The Link Between Child Abuse and Mental and Behavioral Health and How to Begin Healing

Thrive • April 28, 2022

By Thrive Sacramento Therapist Annelise Scellier, AMFT, APCC

At such impressionable ages, children who experience adverse childhood experiences such as abuse face an increased risk of developing health concerns as they grow into adults. The trauma of child abuse can interfere with mental, emotional, and behavioral development. Guided by mental health clinicians, however, individuals who experienced abuse in their childhood can find healing.

ADVERSE CHILDHOOD EXPERIENCES 

Adverse childhood experiences (ACEs) is a term used within the mental health space to describe potentially traumatic events that have been linked to an increase in the risk of negative outcomes on physical, mental, and/or behavioral health

Examples of ACEs include:

  • Child abuse/neglect, including physical, emotional, psychological, verbal, or sexual
  • Having a family member who is depressed or diagnosed with other mental illness
  • Having a family member who is in prison
  • Witnessing a parent being abused
  • Losing a parent to separation, divorce, or death

According to the Center for Disease Control (CDC) , 61% of adults had at least one ACE and 16% had four or more types of ACEs in their upbringing. The higher one’s exposure to ACEs, the greater their risk is of facing negative health consequences later in life. Also according to the CDC, ACEs are associated with at least five of the top 10 leading causes of death, and preventing ACEs could reduce the number of adults with depression by as much as 44%.

CHILD ABUSE AND NEGLECT

Under the umbrella of ACEs, child abuse and neglect can lead to the development of mental and behavioral health conditions, such as depression , anxiety , eating disorders and substance use disorders . Child abuse and neglect is categorized into four types: 

1. Child Neglect

The most common type of child mistreatment, child neglect occurs when a child’s caregiver(s) fail to consistently provide for the child’s basic needs, including food, shelter, clothing, access to medical care, and access to education. Neglect may also involve failing to protect the child from harm or the threat of harm such as by exposing the child to domestic violence, leaving the child unsupervised, or leaving the child with neglectful caregivers. 

2. Physical Abuse

Physical abuse occurs when a child is exposed to physical harm that leads to an injury, whether the injury is caused intentionally or not. Injuries can involve bruises, cuts, broken bones, muscle sprains, and burns in addition to others. Such injuries may result from hitting with hands or objects, slapping, punching, kicking, throwing, burning, or other forms of physical violence. 

3. Emotional, Psychological, or Verbal Abuse

This type of abuse occurs when a child is exposed to persistent non-physical abuse. Some examples of emotional, psychological, and verbal child abuse include: 

  • Bullying
  • Demeaning
  • Belittling
  • Criticizing 
  • Verbally attacking
  • Dismissing
  • Invalidating 
  • Threatening

The effects of emotional, psychological, and verbal abuse on a child can be both internal and external.

When children internalize abuse, it may manifest as:

Alternatively, when children externalize abuse, it may manifest as:

  • Acting out
  • Delinquency
  • Hostility
  • Performing poorly in school
  • Withdrawing from social groups and activities they once enjoyed

4. Sexual Abuse

Sexual abuse occurs when a child is sexually exploited by an adult. By law, because a child cannot give consent to any sexual acts, any sexual activity between a child and an adult is considered sexual abuse. 

Types of sexual abuse include: 

  • Molestation 
  • Any kind of sexual intercourse
  • Exposing genitals to a child or masturbating in front of them
  • Child pornography (owned or produced)
  • Any interactions with the child that are sexual in nature
  • Forcing a child to perform sexual acts
  • Use of objects to perform sexual acts with a child

HOW CHILD ABUSE AND NEGLECT AFFECT MENTAL AND BEHAVIORAL HEALTH

Human bodies have built-in stress response mechanisms that help protect us from threats. When there is a perceived or real threat such as that of abuse or neglect, the body releases stress hormones including cortisol and adrenaline. If the body is exposed to stress hormones for extended periods of time, intense, or recurrent periods, as can be the case for those exposed to abuse or neglect, the excess cortisol and adrenaline will disrupt important processes in the body and the brain. 

