Understanding Intimate Partner Violence (2025)

Intimate partner violence (IPV), also referred to as domestic abuse or domestic violence, is a form of abuse that occurs in romantic relationships, by current or former partners or spouses.

Intimate partner violence involves abusive or aggressive behavior that is meant to frighten, hurt, manipulate, or control someone. It may involve a series of episodes over several years or a single episode that can have a lasting impact. It is considered to be a major global public health issue. In fact, it is estimated that in the United States, it is the most common but least reported crime.

"People who experience abuse from their partners often have a difficult time recognizing abuse due to normalizing or minimizing harmful behaviors becauseof the complexity of abuse dynamics," says Yolanda Renteria, LPC.

The Centers for Disease Control and Prevention (CDC) estimates that 1 in 4 women and 1 in 10 men in the United States have experienced some form of intimate partner violence during their lifetime.

The CDC also notes that approximately 20% of homicides are committed by intimate partners and that over 50% of the women murdered in the United States are killed by current or former male partners.

This article explores the types, signs, causes, and impact of intimate partner violence.

If you or a loved one are a victim of intimate partner violence, contact the National Domestic Violence Hotline at 1-800-799-7233 for confidential assistance from trained advocates.

If you are in immediate danger, call 911. For more mental health resources, see our National Helpline Database.

Types of Intimate Partner Violence

Intimate partner violence can take many different forms, which can include:

  • Sexual abuse: Forcing an intimate partner to participate in a sex act without their explicit consent. Sexual abuse also includes any sexual contact between an adult and a partner who is below the age of 18.
  • Physical abuse: Hurting or attempting to hurt someone by punching, kicking, slapping, hitting, biting, pinching, burning, strangling, grabbing, choking, or shoving them. Physical abuse also includes actions such as throwing things, banging doors, or punching walls.
  • Emotional abuse: Undermining the person’s self-worth by criticizing them constantly, gaslighting them, calling them names, isolating them from their family and friends, monitoring their activities, and trying to prevent them from working or doing things they enjoy.
  • Psychological abuse: Terrorizing the person, playing mind games with them, or threatening to harm them or their loved ones.
  • Financial abuse: Maintaining control over joint finances, withholding access to money, and tracking the person’s spending. Financial abuse also includes preventing an intimate partner from working, studying, or taking other steps to become financially independent.
  • Stalking: A pattern of behavior intended to harass, annoy, frighten, or harm the person. Stalking can involve behaviors such as phoning the person repeatedly, mailing them letters or gifts, following them as they go about their day, or finding ways to spy on them while they’re at home or work.
  • Online abuse: Using email, social media, dating apps, and other digital platforms to harass, abuse, stalk, threaten, bully, or manipulate an intimate partner.

13 Red Flags in Relationships

Signs of Intimate Partner Violence

These are some of the indications that someone is a victim of intimate partner violence:

  • Being agitated or visibly upset
  • Displaying drastic or sudden changes in behavior
  • Becoming unresponsive and withdrawing into themselves
  • Displaying changes in personality such as lower self-esteem and confidence
  • Always checking in with their partner
  • Being excessively worried about pleasing their partner
  • Skipping out on social or work activities without a reason
  • Seeming nervous or scared around their partner
  • Having injuries like black eyes, bruises, cuts, wounds, broken teeth, or fractured bones
  • Making excuses for their injuries such as “I fell,” or “I bumped into the door”
  • Bleeding or having bruises, bloodstains, or torn clothing around genital areas

Causes of Intimate Partner Violence

These are some of the factors that can lead to intimate partner violence, according to a 2018 study:

  • Cultural factors: Historically, many cultures have granted men a sense of ownership when it comes to women, allowing them to chastise or beat women if they deem necessary. In intimate relationships particularly, men were considered the custodians of women’s sexuality and the family’s honor, therefore any acts by a woman that were perceived as violating this sense of honor were considered punishable.
  • Social factors: Victims are often blamed for being abused, which can make it hard for others to speak up about being abused. Furthermore, women’s voices continue to be underrepresented in media, politics, the judicial system, and other positions of power.
  • Legal factors: Police and other law enforcement agencies sometimes hesitate to intervene and help victims of intimate partner violence, and it is often considered to be a private family matter. Abusive partners are allowed more leniency than strangers who have committed similar crimes.
  • Economic factors: Lower economic status is linked to a greater risk of intimate partner violence.
  • Environmental factors: Growing up in an abusive environment and having witnessed or experienced domestic abuse can make someone more likely to be abusive toward their intimate partners. This phenomenon is known as the cycle of abuse.
  • Substance use: Frequently using substances such as drugs and alcohol can make someone more likely to be a violent or aggressive partner.

