Children exposed to domestic violence can experience psychological effects like anxiety disorders, PTSD, loss of interest in school, substance abuse, and delinquency. They may also have difficulty forming healthy relationships and exhibit self-blame. Witnessing domestic violence can cause increased sensitivity to anger as well as sadness, fear, and stress responses. Exposure to violence and trauma can neurologically impact brain development and potentially lead to the development of abusive personalities. Some states are now considering child exposure to domestic violence a separate criminal charge. Further research is needed using broader definitions of violence and examining health and medical consequences.