Because their brains and bodies are still developing, children and adolescents are especially vulnerable to the negative impacts of stress hormones. Stress hormones brought on by child abuse or neglect can interfere with the healthy development of neural pathways and alter the immune system and endocrine system, leading to increased risk for mental, behavioral, and physical health problems. 

Research suggests that some types of abuse and neglect are more strongly correlated with the later development of negative mental and behavioral outcomes, such as: 

  • Emotional abuse: Considered the strongest predictor of depressive disorders and suicide attempts. 
  • Physical abuse/neglect and sexual abuse: Linked to antisocial personality disorder, substance abuse, delinquent behaviors, and eating disorders.
  • All kinds of abuse and neglect: Linked to increased impulsivity, dissociation, difficulty focusing, post-traumatic stress disorder (PTSD) , self-harming behaviors , and high-risk behaviors such as smoking, drug and alcohol use, and promiscuity. Research also suggests that children exposed to abuse are more likely to abuse or neglect their own children, as well as to experience additional abuse or neglect from others. 

For more on the link between ACEs and mental and behavioral health struggles, consider watching this TED Talk on how childhood trauma affects health across a lifetime by pediatrician Nadine Burke Harris.

HEALING FROM MENTAL AND BEHAVIORAL HEALTH CONCERNS ASSOCIATED WITH CHILD ABUSE

The main course of treatment for individuals struggling with mental or behavioral health due in part to child abuse involves trauma-focused therapy, which may draw on different modalities and interventions, including:

  • Eye movement desensitization and reprocessing (EMDR): Uses eye movement to integrate a person’s emotional experience with their cognitive experience.
  • Trauma-focused cognitive-behavioral therapy (TF-CBT): A form of talk therapy used to treat childhood trauma.

Whatever methods are used, the therapist-guided process of healing from child abuse generally involves:

  • Acknowledging: The person acknowledges that child abuse or neglect occurred and that it wasn’t their fault.
  • Understanding: The individual develops a fuller understanding of the implications of the abuse or neglect, including how it affects their life, their relationship with themself, and their relationships with others
  • Processing: The client processes the emotions tied to the abuse or neglect, especially any feelings of guilt, shame, and self-blame. 
  • Accepting the past: The client comes to accept their traumatic experiences. 
  • Regaining balance : The person re-establishes their sense of safety and control over their present life.
  • Addressing attachment problems: The person addresses any difficulties forming and maintaining healthy relationships. 
  • Connecting: Instead of isolating, the individual connects with those in their life who provide nourishing and meaningful relationships.
  • Self-care : The client dedicates time and effort to taking care of their mental and physical health, while also developing healthy habits .
  • Developing awareness of unhealthy coping mechanisms: The person becomes aware of any unhealthy methods of numbing their emotions, such as self-harm, disordered eating behaviors , and substance use.
  • Developing healthy coping skills: The individual develops strategies for grounding themselves, regulating their emotions, and managing stress.

GROW WHERE YOU ARE PLANTED

Whether you’re struggling with depression, anxiety, an eating disorder, or another mental or behavioral health concern, Thrive therapists and psychiatrists can provide specialized, compassionate, and effective care to those struggling with the implications of ACEs such as child abuse and neglect. We wholeheartedly believe you deserve to thrive —not just survive — and our experts will help you do just that. Reach out to learn more about our mental and behavioral health services

About the Author

Thrive Sacramento Therapist Annelise Scellier, AMFT, APCC

After acquiring a bachelor’s degree in psychology from the University of California, Davis, Annelise Scellier earned her master’s degree in clinical mental health counseling from Sonoma State University with concentrations in marriage and family therapy and professional clinical counseling. She is registered in California as both an associate marriage and family therapist (AMFT) and associate professional clinical counselor (APCC).

