Mental Illness and Abusive Behavior in Relationships

It's important to take note of how mental illness can be associated with childhood trauma and learned maladaptive behaviors, but how much of those symptoms...

Marriage
June 26, 2025

It's important to take note of how mental illness can be associated with childhood trauma and learned maladaptive behaviors, but how much of those symptoms are attributed to abusive behavior, if at all? It is important to note the distinction between the two that abuse is a learned behavior that comes in many forms. It can be social, economic, physical, spiritual, sexual, racial, and ability-based.

Mental Illness is symptoms experienced that we are not necessarily in control of and can choose to cope with, whereas behavior we are always in control of.

Mental Illnesses as Manipulation

Having a mental illness can also be an emotional manipulation tactic used by abusers.

They essentially receive a 'label' by a mental health professional and automatically believe it excuses them from accountability and responsibility for their past and or current abusive behaviors. It can also be used to gaslight victims and survivors into thinking "that wasn't the person being abusive, it was their mental illness,' which can then lead them back into an abusive relationship they may have previously departed from.

Examples of Mental Illness where Abusive Behavior can be Inextricably Linked

Common mental illness diagnoses where abusive behavior is common are:

  • Post-Traumatic Stress Disorder,
  • Bipolar Disorder,
  • Narcissistic Personality Disorder,
  • Anti-Social Personality Disorder,
  • and Borderline Personality Disorder as well as general anxiety and depression.

While these are serious mental health conditions, it is important to continue to be mindful that mental illness is not a direct cause of abusive behavior. Someone can be angry, sad, or manic and still behave kindly towards their partner, friend, etc.

Mental illness in relationships

Hiding the Behavior

A lot of times in social settings, abusive partners are very skilled at behaving in ways that do not exemplify or indicate their behaviors that they engage in at home when it is just them and their partner. This can increase difficulty in the victim/survivor receiving validation for their experiences, and if mental illness is present, a lot of times the blame is assuaged onto the diagnosis.

"Oh since your partner is Bipolar, they are probably just manic right now. I would just be extra careful what you say or do so they don't become irritable with you."

Unfortunately, these statements from family and friends can be all too common and further blur the lines between abusive behavior and mental illness.

Understanding the Differences

If your partner has diagnosed with a mental illness and engages in behavior such as

  • name-calling,
  • gaslighting,
  • controlling what you do, wear, who you see
  • etc.

It is important to be mindful of separating those behaviors from emotions/symptoms like irritability, hopelessness, apathy, excessive worrying.People can experience those emotions and symptoms without engaging in the above behaviors, especially if it is a partner or friend who is exclusively targeting you and no one else.

Resources

For anyone suspecting that they might be in an abusive relationship, there is an excellent resource in the form of a book entitled, "Why Does He Do That?" by Lundy Bancroft.

If you decide to purchase this book, it is important to make sure your partner does not know about it as it could lead to them to read it in order to manipulate/gaslight or endanger physical safety if you are experiencing physical abuse as well.

Tessa is a great resource in Colorado Springs for those currently experiencing domestic violence/abuse or who have past experiences of it.

Author

Jennifer Luttman, LPC, ACS

I am a Licensed Professional Counselor, and owner of Overcomers Counseling. I'm dedicated to helping individuals find strength and healing through life’s challenges. With a deep understanding of mental health and years of professional experience, I specialize in fostering hope and resilience while equipping her clients with tools to thrive. Passionate about empowering others, she creates a safe, supportive space where everyone feels seen, valued, and capable of overcoming obstacles on their path to well-being.

Common Questions

Questions about Marriage

What are some signs that my relationship is not emotionally healthy?

There are a few key signs that may indicate that your relationship is not as emotionally healthy as it could be. First, do you or your partner feel like you have to walk on eggshells to avoid conflict? Do you find yourself withholding information or emotions to keep the peace? Do you ever feel like your partner is trying to control or manipulate you? If you answered "yes" to any of these questions, then it's possible that your relationship could be improved.

Why is it important to address relationship issues?

Addressing relationship issues is crucial because unresolved problems can significantly impact your emotional well-being, overall satisfaction, and the longevity of your partnership. Left unaddressed, these issues can lead to increased conflict, emotional disconnection, and even the end of the relationship.

How do you rebuild trust in a marriage after lying?

The first step is to take responsibility for your actions and apologize. Next, be honest with your thoughts and feelings. Show that you're willing to change and be a better partner. Finally, set some boundaries to help prevent future hurt. Remember to be patient as it takes time to rebuild trust.

Do we have to go to counseling together?

No, you don't necessarily have to go to counseling together. In some cases, it may be more helpful for each spouse to meet with the counselor individually. This can be a good way to address specific issues that one spouse may be struggling with.

Does Tricare cover online or telehealth marriage counseling sessions?

Yes, Tricare does cover telehealth services, including mental health counseling sessions conducted over a secure video conference.

How can I show appreciation to my spouse when we're going through a rough patch?

It may seem challenging to show appreciation when going through a rough patch, but it's important to make an effort. Start small by expressing appreciation for even small things, and be specific about what you appreciate. This can help to shift the focus from negative to positive.

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