heterosexual relationships are disproportionately affected by this violence.

Risk Factors for Perpetration

Research has identified several factors associated with increased risk of perpetrating abuse:

Childhood Experiences: Children who experienced emotional IPV were two times more likely to perpetrate the same violence in adulthood compared to unexposed individuals. This intergenerational transmission of violence highlights the importance of early intervention.

Individual Factors:

• Low self-esteem and emotional insecurity
• Depression and mental health issues
• Substance abuse problems
• Anger management difficulties
• Need for power and control
• Economic stress and unemployment

Relationship Factors: Contextual factors contributing to IPV include controlling relationships, losing a sense of priorities, using children as manipulation tools, socioeconomic stress, family pressures, and restricting relationships.

Societal Factors:

• Traditional gender role expectations
• Social norms that condone violence
• Weak community sanctions against IPV
• Lack of institutional support for victims

It's important to note that while these factors may increase risk, they do not excuse abusive behavior. Domestic violence is a choice, and perpetrators are responsible for their actions.

Physical Effects of Domestic Violence

The physical consequences of domestic violence can be immediate and long-lasting, affecting multiple body systems and overall health.

Immediate Physical Injuries

Victims may experience:

• Bruises, cuts, and lacerations
• Broken bones and fractures
• Head injuries and traumatic brain injury
• Internal injuries
• Burns or other intentional injuries

Long-Term Health Consequences

Research shows that domestic violence victims often experience chronic health issues:

• Chronic pain conditions and migraines
• Gastrointestinal problems
• Cardiovascular issues
• Reproductive health problems, including unintended pregnancy
• Sexually transmitted infections
• Central nervous system disorders

Many other negative health outcomes are associated with intimate partner violence, emphasizing the need for comprehensive healthcare approaches for survivors.

Impact on Healthcare Utilization

Experts believe that experiencing abuse may lead to long-term health consequences. As a result, survivors of abuse may be more likely to utilize medical and mental health services more often, resulting in increased healthcare costs both for those individuals and the healthcare system as a whole.

Psychological Impact of Domestic Violence

The psychological effects of domestic violence often persist long after physical wounds heal, profoundly affecting survivors' mental health and well-being.

Common Mental Health Outcomes

A systematic review assessed the magnitude of the association between types of intimate partner violence (IPV) and mental health outcomes, finding significant impacts including:

• Post-Traumatic Stress Disorder (PTSD): Many survivors experience intrusive memories, hypervigilance, and avoidance behaviors
• Depression: Feelings of hopelessness, sadness, and loss of interest in activities
• Anxiety Disorders: Including generalized anxiety, panic attacks, and social anxiety
• Suicidal Ideation: Thoughts of self-harm or suicide
• Substance Use Disorders: As a coping mechanism for trauma
• Sleep Disturbances: Insomnia, nightmares, and disrupted sleep patterns

Psychological Aggression Statistics

Recent data reveals the prevalence of psychological abuse:- Nearly 1 in 3 women (30.2%, or 38.6 million) experienced psychological aggression by an intimate partner, which included 20.4% of women experiencing expressive aggression and 27.2% experiencing one or more forms of coercive control and entrapment in their lifetimes

More than 1 in 5 men (22.3%, or nearly 27.3 million) experienced psychological aggression by an intimate partner, which included 13.1% of men experiencing expressive aggression, and 19.5% of men experiencing coercive control and entrapment

Trust and Relationship Issues

Survivors often struggle with:

• Difficulty trusting others
• Fear of intimacy
• Challenges in forming healthy relationships
• Hypervigilance in social situations
• Emotional numbing or dissociation

Economic Impact of Domestic Violence

The economic consequences of domestic violence extend far beyond individual victims, affecting families, employers, and society as a whole.

National Economic Burden

The estimated intimate partner violence lifetime cost was $103,767 per female victim and $23,414 per male victim, or a population economic burden of nearly $3.6 trillion (2014 US dollars). More recent state-level data shows:

Ohio experiences nearly $1.2 billion in annual costs, with the largest economic factors being physical health care for victims ($264.8 million annually, or 22.9% of the total cost); loss of life ($239.9 million, or 20.8%); and loss of worker productivity ($227.7 million, or 19.7%)

Workplace Impact

Domestic violence significantly affects workplace productivity:- Over half of survivors of domestic violence experience negative consequences in their professional lives, including being distracted at work, working fewer hours, or even losing their job or being forced to quit

