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 can I do if my spouse isn't interested in rekindling the relationship?

While it can be challenging when one partner isn't on board with working on the relationship, it's important to have open and honest communication. Express your feelings and why it's important to you to work on the relationship. It may also be helpful to seek the guidance of a therapist to work through any issues or to navigate the situation.

What are some trust-building activities?

There are many trust-building activities that you and your partner can do together. Some examples include sharing your deepest fears, revealing a secret, or taking turns being blindfolded and leading each other around.

How long does it take to overcome overthinking in relationships?

The time it takes to overcome overthinking will vary depending on each individual's situation. Some people may see improvement after just a few sessions with a therapist, while others may need more time to work through underlying issues that contribute to their overthinking patterns. The important thing is to be patient with yourself and stay committed to taking steps toward overcoming overthinking in your relationship.

Can couples counseling help if only one partner is willing to participate?

While it is ideal for both partners to actively engage in couples counseling, therapy can still be helpful if only one partner is willing to attend. In such cases, the participating partner can learn valuable skills and strategies to improve communication, manage conflicts, and create a more positive relationship dynamic, which may eventually encourage the other partner to join the process.

What if I feel like my partner doesn't understand me?

It is important to communicate your feelings openly with your partner and to let them know how you are feeling. It is also important to understand that not everyone thinks or behaves the same way, so it is helpful to be patient and understanding with your partner. If communication does not seem to be improving the situation, then seeking professional help may be beneficial.

When should I consider going to therapy?

If you're struggling with abandonment issues, it may be helpful to seek professional support. Consider consulting a mental health professional if your feelings of fear or insecurity are impacting your relationships or daily functioning. No matter what, it's important to remember that seeking help is a sign of strength. Taking this step can be an important part of overcoming abandonment issues and improving overall well-being.

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