Abstract
Psychological abuse is a subtle yet pervasive dimension of intimate partner violence (IPV) associated with trauma and health consequences. Many barriers prevent women from leaving a psychologically abusive intimate partner, which can be understood through the stages of change (SOC) model. In this qualitative study, semistructured interviews were conducted with 12 women living in Aotearoa/New Zealand who had left a psychologically abusive intimate partner. Data were analysed using reflexive thematic analysis, which aimed to inform effective support for women before, during and after separation in relation to the SOC. One overarching theme, evolving readiness and the gradual tipping of the scales, was evident. In addition, three key themes were formulated: (a) recognising psychological IPV (reflecting the contemplation stage), (b) social networks in overcoming barriers to leaving (within the preparation and action stages) and (c) maintaining separation and integrating change (representing the maintenance stage). The themes offered insight into the role of increased knowledge, social connection and self-efficacy in supporting women's process of leaving. While themes aligned with SOC, considerable fluidity was noted across stages. The findings have important implications for research and practice, highlighting the need for readiness-informed psychosocial care by mental health professionals and wider community members who support women in this process.