With previous experience working in a residential eating disorder treatment center as well as a psychotherapy clinic, she offers invaluable services to clients combating eating disorders and co-occurring conditions. As a therapist at Thrive Wellness Sacramento, she fuels her passion for helping individuals and families on their journey toward better health. Annelise works inclusively with clients of all ages, backgrounds, and orientations and strives to normalize seeking professional support for mental and behavioral health concerns despite societal and cultural stigmas.

Annelise is originally from France and enjoys caring for her adorable, free-roaming pet rabbits, Parsnip and Pickle, in her spare time.

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April 14, 2025
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This anxiety not only exacerbates compulsive eating behaviors but also fuels obsessive thinking. The overlap between anxiety disorders and eating disorders is common, with many displaying symptoms of both conditions concurrently. This overlap suggests a complex connection between these mental health issues, highlighting the need for comprehensive treatment approaches that address all aspects of these disorders together. OCD and Anorexia Nervosa OCD and anorexia nervosa often co-occur, creating a dual struggle for those affected. People with both conditions experience overlapping symptoms such as intrusive thoughts and compulsive behaviors. This dual presentation can make diagnosis and treatment more challenging. A desire for control often drives both OCD and anorexia, leading to rigid routines, rituals, and restriction surrounding food and body image that can be difficult to break. Understanding the shared behaviors and motivations between these disorders can aid mental health professionals in developing more effective therapeutic strategies tailored to their clients’ specific needs. OCD and ARFID OCD and Avoidant/Restrictive Food Intake Disorder (ARFID) share a common thread, deeply influencing anxiety levels and eating patterns. Individuals with OCD might develop rituals or compulsions around food intake motivated by distressing thoughts, mirroring the restrictive behaviors and fear characteristic of ARFID. Both disorders are driven by a strong need for control and intense fear, significantly affecting one's nutritional intake and overall well-being. The parallels between OCD and ARFID suggest that effective treatment involves addressing the underlying anxiety, fears, and aversions that contribute to both conditions. OCD And Bulimia The relationship between OCD and bulimia presents with unique challenges that offer insight into compulsive behaviors and intrusive thoughts. The co-occurrence of OCD and bulimia can look like compulsive binge-purge cycles rooted in an attempt to fight distressing thoughts about food and body image. Both disorders can act as coping mechanisms for underlying anxiety and distress, often manifesting as a means to gain control. The co-occurrence of OCD and bulimia complicates diagnosis and treatment, requiring a comprehensive therapeutic approach that addresses both sides of the disorder. OCD and OSFED OCD and other specified eating and feeding disorders (OSFED) often co-exist, each one potentially exacerbating the other. Both disorders frequently involve intrusive thoughts and compulsive behaviors, such as ritualistic eating or compulsive exercising. Anxiety emerges as a common underlying factor, fuelling obsessive fears and the need for control over food and body image. Treatment approaches for these conditions often overlap, particularly with interventions such as cognitive-behavioral therapy (CBT) that aim to address distorted thinking patterns. This overlap suggests that a holistic approach to treatment can be especially beneficial for those affected by both OCD and eating disorders. Shared Traits of OCD and Disordered Eating Ritualistic Behavior Ritualistic behaviors are commonly observed in those coping with OCD, anxiety, and eating disorders. These behaviors serve a purpose: to manage distress and create an illusion of control. Though these repetitive actions might reduce anxiety temporarily, they can become time-consuming, disruptive, and negatively impact your quality of life. In OCD, people perform rituals to alleviate obsessive thoughts, whereas, in eating disorders, these rituals revolve primarily around food and body image. 