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...

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 my clients with tools to thrive. Passionate about empowering others, I create 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

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.

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.

How do I make my spouse feel special over text?

Here are some ideas:

  • Send a sweet and heartfelt message in the middle of the day
  • Tell them how much you love and appreciate them
  • Send a cute photo with a loving message attached
  • Plan a surprise for later in the day or week
  • What are some thoughtful things to do for your spouse?

Some thoughtful things you can do for your spouse are:

  • Write them a heartfelt letter expressing your love and appreciation for them
  • Make them breakfast in bed
  • Plan a surprise weekend getaway
  • Do something that they've been wanting to do but haven't had the time for
  • What are some romantic things to do for your spouse?

What should couples expect during an EFT session?

During an EFT session, couples can expect to explore their emotional experiences, attachment needs, and interaction patterns. The therapist will guide them through exercises and conversations aimed at fostering secure emotional bonds and resolving conflicts.

Can trust be rebuilt if it is damaged in a relationship?

Yes, trust can often be rebuilt if it is damaged in a relationship. This process may take some time and effort, but it is possible to regain trust.

How long does it take to build trust in a relationship?

Trust is built over time through positive experiences and interactions. However, it can be difficult to say how long it will take to build trust in a particular relationship as it varies from couple to couple.

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