Child abuse has become a serious social and psychological issue affecting the physical, emotional, and mental development of children in India. Physical abuse, emotional abuse, sexual abuse, and neglect create long-term psychological trauma and negatively influence children’s personality, behaviour, and social adjustment. According to the National Crime Records Bureau (NCRB) report released in 2025, nearly 1.87 lakh crimes against children were registered in India during 2024, including more than 69,000 cases under the Protection of Children from Sexual Offences (POCSO) Act. The increasing number of child abuse cases indicates the urgent need for awareness, counselling, and child protection measures. The present study was conducted to examine different forms of child abuse and analyse their psychological impact on children in selected blocks of Bhagalpur district, Bihar. The study followed a descriptive and comparative research design and included a sample of 120 respondents selected through purposive sampling technique. Primary data were collected through questionnaires, interviews, and observation methods, while secondary data were obtained from government reports, journals, UNICEF publications, and NCRB reports. The findings revealed that emotional abuse was the most common form of abuse, followed by physical abuse, neglect, and sexual abuse. Anxiety, fear, depression, aggression, low self-esteem, emotional insecurity, and social isolation were identified as major psychological problems among abused children. Hypothesis testing confirmed a significant relationship between child abuse and psychological problems among children, and the calculated chi-square values were found to be higher than the table values at the 0.05 level of significance. The study further revealed that different forms of abuse produce different psychological impacts on children. The study concludes that child abuse seriously affects children’s mental health and emotional well-being and highlights the need for effective counselling services, awareness programs, parental education, and stronger child protection systems.