16 Jun

Mental health is a crucial aspect of our overall well-being, and it plays a significant role in our relationships, especially in marriage. However, discussing mental health issues in marriage can be challenging, and many couples avoid it. It is a common misconception that mental health problems are a sign of weakness or a personal failure, and discussing them may lead to shame, judgment, or stigmatization. However, ignoring mental health issues can have serious consequences for both spouses and the relationship itself.

For whatever reason, many people are often afraid to discuss struggles with their mental health and don’t want to admit it is something they are dealing with. Mental health issues are real and can have severe consequences if not addressed.

In this article, we will explore why discussing mental health issues in marriage is crucial and how it can strengthen the bond between spouses.

Mental health issues can affect anyone, regardless of age, gender, or background, and they can have a significant impact on marriage. Here are some of the most common mental health issues that couples may face in their relationship:

  • Depression – Depression is a mood disorder that can cause feelings of sadness, hopelessness, and loss of interest in activities. It can affect a person’s energy level, appetite, sleep, and ability to function. Depression can lead to withdrawal, irritability, and difficulty in communicating, which can affect the couple’s emotional connection.

Everyone experiences depression at some point in their lives. It could be loss of a loved one, a divorce, or many other things. It is important to recognize if this is an issue based upon a circumstance and something that is temporary, or something that you struggle with regardless.

  • Anxiety – Anxiety is a condition that can cause excessive worry, fear, and nervousness, and it can lead to physical symptoms such as rapid heartbeat, sweating, and shaking. Anxiety can make it challenging to relax, focus, or sleep, and it can cause tension, conflicts, and misunderstandings in the relationship.

It is important to note that everyone deals with anxiety at some level and it is a natural feeling when we are put in uncomfortable situations or under stress. We shouldn’t diagnose ourselves with a mental illness for feeling some minor anxiety.

  • Substance abuse – Substance abuse is a disorder that involves the excessive use of drugs or alcohol, despite negative consequences. Substance abuse can affect a person’s judgment, behavior, and emotions, and it can lead to financial, legal, or health problems. Substance abuse can also cause trust issues, conflicts, and communication breakdowns in the relationship.
  • Bipolar disorder – Bipolar disorder is a mental health condition that causes extreme mood swings, from manic episodes of high energy and euphoria to depressive episodes of sadness and hopelessness. Bipolar disorder can affect a person’s judgment, behavior, and relationships, and it can lead to conflict, unpredictability, and instability in the marriage.
  • Post-traumatic stress disorder (PTSD) – PTSD is a condition that can occur after a person has experienced a traumatic event, such as violence, abuse, or a natural disaster. PTSD can cause flashbacks, nightmares, avoidance, and hyperarousal, and it can affect a person’s ability to trust, connect, and communicate in the relationship.

It’s essential to recognize that mental health issues can affect both spouses in the marriage, and seeking help and support can be a positive step towards healing and improving the relationship’s quality.

Mental health affects the relationship

Mental health problems can affect the way a person thinks, feels, and behaves, and it can have a significant impact on the relationship. For example, depression can cause irritability, lack of interest, and withdrawal, making it difficult for them to connect emotionally. Anxiety can cause excessive worry and stress, leading to conflicts and misunderstandings. Moreover, untreated mental health problems can worsen over time, leading to more significant issues, such as addiction, self-harm, or suicidal thoughts. Therefore, discussing mental health issues openly and honestly can help both spouses understand each other’s experiences and provide support and assistance when needed.

Mental health problems can be triggered by stressors in marriage

Marriage can be a source of stress and tension, especially during challenging times, such as financial difficulties, parenting issues, or health problems. These stressors can trigger or worsen mental health problems, such as anxiety or depression, and may affect the relationship’s quality. Ignoring these issues can lead to resentment, frustration, and disconnection between spouses. Therefore, discussing mental health issues in marriage can help both spouses identify and manage the stressors effectively and support each other during challenging times.

Discussing mental health issues can improve communication and intimacy

Talking about mental health issues in marriage requires vulnerability, honesty, and empathy. It can create a safe space for both spouses to share their fears, concerns, and struggles, and to feel heard and validated. This kind of open communication can deepen the intimacy and connection between a couple, and foster mutual trust and respect. Moreover, discussing mental health issues can help both spouses develop healthy coping mechanisms and problem-solving skills that can benefit the relationship in the long run.

Seeking professional help can strengthen the relationship

If mental health problems persist or become too overwhelming, seeking professional help can be beneficial for both spouses and the relationship. Professional help can provide a safe and non-judgmental space to explore and address mental health issues and provide effective treatment and support. Seeking professional help together can also improve communication, understanding, and collaboration between a couple, and help them develop a more positive and supportive relationship.

Discussing mental health issues in marriage is crucial for both spouses well-being and the relationship’s quality. It requires openness, honesty, and empathy, but it can strengthen the bond, deepen the intimacy, and foster mutual support and understanding. If you or your spouse are struggling with mental health issues, seeking professional help can be a positive step towards healing and improving the relationship’s quality. Remember, mental health is an essential aspect of our overall well-being, and it is never a sign of weakness to seek help or support.

You may also like this podcast titled: 155. Is Marriage Really Hard? Or Do Our Own Issues And Other Outside Things That We Bring Into It Make It Hard?


Mental health issues are a prevalent and widespread problem globally, and the prevalence varies depending on the type of mental health issue, age group, and region. Here are some statistics on the prevalence of mental health issues:

  1. Depression: According to the World Health Organization (WHO), an estimated 264 million people worldwide suffer from depression, making it the leading cause of disability worldwide.
  2. Anxiety: Anxiety disorders are the most common mental health disorder in the United States, affecting 40 million adults or 18.1% of the population.
  3. Substance abuse: Substance abuse affects approximately 22 million Americans, with alcohol abuse being the most common form.
  4. Bipolar disorder: The lifetime prevalence of bipolar disorder is estimated to be around 2.4% globally, with an onset age of around 25 years old.
  5. Post-traumatic stress disorder (PTSD): PTSD affects approximately 7-8% of the US population, with women being more likely to develop the disorder than men.

Ultimate Intimacy

Check out the amazing line of Ultimate Intimacy Products to help your marriage!

The "Ultimate" Newsletter
Subscribe to our newsletter for weekly marriage tips, printables, and updates on the app and products!
Sign up for FREE:
*No spam, we promise.