Women in the US lose nearly 8 million paid work days as a result of violence committed against them by partners

Domestic violence leads to $1.8 billion in lost economic productivity annually from absenteeism and reduced work performance

Individual Financial Consequences

Survivors often face:

• Lost wages due to missed work
• Medical expenses for injuries and ongoing health issues
• Legal costs for protection orders or divorce proceedings
• Costs of relocating for safety
• Damaged credit from financial abuse
• Loss of housing or homelessness

Impact on Children's Future Economic Outcomes

Children exposed to domestic violence face at least $11,042 in increased medical costs, $13,922 in costs associated with violent crimes, and $25,531 in productivity losses over their lifetime, demonstrating the intergenerational economic impact.

The Cycle of Abuse

Understanding the cyclical nature of abuse helps explain why leaving an abusive relationship can be so difficult.

The Three Phases

The cycle of abuse, first identified by researcher Lenore Walker in the 1970s, typically includes three phases:

1. Tension Building Phase

• Stress and tension increase in the relationship
• Minor incidents of abuse may occur
• The victim may try to placate the abuser
• Communication breaks down

1. Acute Violence Phase

• Major incident of abuse occurs
• Can include physical, sexual, or severe emotional violence
• Violence often escalates over time
• Victim may seek help or consider leaving

1. Honeymoon/Reconciliation Phase

• Abuser apologizes and promises change
• May shower victim with gifts and affection
• Abuser may minimize or deny the abuse
• Victim may feel hopeful about the relationship

Breaking the Cycle

It's important to understand that:

• Not all abusive relationships follow this exact pattern
• The cycle can repeat with varying duration between phases
• Violence typically escalates over time- Data from U.S. crime reports suggest that about one in five homicide victims are killed by an intimate partner, highlighting the potential lethality of staying in abusive relationships

Recognizing these patterns can help survivors:

• Understand that abuse is not their fault
• Identify warning signs
• Plan for safety
• Seek appropriate support

How Therapy Can Help

Therapy and counseling services play a crucial role in helping survivors heal from the trauma of domestic violence and rebuild their lives.

Evidence-Based Treatments for Survivors

Recent research shows promising outcomes for various therapeutic approaches:

Trauma-Focused Cognitive Behavioral Therapy (TF-CBT): Cognitive behavioral therapy is effective for PTSD symptoms improvement in women survivors of intimate partner violence, with studies showing strong reductions in symptom severity.

Virtual and Remote Interventions: There is evidence from varied methodological study designs demonstrating the effectiveness, feasibility, and acceptability of virtual psychological treatments and care for PTSD and other forms of trauma for some DV and SV survivors, making therapy more accessible.

Integrated Approaches: Trauma-focused therapies are effective across different types of interpersonal violence, including sexual assault, domestic violence, and sexual trafficking. Results show that by the ninth session, symptom severity among victims significantly decreased regardless of the therapy type used. The findings support the broad application of trauma-focused therapeutic interventions in community health settings to promote the psychological recovery of victims.

Therapy Goals for Survivors

Therapeutic interventions typically focus on:

• Safety Planning: Developing strategies to increase physical and emotional safety
• Trauma Processing: Working through traumatic experiences in a safe environment
• Skill Building: Learning coping strategies and emotion regulation techniques
• Rebuilding Self-Esteem: Addressing the impact of abuse on self-worth
• Healthy Relationships: Learning to recognize healthy relationship patterns
• Empowerment: Reclaiming personal power and autonomy

Specialized Interventions

For Children Exposed to Domestic Violence: Dyadic services for children and caregivers promote child social-emotional health and improve maternal parenting and mental health. Since 2023, Medi-Cal has provided a dyadic behavioral health benefit: behavioral health care for a caregiver that benefits the child.

Culturally Responsive Care: Therapy approaches should consider cultural factors, language barriers, and community-specific needs to ensure effective treatment.

When to Seek Help

Consider seeking therapeutic support if you:

• Have experienced any form of domestic violence
• Are struggling with symptoms of trauma, anxiety, or depression
• Have difficulty trusting others or forming relationships
• Are having thoughts of self-harm
• Need support in developing a safety plan
• Want to break patterns of abuse in your life

Frequently Asked Questions

What are the warning signs of domestic violence?

