Is Verbal Abuse Domestic Abuse? The Impacts Of Domestic Violence On Mental Health

Medically reviewed by Andrea Brant, LMHC
Updated February 3rd, 2026 by BetterHelp Editorial Team
Please be advised, the below article might mention trauma-related topics that include suicide, substance use, or abuse which could be triggering to the reader.
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Though physical violence is often the centerpoint of conversations surrounding domestic violence (DV), verbal and emotional abuse can be just as damaging. However, without bruises or broken bones, the signs are often brushed off or misunderstood, even by survivors themselves.

Still, the long-term psychological effects of emotional abuse can be profound. Over time, constant verbal assaults can affect self-worth, potentially leading to depression, anxiety, and post-traumatic stress disorder (PTSD). Recognizing the patterns early and reaching out for support can make a significant difference. Here, we’ll explore signs of verbal abuse, compare it to definitions of domestic violence, and share resources for finding safety and support.

A man stands by the window, gazing outside, deep in thought.
Getty/Oliver Rossi
Healing from abuse is possible

What is verbal abuse?

The terms “verbal abuse” and “emotional abuse” refer to the use of words or tone to wound, humiliate, or control someone emotionally. Though behaviors like shouting and name-calling may be present, verbal abuse can also be subtle, repetitive, and used to chip away at someone’s confidence over time. At its core, verbal abuse is about attempting to maintain power and control, often without ever raising a hand, though it can co-occur with physical or sexual abuse.

This type of abuse can happen in many types of relationships, including those with an intimate partner, family member, roommate, caregiver, or even an employer. While verbal abuse may occur in front of others, it often happens behind closed doors, making it especially isolating and difficult to identify. 

Signs of verbal abuse

While not always obvious, certain patterns of verbal abuse tend to appear in an abusive relationship. 

Verbal abuse can take many different forms, but some common warning signs are:

  • Name-calling and insults: using hurtful or degrading language to make someone feel small or unworthy
  • Blaming and shaming: assigning fault for situations unfairly, often making the person feel guilty for things out of their control
  • Threats and intimidation: subtle or overt warnings that create fear of retaliation, abandonment, or harm
  • Gaslighting: manipulating someone into questioning their memory, sanity, or perception of reality
  • Constant criticism: undermining self-esteem by relentlessly pointing out flaws, failures, or shortcomings

How verbal abuse can impact mental health

The damage caused by verbal abuse doesn’t always surface immediately. Often, it accumulates slowly, leaving behind lingering mental health consequences. Eventually, people experiencing this type of abuse may face:

  • Persistent anxiety and feelings of dread
  • Depression and emotional numbness
  • Low self-esteem and loss of self-identity
  • Sleep disturbances and nightmares
  • Social withdrawal or difficulty forming new relationships

For many, the internalization of abusive messages can deeply impact their sense of self-worth. Over time, targets of abuse may begin to believe they are unworthy of love, respect, or safety.

Verbal abuse mental health statistics

Research offers insight into how significantly emotional abuse can affect mental health:

  • Over 60% of emotional abuse survivors report symptoms of anxiety and depression.
  • Experiencing verbal abuse in childhood “significantly predicts” a person’s chance of developing anxiety, depression, post-traumatic stress disorder, and certain types of personality disorders in adulthood.
  • Survivors of non-physical abuse often delay seeking help, unsure if their experiences “count.”

Is verbal abuse domestic abuse? Exploring formal definitions of DV

When people think of domestic abuse or domestic violence, they often imagine bruises or broken bones. However, just because someone hasn’t been hit doesn’t mean they haven’t been hurt. Emotional, psychological, and verbal abuse can be incredibly harmful—perhaps, as some studies suggest, even more harmful than physical or sexual violence on its own. 

According to the Office of Violence Against Women, domestic violence is defined as “a pattern of abusive behavior in any relationship that is used by one partner to gain or maintain power and control over another intimate partner.” It does not specify that the violence must be physical. Verbal abuse can absolutely qualify as abusive behavior of this type, and many legal systems acknowledge verbal abuse as part of domestic violence patterns.

Why is verbal abuse domestic abuse?

Again, in many legal and psychological contexts, verbal abuse is considered a form of domestic violence.

