Is Your Partner OK? Spot The Warning Signs Of 4 Mental Illnesses

Loving a person with mental illness.

Spotting warning signs of depression in spouse Ketut Subiyanto | Canva

Every day, we hear endless tragic news stories about people killing and abusing family members, co-workers, or innocent bystanders. We're constantly shocked when people we know (or well-known public figures) commit suicide. Do you ever ask yourself why the family and close friends of these people didn't intercede before it was too late? The reason is that very few of us learn to recognize the symptoms of serious mental illnesses (like depression, bipolar, etc.). We just shrug those signs off as annoying quirks or personality idiosyncrasies when they appear in people we know.


As a result of glazing over obvious symptoms and behaviors, serious psychological conditions often go unnoticed because the person in question is still able to work, drive, have relationships, have children, and even achieve success in their professional life. Because those people function somewhat well in society (and in our lives), we discount and just put up with their puzzling behavior ... even when, because of their emotional dysfunction, they're challenging to live with and love, causing you and those closest to them to suffer physically or emotionally. So, here are four mental illnesses that are far more common than you realize, and how to recognize their hallmark, symptomatic behaviors.


Here is how to spot the warning signs of 4 mental illnesses in your spouse:

1. Depression

Sixty-year-old Sandy was still suffering from a terrible trauma that occurred in her 20s. During her senior year in college, she fell in love with Rob, her dream man. He was finishing medical school in a distant city. This, of course, happened before email and cell phones, so they wrote daily love letters and looked forward to the occasional weekends they could spend together. Rob wrote how sad he was without Sandy and how dark life seemed. He was lonely and stressed. Sandy thought all of this was tremendously romantic.

After graduation, they married and Rob began a grueling internship at a large hospital, while Sandy entered graduate school. Rob wasn’t eating enough or resting enough. He felt depressed, but Sandy attributed his agitation and exhaustion to the demands of his internship. What Sandy didn't know was that Rob was contemplating suicide. One day, when she arrived home after school she found him dead. She still can't forgive herself for not recognizing these warning signs:


Signs of depression (that aren't as obvious as low mood or energy)

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  • Loss of pleasure in once enjoyable activities
  • Sleep problems: too much or too little
  • Feelings of worthlessness
  • Poor concentration
  • Eating too much or too little

RELATED: 10 Signs Your Marriage Is Making You Depressed


2. Bipolar Disorder  

Denise ended up in the hospital for treatment for her deep depression after her mother died. With treatment, she was able to get a job and function pretty well. The only problem was that she began to spend and spend (and spend)! She went through her entire inheritance and had little to show for it. Denise suffered from serious mood swings throughout her life. She was eventually diagnosed with Bipolar. This serious problem requires ongoing medical supervision since the primary symptoms are dramatic and unpredictable mood swings. The illness has two contrasting phases, feeling up or down. Symptoms to look for in the depressed (or "down") stage are:

  • Depressed mood and low self-esteem
  • Low energy levels and apathy
  • Sadness, loneliness, helplessness, and/or guilt
  • Slow speech, fatigue, and poor coordination
  • Insomnia or oversleeping
  • Suicidal thoughts and feelings
  • Poor concentration
  • Lack of interest or pleasure in usual activities

Symptoms to look for in the manic (or "up") stage are:

  • Euphoria or irritability
  • Excessive talking; racing thoughts
  • Inflated self-esteem
  • Unusual energy; less need for sleep
  • Impulsiveness, a reckless pursuit of gratification (shopping sprees, and sometimes promiscuous intimacy, high-risk business investments, and fast driving)

RELATED: The Link Between Positive Mental Health & Happy Relationships

3. Sociopathic Disorder

Priscilla was unhappily married to Victor for over 10 years and was unable to get him to change. She discovered that he had an affair, and it wasn't the first time. Victor constantly blamed Priscilla for everything, constantly lied to her, and even forged her name on important legal documents. As a result, Priscilla lost her home, her job, and her happiness due to his heartlessness. People like Victor are often highly intelligent and successful, but leave a trail of unhappy victims behind. Here are some of the qualities of sociopaths that destroy loving relationships. This person is:

  • Charming and persuasive
  • Impulsive, easily bored, and needing constant stimulation
  • Uses protestations of love to get what they want
  • Experiences no feelings of guilt or shame.
  • Acts full of fake repentance and promises to do better when caught lying
  • Does not learn from his or her experiences
  • Accuses you of being untrusting and unloving

Scientists have studied the brains of these people and have discovered that their brains are, in fact, different. Their biology shows that they do not have the mental capacity for empathy or understanding. Take care to protect yourself and your loved ones when this kind of person is in your life.

RELATED: 11 Simple Ways We Can Monitor & Maintain Our Own Mental Health

4. Borderline Personality Disorder

If you are in a relationship with someone who makes you feel like you must constantly walk on eggshells because you never know whether you'll see Dr. Jekyl or Mr. (Ms.) Hyde at the breakfast table, there's a chance you're involved with a Borderline Personality. People with this illness often have very tumultuous relationships. It can feel like you're riding a love-hate rollercoaster. They may have a tantrum over minor misunderstandings and often have difficulty accepting gray areas — things appear as either black or white.


Look for these traits:

  • Inappropriate anger sometimes escalates into physical confrontations
  • Difficulty controlling their emotions or impulses displaying extreme sarcasm, or verbal outbursts
  • Emotions come and go — they experience times of irritability, anxiety, or depression (and even feel suicidal)
  • Indulge in impulsive and dangerous behaviors such as risky driving, unsafe intimacy, gambling or spending sprees, compulsive eating, or illegal drug use

Don't glaze over the warning signs if the one you love has patterns of long-lasting troubled behavior or has a history of mental dysfunction. Learn more about these problems before you make a lifetime commitment. If the relationship is causing you significant stress, you may find it helpful to see a therapist yourself.


If you or somebody that you know is experiencing a mental health crisis, there is a way to get help. Call SAMHSA’s National Helpline at 1-800-662-HELP (4357) or text "HELLO" to 741741 to be connected with the Crisis Text Line.

RELATED: I Lied To My Fiancé About My Mental Illness

Gloria Arenson is a psychotherapist, specializing in energy and power therapies. She is the author of popular books on eating disorders and compulsive behavior, conducts classes and workshops nationwide, and trains professionals in Meridian Therapy.