Warning signs include: partner's extreme jealousy or possessiveness; attempts to control what you do, wear, or who you see; verbal threats or intimidation; destroying your belongings; preventing you from working or accessing money; physical violence of any kind; forced sexual activities; and isolating you from family and friends. If you notice these behaviors escalating, it's important to seek help.

Why do people stay in abusive relationships?

There are many complex reasons why people stay, including: fear of increased violence if they leave; financial dependence on the abuser; concern for children's well-being; cultural or religious beliefs; love for their partner and hope for change; lack of support system or resources; and fear of not being believed. Domestic and family violence can be difficult to identify. Many cases are not reported to health professionals or legal authorities.

Can therapy help someone who is currently in an abusive relationship?

Yes, therapy can be beneficial even if someone remains in the relationship. Therapists can help with safety planning, building coping skills, addressing trauma symptoms, and exploring options. However, couples therapy is generally not recommended when abuse is present, as it can increase danger for the victim.

How does domestic violence affect children who witness it?

Children who are exposed to domestic violence may experience lasting (and costly) consequences. One study found that children who are exposed to domestic violence may later exhibit higher healthcare costs, increased criminal behavior, and lower productivity. They may also experience emotional and behavioral problems, difficulty in school, and increased risk of experiencing or perpetrating violence in their own relationships.

Is emotional abuse as serious as physical abuse?

Yes, emotional abuse can be just as damaging as physical abuse. Emotional partner abuse, often closely intertwined with physical assault, involves persistent emotional mistreatment by an intimate partner. Despite its significance, research specifically focusing on emotional IPV is limited. Emotional abuse can lead to serious mental health issues including depression, anxiety, and PTSD.

What should I do if I suspect someone I know is experiencing domestic violence?

If you suspect someone is experiencing abuse: express concern without judgment; listen and believe them; provide information about resources; respect their decisions and timeline; don't pressure them to leave immediately; help them develop a safety plan if they're ready; and maintain confidentiality unless there's immediate danger.

Find a Therapist

If you or someone you know is experiencing domestic violence, professional help is available. Therapy can provide a safe space to:

• Process trauma and begin healing
• Develop safety strategies
• Build self-esteem and empowerment
• Learn healthy coping skills
• Plan for the future

GoodTherapy.org can help you find qualified mental health professionals in your area who specialize in trauma and domestic violence. Our directory includes therapists who understand the complex needs of survivors and can provide compassionate, evidence-based care.

Remember: If you are in immediate danger, call 911 or the National Domestic Violence Hotline at 1-800-799-7233 (SAFE). Help is available 24/7.

References:

