P: 312-726-7020 TTY: 312-726-4110 www.nationalcenterdvtraumamh.org IPV AND LIFETIME TRAUMA Acute symptoms of mental illness can also heighten a woman's risk for victimization. 42,36 Although psychiatric crises are often precipitated by recent trauma, for a woman experiencing symptoms of acute psychosis, clinicians may interpret accusations of victimization as delusions, thus leaving her vulnerable to further victimization. Women may be at particular risk for assault when experiencing cognitive or emotional difficulties associated with psychotic disorders. 42 In addition, symptoms of severe trauma, such as dissociation or flashbacks, may also mimic psychotic disorders, heightening the potential for misdiagnosis and treatment that does not address underlying issues of abuse. Responses to previous trauma, such as dissociation or potentially risky coping strategies, may also increase a woman's vulnerability to abuse. 37 In addition, trauma or mental illness in childhood or adolescence can disrupt key developmental processes, leaving women without the skills they need to negotiate power and decision-making in relationships. 44 When having to manage without these skills is compounded by abuse in adulthood, the likelihood of having legitimate rights respected in any relationship may become even more remote. 45