Abuse, trauma and neglect makes a child feel despondent and worthless. Such children blame themselves for this issue, rather than recognising their primary caregivers as being unreliable and dangerous. They are often ridden with shame, low self-esteem, guilt and a poor self-image. Impact of child complex trauma, do last well beyond childhood. Research shows, that child trauma survivors sometimes experience : more suspensions and expulsions, learning problems, including lower grades in academics. Such children utilise increased mental and health services.

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