Child abuse affects millions of children each year and leaves a profound imprint that can extend far beyond childhood. The impact touches every dimension of development — physical, psychological, cognitive, social, and economic — and the consequences, if left unaddressed, can last a lifetime. Understanding these effects is a critical step toward early recognition, compassionate response, and meaningful healing. This article explores what we know about how child abuse affects children and survivors, what warning signs to watch for, how healing is possible, and how each of us plays a role in protecting children.