Emotional abuse can have long-lasting negative effects on children and youth. It is connected to the relationship between the victim and abuser. Emotional abuse can lead to physical effects like speech problems, eating disorders, and substance abuse as well as behavioral effects such as low self-worth, inability to trust others, depression, aggression, and risky behaviors. Boys may display aggression, bullying, disobedience, while girls tend to be withdrawn, approval-seeking, and compliant.