The psychological consequences of child abuse include the immediate effects of isolation, fear, and an inability to trust. When children cannot trust that someone is there to meet their needs, they tend to develop low self-esteem, anxiety, depression and hopelessness. These problems can lead to antisocial behavior and difficulty maintaining long-lasting relationships. These children are often diagnosed with conduct and personality disorders and are more likely to engage in violent behavior. Child abuse and neglect can impact families by developing a sense of guilt. In a sexual abuse case where the perpetrator is one of the parents, this leads to divorce. Furthermore, when children grow up in families where their needs are not met and become parents themselves, they often lack parenting skills and social skills. Community impacts include the financial costs of responding to reports of child abuse, the costs of providing services to families involved in the child welfare system. It is very expensive to care for children removed from home, incurring court and legal costs. Indirect costs a