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Close observation during an interaction can alert providers to the need for further investigation and intervention, such as In general, children who witness domestic violence in the home can suffer an immense amount of physical symptoms along with their emotional and behavioral state of despair.

These children may complain of general aches and pain, such as headaches and stomach aches.

The trauma that children experience when they witness domestic violence in the home, plays a major role in their development and physical well being.

Older children can sometimes turn the stress towards behavioral problems.

As a result, children can be highly influenced by what is going on in their environment.

Their behavior is often guarded and secretive about their family members and they may become embarrassed about their home situation.

The physical effects of domestic violence on children, different than the effects of direct abuse, can start when they are fetus in their mother's womb, can result in low infant birth weights, premature birth, excessive bleeding, and fetal death, due to the mother's physical trauma and emotional stress.

Along with these general complaints of not feeling well, children who witness domestic violence may also appear nervous, as previously mentioned, and have short attention spans.

These children display some of the same symptoms as children who have been diagnosed with attention deficit hyperactivity disorder.

They may startle at the smallest things, such as a car door slamming or a glass cup accidentally falling to the floor.

If their anxiety progresses to more physical symptoms, they may show signs of tiredness from lack of sleep and weight and nutritional changes from poor eating habits.

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