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...

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.

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.

Disclaimer: This article is for general educational purposes and isn't a substitute for personalized clinical care.

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.

Common Questions

Questions about Marriage

What are some common mistakes to avoid in striving for interdependence?


Common mistakes include neglecting personal growth, failing to communicate openly, not respecting boundaries, and overlooking the importance of individual interests.

Are there any out-of-pocket costs for marriage counseling under Tricare?

Out-of-pocket costs can vary depending on the specific Tricare plan. For instance, Tricare Prime has no enrollment fees for active duty service members, but there are copayments for some services. It's recommended to check your specific plan or contact Tricare directly to understand any potential out-of-pocket costs.

How can I improve my communication with my spouse?

In order to improve your communication with your spouse, you need to be open to change.This means being willing to change the way you communicate, as well as the way you think about and handle conflict.It is also important to be patient when communicating with your spouse. This means taking the time to listen to what they have to say and trying to understand their point of view. Lastly, it is important to be respectful when communicating with your spouse. This means using kind words and avoiding put-downs or criticisms. When you are open to change, you can learn new ways of communicating that can improve your marriage.

How can I improve my emotional health in my relationship?

If you're looking to improve your emotional health in your relationship, there are a few key things that you can do. First, make sure that you're communicating openly and honestly with your partner. Second, make sure that you're respecting each other's needs and boundaries. Third, be willing to compromise when necessary. And fourth, always show kindness and understanding towards each other.

What can we expect during our first couples counseling session?

During your first couples counseling session, your therapist will likely gather information about your relationship history, current challenges, and individual backgrounds. They may also ask about your goals for therapy and what you hope to achieve. This initial session serves as an opportunity for you and your partner to become comfortable with the therapist and begin building trust in the therapeutic process.

How Do I Communicate My Concerns?

When you're talking to your husband about codependency, it's important to: avoid judgment or criticism, focus on the behavior, not the person, express your concern and explain how the behavior is affecting you, and offer your support and encouragement.

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