1. Brunton, R. J., & Dryer, R. (2024). Intimate partner violence risk factors: A vulnerability-adaptation stress model approach. Journal of Interpersonal Violence, 39(15-16), 3738-3763. https://doi.org/10.1177/08862605241234352
2. Centers for Disease Control and Prevention. (2026). About intimate partner violence. National Center for Injury Prevention and Control. https://www.cdc.gov/intimate-partner-violence/about/index.html
3. Connor, R. A., Johnson, L., Bridgeman, M., Shokraneh, F., & Hakobyan, B. (2025). Outcomes associated with arrest for domestic violence: A systematic review and meta-analysis. Trauma Violence & Abuse. https://doi.org/10.1177/15248380241284777
4. Doswell, A., Kazmir, S., et al. (2025). Impact of intimate partner violence on children. Pediatric Clinics of North America, 72(3), 509-523. https://doi.org/10.1016/j.pcl.2024.12.005
5. Examining the effectiveness, acceptability, and feasibility of virtually delivered trauma-focused domestic violence and sexual violence interventions: A rapid evidence assessment. (2023). Trauma Violence & Abuse, 24(4), 2564-2581. https://doi.org/10.1177/15248380221098430
6. Holmes, M. R., Berg, K., Bender, A., et al. (2022). The economic burden of exposure to domestic violence for children in the United States. Journal of Family Violence, 37(5), 741-752. https://doi.org/10.1007/s10896-021-00315-y
7. Huecker, M. R., King, K. C., Jordan, G. A., & Smock, W. (2023). Domestic violence. In StatPearls. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK499891/
8. Hui, V., Zhang, B., Jeon, B., Wong, K. C. A., Klem, M. L., & Lee, Y. J. (2024). Harnessing health information technology in domestic violence in the United States: A scoping review. Public Health Reviews, 45, 1606654. https://doi.org/10.3389/phrs.2024.1606654
9. Institute for Women's Policy Research. (2020). The economic cost of intimate partner violence, sexual assault, and stalking. https://iwpr.org/the-economic-cost-of-intimate-partner-violence-sexual-assault-and-stalking/
10. The intergenerational transmission of emotional intimate partner violence: A systematic review and meta-analysis. (2025). Journal of Family Violence. https://doi.org/10.1007/s10896-025-00871-8
11. International Monetary Fund. (2021). How domestic violence is a threat to economic development. https://www.imf.org/en/blogs/articles/2021/11/24/how-domestic-violence-is-a-threat-to-economic-development
12. Karakurt, G., Baier, A. L., Bowling, A. R., Singuri, S., Oguztuzun, C., & Bolen, S. (2024). Systematic review and data synthesis on the treatment of sexual violence victimization by an intimate partner. Journal of Marital and Family Therapy, 50(1), 71-94.
13. Leemis, R. W., Zhang Kudon, H., Zhu, S., Smith, S. G., Chen, J., Friar, N. W., & Basile, K. C. (2025). The National Intimate Partner and Sexual Violence Survey (NISVS): 2023/2024 sexual violence data brief. Centers for Disease Control and Prevention. https://www.cdc.gov/nisvs/media/pdfs/sexualviolence-brief.pdf
14. National Academies of Sciences, Engineering, and Medicine. (2024). Essential health care services addressing intimate partner violence. The National Academies Press. https://doi.org/10.17226/27425
15. Oguztuzun, C., Koyuturk, M., & Karakurt, G. (2023). Systematic investigation of meta-analysis data on treatment effectiveness for physical, psychological, and sexual intimate partner violence perpetration. Psychosocial Intervention, 32(2), 59-68. https://doi.org/10.5093/pi2023a6
16. Ohio Domestic Violence Network. (2025, February 24). Economic impact of domestic violence costs Ohio over $1 billion annually [Press release]. https://www.odvn.org/wp-content/uploads/2025/02/19Feb_EconImpact_release.pdf
17. Peterson, C., Kearns, M. C., McIntosh, W. L., Estefan, L. F., Nicolaidis, C., McCollister, K. E., Gordon, A., & Florence, C. (2018). Lifetime economic burden of intimate partner violence among U.S. adults. American Journal of Preventive Medicine, 55(4), 433-444. https://doi.org/10.1016/j.amepre.2018.04.049
18. Psychological interventions for post-traumatic stress disorder in women survivors of intimate partner violence: A systematic review and meta-analysis. (2024). Journal of Affective Disorders Reports, 17, 100813. https://doi.org/10.1016/j.jadr.2024.100813
19. Thackeray, J., Livingston, N., Ragavan, M. I., et al. (2023). Intimate partner violence: Role of the pediatrician. Pediatrics, 152(1), e2023062509. https://doi.org/10.1542/peds.2023-062509
20. The effectiveness of intervention programs for perpetrators of intimate partner violence with substance abuse and/or mental disorders: A systematic review. (2024). PMC. https://doi.org/10.1186/s12888-024-06219-8
21. Trauma-focused treatments for victims of interpersonal violence: A comparison of treatment interventions and outcomes. (2024). Psychotherapy Research, 34(7), 918-931. https://doi.org/10.1080/10503307.2024.2353890
22. Wadji, D. L., Pirro, T., & Langevin, R. (2025). A systematic review and meta-analysis of the association between childhood exposure to intimate partner violence and intimate partner violence victimization/perpetration in adulthood in Africa. Trauma Violence & Abuse. https://doi.org/10.1177/15248380241287144
23. White, S. J., Sin, J., Sweeney, A., Salisbury, T., Wahlich, C., Montesinos Guevara, C. M., Gillard, S., Brett, E., Allwright, L., Iqbal, N., Khan, A., Perot, C., Marks, J., & Mantovani, N. (2024). Global prevalence and mental health outcomes of intimate partner violence among women: A systematic review and meta-analysis. Trauma Violence & Abuse, 25(1), 494-511. https://doi.org/10.1177/15248380231155529
24. Zhang Kudon, H., Zhu, S., Chen, B., Breiding, M. J., Leemis, R. W., Zhang, X., Schwank, A., & Basile, K. C. (2026). The National Intimate Partner and Sexual Violence Survey: 2023/2024 data brief – Intimate partner violence. Centers for Disease Control and Prevention. https://www.cdc.gov/nisvs/media/pdfs/intimatepartnerviolence-brief.pdf