This is because: 

  • It often happens in close, dependent relationships with an intimate partner, parent, or caregiver.
  • Its purpose is to exert power and control through fear or self-doubt.
  • Courts may factor it into custody and protective order decisions.
  • Even without physical contact, it’s a legitimate form of abuse that deserves awareness.
A woman sits outside, appearing pensive.
Getty/Oliver Rossi

Can emotional abuse turn into physical domestic violence? 

Many survivors of physical violence describe long periods of emotional abuse before the physical abuse began. This gradual escalation can follow a pattern. For example, the abuser often tests boundaries with minor insults or control tactics. Over time, their behavior intensifies, sometimes leading to physical harm, coercion, sexual violence, or forced sexual acts. The target, having already been worn down, may feel trapped or unsure how to respond, and the abuse may continue to intensify.

Domestic violence statistics 

Research suggests a connection between verbal abuse and domestic violence, as well as a need for broader awareness and early intervention. For example, consider that:

Recognizing the signs of domestic abuse and violence

Though abuse isn’t always obvious—especially at first—certain behaviors might indicate a dangerous pattern. For example: 

  • Controlling a person in the context of money, time, or social relationships
  • Persistent criticism or belittling remarks
  • Forced isolation from friends, family, or support systems
  • Threats of harm to themselves, the target, or the target’s loved ones or pets
  • Coercion to perform sexual acts
  • Gaslighting or denial of reality
  • Physical intimidation, such as blocking exits or raised fists
  • Sudden mood swings in the abuser (e.g., affectionate one day, cruel the next)
  • Monitoring personal devices or communication
  • Guilt-tripping for asserting independence or boundaries
  • The target walks on eggshells out of fear of triggering an outburst

Domestic violence resources

Services are available through the National Domestic Violence Hotline and other organizations to support survivors of emotional and verbal abuse. For example:

  • National Domestic Violence Hotline: Call 1−800−799−SAFE (7233) or text START to 88788
  • Love Is Respect
  • Local shelters and advocacy centers
  • Online support groups and survivor forums
  • Legal aid clinics for protective orders, custody, and separation

In any situation involving immediate danger, calling 911 or emergency services may be necessary.

The mental health effects of domestic abuse 

Long-term exposure to being verbally abused or otherwise abused in a high-stress, fear-driven environment can deeply affect mental health. As a result, survivors may face:

  • Chronic stress, anxiety, and panic attacks
  • Depression, numbness, or suicidal thoughts
  • PTSD or complex PTSD from repeated trauma
  • Substance use or eating disorders as coping mechanisms
  • Difficulty forming safe, healthy relationships

How therapy can help

Therapy can help survivors of abuse by offering a structured way to understand and reshape the thoughts and beliefs that often take root as a result of this type of experience. Cognitive behavioral therapy (CBT), for example, teaches a person to gently challenge unhealthy patterns, helping individuals recognize distorted thinking and develop healthier, more balanced perspectives. Through this process, survivors can learn practical tools to manage anxiety, reduce self-blame, and respond to symptoms more effectively. 

Over time, CBT may help strengthen self-esteem, restore a sense of personal control, and support the emotional healing and well-being that abuse may have disrupted. By breaking the link between past trauma and present thought patterns, CBT may empower survivors to move forward with clarity and confidence.

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Healing from abuse is possible

The benefits of online therapy

For survivors who feel overwhelmed or unsure about next steps toward emotional healing, starting with online therapy might feel less intimidating. Though the effectiveness of online therapy for survivors of verbal abuse specifically requires additional research, studies suggest its effectiveness when treating related conditions, such as depression and anxiety, among the general population. 

There are many potential advantages to seeking care through online therapy. First, sessions take place 100% online, which can be more comfortable or convenient than commuting to in-person sessions. Plus, online therapy is often more affordable than traditional, in-person care without insurance.

We are working with select insurance carriers to join their network. Some therapists on the BetterHelp platform now accept insurance (state-limited). Until then, our flexible subscription model continues to be an option to receive quality care from our extensive therapist network.

BetterHelp currently accepts HSA/FSA cards and is recognized as an eligible expense by most HSA/FSA providers. Get started today.

Takeaway

Understanding and naming verbal and emotional abuse can be the first step toward identifying domestic violence. While it may start subtly, it often escalates, and early recognition can make a big difference in long-term outcomes. Whether through therapy, legal aid, or the domestic violence hotline, there are paths to safety and recovery.
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