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Healing together: Managing depression's impact on relationships

Updated: Jun 1

Many relationships face hurdles, and it's not uncommon for these hurdles to be linked with mental health issues like depression.

According to a report by the World Health Organization (WHO), depression affects over 264 million people worldwide, making it one of the leading causes of disability globally.

In the context of relationships, the impact can be profound, affecting both partners and the relationship dynamics as a whole. Early detection and intervention can lead to better outcomes and improved quality of life for both partners.

For instance, a report by the National Institute of Mental Health (NIMH) suggests that timely recognition of depression symptoms can reduce the severity of its effects and increase the likelihood of successful treatment.

Defining a troubled relationship

Before delving into identifying signs of depression within troubled relationships, it's important to establish what constitutes a troubled relationship. A troubled relationship is characterized by persistent conflict, communication breakdowns, lack of intimacy, and dissatisfaction among partners. These issues can manifest in various forms, including emotional distance, frequent arguments, or a sense of disconnect between partners.

How relationship struggles can lead to depression?

  • Social isolation in relationships

Even when you are with your partner, you can sometimes feel isolated. A lack of understanding or support from your partner can lead to feelings of loneliness and sadness.

Dr Shyam Bhat, a psychiatrist and integrative medicine specialist, emphasizes that emotional intimacy and understanding are vital for mental well-being in relationships. Without these, individuals can feel isolated and unsupported.”

  • The impact of hurtful communication:

When your partner consistently makes derogatory remarks or mocks you, it can be deeply hurtful. This behavior can diminish your self-worth and lead to significant emotional distress.

“Dr Kamna Chhibber, a clinical psychologist at Fortis Healthcare, highlights that verbal abuse and constant criticism can lead to severe emotional distress and low self-esteem, significantly impacting one's mental health.”

  • The influence of unrealistic relationship comparisons:

Exposure to seemingly perfect couples on social media can negatively impact your perception of your relationship. This comparison can result in feelings of inadequacy and dissatisfaction with your relationship, contributing to emotional turmoil.

“Dr Pulkit Sharma, a clinical psychologist and author, states that constant comparison with others on social media can create unrealistic expectations and lead to dissatisfaction in one's relationship, contributing to depressive feelings.”

  • Apprehension within intimate relationships

If your partner has a volatile temper or becomes angry easily, it can create a constant sense of anxiety. The fear of provoking their anger can lead to chronic stress and sadness.

“Dr Prerna Kohli, a clinical psychologist, and counsellor, points out that living in fear of your partner's anger can lead to chronic stress and anxiety, which are major risk factors for depression.”

  • Loss of emotional intimacy

A lack of shared enjoyable activities, replaced by silent television watching, can indicate a loss of connection. The absence of meaningful interaction can create a sense of emptiness and sadness.

Dr Seema Hingorrany, a clinical psychologist and author, emphasizes that maintaining emotional and physical intimacy is crucial for a fulfilling relationship. The absence of this connection can lead to feelings of emptiness and loneliness.”

  • Perception of unfair blame

When your partner consistently blames you for any issues that arise, it can erode your self-esteem. Being unfairly designated as the cause of problems can lead to significant feelings of inadequacy and self-doubt.

Dr Varkha Chulani, a clinical psychologist and psychotherapist, notes that constant blame and criticism from a partner can lead to chronic feelings of inadequacy and low self-worth, significantly impacting mental health.”

  • Sense of isolation within a partnership

If your partner is emotionally unavailable and unwilling to share their feelings, it can result in feelings of isolation. The lack of emotional intimacy can lead to profound loneliness and sadness.

Dr. Anjali Chhabria, a renowned psychiatrist, and author, highlights that emotional unavailability and lack of communication in a relationship can lead to significant feelings of loneliness and depression.”

5 ways to manage depression’s impact on your relationship

Identifying signs of depression in a troubled relationship

  • Open and honest communication:

What to do: Talk openly with your partner about your feelings. Share your thoughts and emotions without fear of judgment.

Why it helps: Clear communication helps partners understand each other better, reducing misunderstandings and building emotional closeness. According to the American Psychological Association, effective communication can improve relationship satisfaction and support mental health.

  • Seek professional help together:

What to do: Consider couples therapy or counselling. A professional can help both of you navigate the challenges that depression brings to your relationship.

Why it helps: Couples therapy can be very effective in managing relationship issues related to mental health. Therapists can provide strategies to improve communication, resolve conflicts, and support each other better.

  • Practice self-care and encourage your partner to do the same:

What to Do: Make sure you're taking care of yourself by eating well, exercising, getting enough sleep, and doing activities you enjoy. Encourage your partner to practice self-care too.

Why it helps: Self-care is crucial for managing depression. Research published in the journal Psychiatry Research highlights that regular physical activity, adequate sleep, and proper nutrition can significantly reduce depressive symptoms.

  • Set realistic expectations:

What to do: Understand that both you and your partner may have limitations due to depression. Be patient with each other and set small, achievable goals for your relationship.

Why it helps: Setting realistic expectations prevents frustration and disappointment. According to the National Institute of Mental Health, managing expectations can help reduce stress and improve overall relationship satisfaction.

  • Stay connected through small gestures:

What to do: Make an effort to stay connected through small, meaningful gestures like holding hands, sharing a hug, or leaving a kind note.

Why it helps: Physical touch and small acts of kindness can strengthen your bond. Research in the Journal of Social and Personal Relationships shows that these small gestures can enhance feelings of love and connection, which are particularly important when dealing with depression.


Depression in relationships can arise from persistent conflict, hurtful communication, and lack of emotional intimacy. Early detection and intervention, including open communication, professional help, self-care, realistic expectations, and small gestures of connection, can mitigate its impact, improving the relationship and partners' mental health and overall well-being.

Frequently asked questions

1. Can depression cause a partner to fall out of love?

Answer: Depression can significantly alter a person's emotions and perceptions, which might make them feel disconnected or less in love with their partner. This emotional numbness is a symptom of depression and doesn't necessarily reflect the true state of their feelings.

2. How can I support my partner without feeling overwhelmed myself?

Answer: It's important to maintain your mental health while supporting a depressed partner. This can include setting boundaries, seeking support for yourself (e.g., through a support group or therapy), and ensuring you have time for self-care and personal activities.

3. What are some warning signs that my partner's depression is worsening?

Answer: Warning signs can include increased withdrawal from social interactions, significant changes in eating or sleeping habits, expressions of hopelessness or worthlessness, talk of self-harm or suicide, and a noticeable decline in daily functioning or personal hygiene.

4. Is it possible for relationship problems to cause depression?

Answer: Yes, ongoing relationship problems such as chronic conflict, emotional neglect, or abusive behavior can contribute to the development of depression. The stress and emotional pain from a troubled relationship can lead to depressive symptoms over time.

5. How can we rebuild intimacy when one partner is depressed?

Answer: Rebuilding intimacy involves open communication, patience, and small steps to reconnect. This can include scheduling regular quality time together, being physically affectionate in ways that are comfortable for both partners, engaging in shared activities, and possibly seeking guidance from a therapist to navigate intimacy issues.


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