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Why the silent treatment is equivalent to physical violence

Why the silent treatment is equivalent to physical violence

Ama K. Karikari, Esq.

Ever since I started speaking out about the horrors of the silent treatment, I have been met with the same response, over and over again: “But isn’t it better than hitting someone?”

I do not create a hierarchy of abuse. Abuse is abuse. And the silent treatment impacts the nervous system in a way that is nearly identical to physical abuse.


Here is how I define it. The silent treatment is the intentional withdrawal of communication, usually for 24 hours or more, paired with hostile energy. The person doing it refuses to repair the situation afterward. They simply expect the relationship to snap back to normal, as if nothing happened.

It is a form of abuse because it is rooted in control, manipulation, and domination. The narcissistic perpetrator is using silence as a punishment.

And it does not just hurt your feelings. It hijacks your entire nervous system.

When someone intentionally withholds communication, affection, or acknowledgment as punishment, your body interprets that silence as danger. This is not an exaggeration. According to polyvagal theory (Dr. Stephen Porges) and trauma researchers like Dr. Bessel van der Kolk, author of The Body Keeps the Score, emotional abandonment activates the same survival circuitry as a physical threat.

Here is what actually happens inside your body.

1. Your fight, flight, freeze, or fawn response activates.

When a partner suddenly stops talking to you, your brain perceives an attachment rupture. A primal threat.

  • Fight may show up as panic, irritability, pleading, or demanding answers.

  • Flight may look like withdrawing, leaving the house, or shutting down communication.

  • Freeze appears as numbness, dissociation, or feeling paralyzed.

  • Fawn emerges when you over-apologize, over-function, or beg for reconnection just to feel safe again.

2. Cortisol floods your system.

Research shows that rejection and emotional neglect raise cortisol the same way physical pain does (Eisenberger, University of Michigan). During silent treatment episodes, your stress hormones spike. Sleep, appetite, memory, and immunity all take the hit.

3. Your body becomes inflamed.

Chronic emotional stress increases inflammation markers. Over time, this contributes to headaches, digestive issues, muscle tension, hormonal imbalance, and long-term disease risk (Harvard Medical School, 2019).

4. Anxiety and depression intensify.

Dr. Judith Herman notes that relational trauma, especially unpredictable withdrawal, leads to hypervigilance, anxiety disorders, and depressive symptoms. Your nervous system stays stuck in threat mode, even after the silence ends.

5. Your physical health starts to show the damage.

Silent treatment cycles are linked to:

  • Stomach pain and digestive issues

  • Chronic fatigue

  • Migraines

  • Chest tightness

  • Autoimmune flares

  • Insomnia

  • High blood pressure

  • Difficulty concentrating

  • Emotional numbing and burnout

The silent treatment is not nothing. It is not harmless. It is not normal conflict.

It is physiological harm. It is emotional abandonment. It is a direct assault on your nervous system.

If this is happening to you, please know this: your body is not betraying you. It is warning you. And you deserve safety, connection, and peace.

You do not have to heal alone.

You do not have to heal alone.

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Ama K. Karikari

HEAL. RISE. SOAR.

© 2026 Ama K. Karikari, Esq. All rights reserved.