A qualitative retrospective study was conducted on 38 adults who experienced parental alienation as a child. Individuals participated in one-hour semi-structured interviews. Audiotapes were transcribed verbatim, and submitted to a content analysis for primary themes and patterns. Findings pertaining to the long-term effects of parental alienation were analyzed for this article. Results revealed seven major areas of impact: (1) low self-esteem, (2) depression, (3) drug/alcohol abuse, (4) lack of trust, (5) alienation from own children, (6) divorce, and (7) other. These seven themes are discussed at length to provide the first glimpse into the lives of adult children of parental alienation.