9 Reasons the Cycle of Abuse Continues

Impact of Intimate Partner Violence

Intimate partner violence can cause physical and psychological damage that persists long after the abuse ends.

These are some of the effects of intimate partner violence:

  • Injuries, which can be serious or fatal in some cases
  • Hearing or vision loss
  • Lasting physical damage
  • Sexually transmitted infections (STIs)
  • Unwanted pregnancies, which can result in dangerous complications due to unsafe or illegal abortions
  • Mental health conditions such as post-traumatic stress disorder (PTSD), depression, anxiety, and substance use disorders
  • Physical health issues such as heart problems, digestive difficulties, reproductive issues, nervous system conditions, and muscle and bone disorders
  • Low self-esteem and a feeling of being unwanted, powerless, hopeless, and ashamed
  • Trust issues, difficulty with relationships, and a tendency to engage in risky behaviors
  • Difficulty functioning at work or school

"People involved in partner violence are often stuck in a cycle that goes from stages of tension, explosive episodes, and honeymoon periods. This dynamic often confuses victimssince they experience times when change seems possible. Over time, each stage of the cycle becomes shorter," says Renteria.

How Witnessing Domestic Violence Affects Children

Conclusion

Intimate partner violence is a major issue not just in the United States but around the world. It can be traumatic to experience and cause long-lasting physical and psychological damage—or even lead to death.

It’s important to identify intimate partner violence and take steps to prevent it because the victims are our family members, friends, neighbors, and coworkers. While we may stereotype victims of intimate partner violence, it’s important to remember that anyone can be a victim, regardless of their age, gender, sexual orientation, race, faith, or class.

10 Sources

Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

  1. Centers for Disease Control and Prevention. Preventing intimate partner violence.

  2. United Nations. What is domestic abuse?

  3. Li S, Zhao F, Yu G. Childhood maltreatment and intimate partner violence victimization: A meta-analysis. Child Abuse Negl. 2019;88:212-224. doi:10.1016/j.chiabu.2018.11.012

  4. City Government of Annapolis, Maryland. Myths about domestic violence.

  5. Washington State Department of Social and Health Services. Types and signs of abuse.

  6. Patra P, Prakash J, Patra B, Khanna P. Intimate partner violence: Wounds are deeper. Indian J Psychiatry. 2018;60(4):494-498. doi:10.4103/psychiatry.IndianJPsychiatry_74_17

  7. Greene CA, Haisley L, Wallace C, Ford JD. Intergenerational effects of childhood maltreatment: A systematic review of the parenting practices of adult survivors of childhood abuse, neglect, and violence. Clin Psychol Rev. 2020;80:101891. doi:10.1016/j.cpr.2020.101891

  8. Nemours Foundation. Abuse.

  9. U.S. Department of Health & Human Services. Emotional and verbal abuse. Updated February 15, 2021.

  10. Department of Human Services. Domestic violence crisis and prevention.

Understanding Intimate Partner Violence (1)

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Understanding Intimate Partner Violence (2025)

FAQs

What therapy is best for DV? ›

Because behavior therapy and cognitive-behavior therapy are short-term and goal-oriented and emphasize problem-solving, many people find it to be especially useful for many of the problems encountered in a violent relationship.

What theory best explains intimate partner violence? ›

Feminist theory, often referred to as the Feminist Model, aims to understand violent relationships through examining the sociocultural context in which these relationships occur.

What is the root cause of intimate partner violence? ›

Root causes of domestic violence include discrimination and gender inequality. There are many individual, relational, community and societal risk factors that increase the likelihood of victimization and domestic violence perpetration.