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In the context of OCD/ED's, ERP helps reduce distress associated with intrusive thoughts related to food, body image, and rituals around eating. Research has shown that ERP can significantly improve nutritional intake by increasing an individual's flexibility with food choices, reducing avoidance behaviors, and supporting eating in a variety of settings and contexts. Do You Have a Loved One Battling an Eating Disorder or OCD? Understanding the intricate link between eating disorders, anxiety, and OCD can help improve the support offered to a loved one struggling with these challenges. Recognizing common characteristics and behaviors associated with these disorders further aids in building empathy and effective communication. Education on the psychological and physical aspects of eating disorders is essential for offering informed assistance and encouragement. Assisting your loved one in gaining professional help and maintaining patience are crucial steps in supporting a loved one on their journey to recovery. To learn more about eating disorders, download our free eating disorder guide “Recovery is Real” . Embracing Understanding and Support The intersection of anxiety, OCD, and eating disorders illustrates the complex nature of mental health challenges. By learning more about these interconnected conditions, those struggling and their loved ones can gain greater understanding and uncover effective pathways toward healing. Providing holistic support centered on empathy, education, and appropriate intervention not only improves treatment outcomes but also nurtures strength and resilience in the face of challenges. Through dedicated effort, recovery can be possible for anyone and can allow them to live a full life.
By Brianna Villalpando, LMSW, LCSW March 19, 2025
Teen eating disorders are serious. As a parent or caregiver, one of the most difficult situations you can face is noticing that your teen may be struggling with a basic human need like eating. Adolescence is already a rough period for many teens filled with fluctuating emotions, changing bodies, and social pressures. However, sometimes coping with these challenges can manifest in unhealthy ways, like developing complicated relationships with food, body image, control, or exercise. Many teens face body image issues as their bodies mature, excessive pressure to meet unrealistic expectations fueled by social media and peers, and emotional instability and anxiety during their adolescent years, all of which can combine to create the perfect storm for an eating disorder. These challenges can often make your teen more vulnerable to unhealthy coping mechanisms , such as restricting food intake, excessive exercise, or engaging in disordered eating behaviors . If you’ve started noticing signs that something may not be right, it’s essential to take action to help your teen get the support they need. Recognizing the Signs of an Eating Disorder Eating disorders can vary in appearance, but there are some common signs and symptoms to watch for. If you notice any of the following behaviors or changes in your teen, it may indicate a problem that requires further attention: Preoccupation with body image : Teens with eating disorders often show increased focus on their weight or appearance, frequently expressing dissatisfaction with their body. Excessive discussions about dieting : If your teen frequently talks about dieting, food restriction, “getting skinny,” or often makes weight-related comments, this could be a red flag. Obsession with calorie counts : Teens who are obsessed with tracking every calorie, comparing the caloric content of foods, or controlling their calorie-intake may be struggling with an eating disorder. Skipping meals : Frequently skipping meals or not eating regularly is a common sign that something is wrong. Eating in isolation : Eating alone or avoiding family meals may signal discomfort with eating or shame around food. Excessive exercising : Over-exercising or using exercise as a way to purge calories can also point to an eating disorder. Spending long amounts of time in the bathroom : This could be a sign of emerging or purging behaviors, such as vomiting after meals. Hoarding foods : Hiding food or being secretive about eating may indicate issues with food control and secrecy around eating habits. Irregular periods or thinning hair : In females, a disruption in menstrual cycles or thinning hair can be physical signs of the effects of an eating disorder on the body. How Can I Talk to My Teen About Eating Disorders in a Supportive Way? Approaching a conversation about eating disorders with your child requires sensitivity and care. It's important to emphasize empathy and understanding, conveying that your primary concern is your teen's health and well-being. Initiating this conversation compassionately can create an environment of trust and openness to explore the problem. Selecting a calm, comfortable, and private setting is vital so your teen feels safe discussing a sensitive topic that may cause them to feel anxiety or shame. Effective communication hinges on using open-ended questions and active listening. Encourage your teen to share their thoughts and feelings without fear of judgment. By actively listening, you validate their experience, making them feel heard and understood. Before diving into the conversation, educating yourself about eating disorders can provide a solid foundation for discussing the issue knowledgeably. Some quick preparation with research allows you to dispel myths and provide accurate information when you talk to your teen. Why It's Crucial to Seek Medical Help When you notice warning signs, it’s important not to wait to get help. Eating disorders can be life-threatening, both physically and emotionally. They take a serious toll on a teen’s health, affecting their metabolism, hormonal