There are many different effects of the abuse. If someone had physical abuse they may suffer from long term health complications. Abused women often have anxiety, tension, low energy, depression, insomnia, loss of appetite, or even headaches. They may believe that they failed the relationship. They have also been known to be ashamed and not allowing others to know exactly what had happened to them. In just about every case of Domestic Violence, women have stated that they have lost their self esteem and lack of confidence. Women have also been known to have anger and fear towards themselves and their abuser. They are also known to isolate themselves from other such as family and friends (Women's Web, The Effect of Abuse). According to Direnfeld (2007), the aftermath of emotional and psychological can last for several years or even lifetime. It not only affects the victim but also other family members and later relationships. In many cases, children have the trauma of the violence. These children grow to become bullies in their own right whose behavior the violated parent cannot control and whose behavior is reinforced by the perpetrator.