Responding to psychological abuse

Psychological abuse, also known as emotional abuse, involves any verbal or non-verbal actions that cause mental anguish, fear, distress, or a sense of worthlessness in another person.

Who may be at risk of psychological abuse

  • older people
  • people living with disability
  • people who rely on others for care or support
  • people experiencing isolation, mental health issues, or cognitive changes.

What psychological abuse can look like

Psychological abuse may be subtle and difficult to detect. It can include:

  • yelling, insulting, threatening, or humiliating the person
  • intimidation, including menacing behaviour or gestures
  • gaslighting – manipulating someone to doubt their own thoughts, feelings or memories
  • isolating the person from family, friends, or support networks
  • blaming, controlling, shaming or criticising
  • constantly withholding affection, attention, or communication
  • threatening to withdraw care, services, or support
  • using disability, language, or age to belittle or control.

What to do if you suspect psychological abuse

If the person is in immediate danger phone emergency services on 000 (triple zero).

If you are a NDIS provider or aged care worker

Report it within your organisation, following your safeguarding or incident policy.

Consider whether to make a report to:

Work with the adult to plan the next steps

Practical steps you can take:

  • If you can speak to the person alone, sensitively raise your observations and ask them if they want support to address the abuse.
  • Offer to support the person to access advocacy, counselling or legal advice. Refer to the contacts for adult safeguarding assistance page for information about who to contact.

If the person declines help

  • Keep communication open and let them know support is available later.
  • If you are still worried, tell your manager or supervisor.
  • Document your concerns clearly and accurately.

If you need further advice or support

The Adult Safeguarding Unit can provide free, confidential information, advice and support.

Phone 1800 372 310 (9:00am to 4:00pm, Monday to Friday)
Email adultsafeguardingunit@sa.gov.au
Website adultsafeguardingunit.sa.gov.au

Other support services can be found on our contacts for adult safeguarding assistance page.

Page last updated 10 December 2025