function, and overall well-being. Beyond the physical impact, eating disorders can often involve deeply ingrained psychological and emotional challenges, such as low self-esteem, anxiety, depression, and trauma. After an initial conversation, the first step is to schedule an appointment with a medical provider. Your teen’s primary care doctor or a pediatrician can help evaluate their physical health and provide guidance for next steps. Be prepared to discuss the specific behaviors or signs you’ve observed, as this will help your provider better understand the situation. The doctor may conduct a physical examination, lab tests, and discuss your teen's emotional and psychological state. Building a Support Team Once you’ve taken the first step to ensure your teen’s immediate medical needs are addressed, it’s time to build a multidisciplinary treatment team . This may include: Therapists : A licensed, specially trained therapist who specializes in eating disorders or adolescent mental health can help your teen address the emotional and psychological root causes of their disorder. Medical doctors : Your teen’s doctor can monitor their physical health during the recovery process, ensuring they are safe while navigating the challenges of nourishing their body. Nutritionists or dietitians : A professional who specializes in eating disorders can create a nutrition plan tailored to your teen’s specific needs and help them rebuild a healthy relationship with food. Psychiatrists : In some cases, medication may be prescribed to address underlying mental health issues contributing to their behavior. Act Quickly and Seek Professional Guidance It’s crucial to act as soon as you recognize signs of an eating disorder in your teen. The longer eating disorders go untreated, the harder they can be to overcome. Recovery from an eating disorder is a complex journey, involving both physical and mental obstacles to tackle. It can be incredibly difficult for both the teen and the family to manage this process at home without professional support. A well coordinated team of medical providers, therapists, and eating disorder specialists is essential in guiding your teen through their recovery. This team can help monitor your teen’s progress, provide emotional support, and ensure that your teen is getting the care they need for both short and long-term recovery. Supporting Your Teen on Their Recovery Journey Eating disorders are serious, but with the right care and support, recovery is possible. If you suspect that your teen may have an eating disorder, don’t hesitate to reach out for help. Seek medical advice first, and build a support team of professionals who can work together to provide comprehensive care. Eating disorders are complex, and it’s not something you or your teen should have to face alone. Taking swift action and offering compassionate support will help your teen regain control of their health and their life so that they can thrive through their adolescence and beyond. At Thrive, we offer specialized treatment for anorexia, bulimia, binge-eating disorder, and avoidant/restrictive food intake disorder (ARFID). Our adolescent intensive outpatient and partial hospitalization programs have not only changed lives, but saved them. If you believe your teen is struggling, don't hesitate to reach out for help, we are ready to conduct a complimentary intake assessment today. To learn more about eating disorders, download our free guide "Recovery is Real" filled with practical insights and strategies to help a loved one navigate the journey toward recovery.
By Brianna Villalpando March 12, 2025
It can be difficult to know when it's time to reach out for help. We often try to manage stress, anxiety, sadness, or relationship issues on our own, thinking it’s just a phase or something we can work through to “get over.” But sometimes, these feelings or behaviors persist and can start affecting our overall mental and emotional well-being. The truth is, seeking therapy shouldn't be a last resort. Therapy is a valuable tool for anyone looking to better understand themselves, improve their emotional health, and work through life’s challenges. If you’ve been wondering whether it’s time to seek therapy, there are a few key factors to consider when performing a self-evaluation. Here are five signs that it might be time to reach out for additional support: 1. Is My Mood Affecting My Life or Relationships? One of the most telling signs that you may need support is noticing that your mood is negatively impacting your daily life or interpersonal relationships. Have you noticed an increase in conflict with friends, family, or colleagues? Are you feeling stuck in patterns of negativity that seem hard to shake? If your mood is affecting how you function at work, school, or in your personal life, it may be time to talk to a therapist. Pay attention to your behaviors; are you withdrawing from activities you usually enjoy? Are you reacting more intensely to situations than usual? If your emotional state is beginning to impact your relationships, interactions, or your ability to move through everyday life, a therapist can help you explore underlying causes and develop tools to improve your social wellness. 