Long-term Effects

The most frequent long-term consequence of DV is depression. This is closely related to poor self esteem, shame, and a low sense of personal control. Post traumatic stress disorder (PTSD) affects 45 to 84% of DV victims, according to three different studies. PTSD is characterized by intrusive memories of abuse that interfere with functioning, create a habit of hyper-vigilance, and require dissociative means to avoid thinking about certain issues.

Victims find they have difficulty with friendships, lack an adequate support system, and feel indebted and unequal to others. They are unable to trust others and find it difficult to take care of themselves properly. Although the majority of DV survivors have developed a repertoire of coping strategies, these learned behaviors prevent them from expressing the openness and intimacy requisite to successful healthy relationships with non-abusive people.

It is typical for survivors to compulsively try to "people-please" and avoid confrontation at all costs. This disables them from expressing their preferences and needs honestly. It develops into a passive aggressive style of negotiating with others in which people are led to expect mutual cooperation and then get angry for being let down later.