What do we know about intimate partner violence? ›

1 in 7 women and 1 in 18 men have been stalked by their partner during their lifetime. IPV accounts for 15% of all violent crime. 1 in 5 women and 1 in 59 men in the United States have been raped in their lifetime. Almost half of these women and a third of these men were raped by an intimate partner.

Which therapy approach for abuse is the most effective? ›

Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)

TF-CBT is one of the most effective trauma therapy methods available to help youth recover from Post-Traumatic Stress Disorder. TF-CBT addresses other trauma-related challenges like anxiety, depression, and behavior problems.

What are the two most commonly used behavioral treatment methods? ›

CBT and exposure therapy, a type of behavior therapy, are the two most commonly used interventions in the treatment of anxiety disorders. Exposure therapy has its roots in classical conditioning.

What are the four patterns of intimate partner violence? ›

Intimate partner violence encompasses subjection of a partner to physical abuse, psychologic abuse, sexual violence, and reproductive coercion. Physical abuse can include throwing objects, pushing, kicking, biting, slapping, strangling, hitting, beating, threatening with any form of weapon, or using a weapon.

What is the most common form of intimate partner violence? ›

Situational couple violence

This is the most common form of intimate partner violence, particularly in the western world and among young couples, and involves women and men nearly equally. Among college students, Johnson found it to be perpetrated about 44% of the time by women and 56% of the time by men.

What are the four stages in the cycle of intimate partner violence in order? ›

The cycle of abuse is a four-stage pattern used to describe the way abuse often occurs. The stages—tension, incident, reconciliation, and calm—repeat themselves over and over again in abusive relationships that follow this pattern.

Who are the primary victims of intimate partner violence? ›

Studies widely identify women as victimized more often than men by their intimate partners,i but men can be victims of intimate partner violence, too, and women may use violence within relationships.

How does intimate partner violence affect women's brains? ›

Effects of intimate partner violence (IPV) and brain injury

Emotional disturbances such as complex post-traumatic stress disorder (PTSD), anxiety, and depression are common. Brain injury survivors can suffer some of the same issues, along with a range of cognitive, physical and behavioural changes.

Is stalking an example of IPV? ›

There is a real and frighteningly significant connection between stalking and intimate partner violence. Stalking often co-occurs with intimate partner violence and can be an indicator of other forms of violence. Stalking can be a way to exert power and control during and/or after an abusive relationship.

What is the origin of intimate partner violence? ›

In contrast, feminist scholars have proposed that IPV arose out of a structural, patriarchal system, in which men seek to dominate and subdue women [5]. Moreover, socio-cultural forces (e.g., norms) may glorify and engender violent tendencies that result in IPV.

What is true about intimate partner violence? ›

Intimate Partner Violence can occur between persons of any gender identity, any sexual orientation, and it can occur in any type of intimate relationship including monogamous, non-committed, and relationships involving more than two partners. Intimate Partner Violence can be a single act or a pattern of behavior.

Who are the consequences of IPV? ›

Have fatal outcomes like homicide or suicide. Lead to injuries, with 42% of women who experience intimate partner violence reporting an injury as a consequence of this violence (3). Lead to unintended pregnancies, induced abortions, gynaecological problems, and sexually transmitted infections, including HIV.

What type of therapy has been shown to reduce domestic violence? ›

CBT is the underlying theory for many effective therapies for common clinical conditions such as anxiety, depression, PTSD, and disruptive behaviors. Effective treatments for individuals who break the law or abuse their children are also typically CBT based.

What is the most effective treatment therapy for many psychological disorders? ›

CBT can be a very helpful tool — either alone or in combination with other therapies — in treating mental health disorders, such as depression, post-traumatic stress disorder (PTSD) or an eating disorder. But not everyone who benefits from CBT has a mental health condition.

What kind of disorder is best treated with intervention of family therapy? ›

Family therapy can be beneficial if a family member has any of the following mental health conditions: Anxiety disorders, such as obsessive-compulsive disorder (OCD). Eating disorders, such as anorexia. Mood disorders, such as bipolar disorder and depression.

Which therapy is the most effective treatment for adjustment disorders? ›

Talk therapy, also called talk psychotherapy, is the main treatment for adjustment disorders. This treatment can be provided individually, or with a group or as a family.

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