2. Am I Isolating Myself to Avoid Conflict? There’s a big difference between being introverted and isolating yourself as a way to avoid conflict. If you find yourself consistently pulling away from social situations, not because you need time to recharge, but because you’re avoiding uncomfortable conversations or emotional confrontations, this could be a sign of a deeper issue. It’s natural to want to avoid tension or discomfort, but consistent isolation can worsen feelings of loneliness and make it even harder to work through conflicts. Therapy can help you learn healthy coping mechanisms, problem-solving and communication skills, so you can feel more comfortable facing conflict in a productive way rather than shutting down or avoiding it at the cost of self-isolation. 3. Are My Emotions Out of Control? Do you ever feel like your emotions are so overwhelming that you can't regain control? If you're finding it difficult to calm yourself down, quiet your thoughts, or manage your feelings, this might be a sign that therapy could be helpful. Emotions like anger, disgust, fear, anxiety, or sadness are natural, but if they start taking over your thoughts and actions, it can be exhausting and difficult to complete daily tasks. A therapist can help you understand why your emotions are so intense and teach you strategies to regulate them and regain a sense of balance. 4. Have I Experienced Trauma That’s Affecting My Daily Life? Trauma comes in many forms, it could be from a single incident or from ongoing experiences that have affected your sense of safety, connection, or well-being. Sometimes, trauma is tied to experiences in childhood, but it can also be linked to recent events, like accidents, loss, or abuse. If you've experienced trauma and are struggling to perform basic daily tasks or meet your needs, therapy can be incredibly beneficial. Unresolved trauma can lead to feelings of anxiety, depression, or being stuck in past experiences. A trauma-informed therapist can help you process these experiences, understand their impact on your life, and work toward healing and recovery. 5. Am I Hurting Myself or Others? If your mood or behaviors are causing you to hurt yourself or others, it’s crucial to seek help immediately. Whether it’s through emotional or physical self-harm , or unintentionally inflicting harm on the people around you, this is a serious sign to find support from mental health professionals. A therapist can provide a safe, nonjudgmental space to talk about what you’re going through and help you work toward healthier ways of coping. If you’re in immediate danger or experiencing thoughts of self harm, it’s essential to reach out for help as soon as possible. There’s no shame in seeking support when you're struggling with harmful thoughts or actions. Why is Professional Mental Health Support Necessary? Although there may be barriers to seeking therapy, reaching out for professional mental health support is worth it to address the emotional and psychological issues that you shouldn’t have to deal with alone. Therapists have the knowledge and tools needed to guide you through your struggles, offering insights and solutions that aren’t available outside of the therapeutic setting. Their expertise promises not only a deeper understanding of your challenges, but the application of practical methods and skills to resolve them in your everyday life. Additionally, trained mental health professionals offer personalized strategies and coping mechanisms tailored to your unique situation and needs. These strategies are informed by evidence-based practices and a therapist’s experience working with and healing emotional and mental struggles. Personalized therapy helps clients receive the most relevant and effective guidance for their personal challenges. Embracing the Journey Toward Mental Wellness Recognizing that you might need support is the first step toward feeling better and getting the most out of life. Therapy isn’t just for when things are at their worst; it’s a proactive way to improve your emotional health, work through challenges, and build skills for resilience. If you relate to any of these situations, it might be time to reach out and explore therapy as an option. It’s okay to need help, and you don’t have to navigate this journey alone. If you’re unsure whether therapy is right for you, consider talking to a mental health professional to discuss your concerns and explore specialized support options available to you. You deserve to feel your best, and therapy can be a stepping stone to help you reach your goals. Are you in need of support? At Thrive Wellness, we offer personalized therapy and treatment to support you in whatever you're going through, don't be afraid to reach out for help . We also offer a FREE comprehensive guide to wellness in our “How to Thrive” guide . This guide offers practical, easy-to-follow habits that promote physical, mental, and emotional well-being. Start your journey towards a balanced and fulfilling life today with these simple yet transformative steps.
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