Marriage Intensives & Online Counseling | Imago Therapy โ€“ The Marriage Restoration Project

Married to a Spouse with Depression: How to Cope and Support Your Relationship

married to a spouse with depressionThe tragic passing of actor Robin Williams reminds us how invisible depression can be. Someone who brought joy to millions was suffering deeply inside. Sadly, this story resonates with many couples: how many of you are married to a spouse with depression, silently carrying a burden you cannot always see?

Depression does not just impact the individualโ€”it affects marriages, parenting, family life, and even work. Many couples wonder: โ€œCan our marriage survive my spouseโ€™s depression?โ€ or โ€œHow do I support my partner without losing myself in the process?โ€

Understanding Depression in Marriage

When your spouse struggles with depression, it can leave you feeling helpless, resentful, or even isolated. Research shows that depression in one partner increases marital conflict and decreases relationship satisfaction for both spousesยน.

What makes this harder is that many marriages suffer in silence. Just as Robin Williamsโ€™ public joy masked private pain, your spouseโ€™s depression may be invisible to others. Couples often compare themselves to others, assuming that everyone elseโ€™s marriage is โ€œbetter.โ€ But the truth is, you are not alone.

Psychologist Dr. Irvin Yalom identified universality as one of the healing factors in therapy: realizing that others share our struggles helps reduce isolation, validates our experiences, and provides hopeยฒ.

Be kind, for everyone you meet is fighting a hard battle.

We tend to get wrapped up in ourselves. We may become fixated on our own struggles to the point we are not aware that others are having a hard time.

We may even look at others and assume they are fine and that only we are suffering. We look at other couples and think their marriage is great, or that they are better parents than we are.

Yet, the truth is that we are all struggling.

When I meet with couples, I often help them conceptualize their conflict in a way that normalizes their experience.

When we think our situation is an exception to the rule, we lose hope for improvement.

It is when we realize that what we are going through is “normal”, that provides us the encouragement that we can get through this and that our relationship is not doomed.

One of the curative factors of group therapy according to psychologist Dr Irving Yalom is universality.

The recognition that we may share our experiences with others helps remove the sense of isolation, validate our experiences, and raise our self-esteem.

Realize that you are not alone and reach out to others for support when you need it.

Can Depression Ruin a Marriage?

Left unaddressed, depression can lead to emotional withdrawal, lack of intimacy, and ongoing conflict. But with proper treatment and support, couples can actually emerge stronger. Studies show that supportive relationships buffer against the worst effects of depressionยณ.

How Do I Support a Depressed Spouse Without Burning Out?

  • Practice active empathy: listen without judgment, reflect back feelings.

  • Encourage treatment gentlyโ€”therapy and medication can make a huge differenceโด.

  • Set healthy boundaries: supporting your spouse does not mean neglecting your own self-care.

Should We See a Therapist Together or Separately?

Individual therapy may help your spouse, but couples therapy provides tools for both of you to communicate, reduce conflict, and share the emotional load. Intensive marriage retreats and structured online therapy can be particularly effective for couples in crisis.

Practical Steps for Couples Coping with Depression

  • Communicate openly: share feelings without blame (โ€œI feel worried when youโ€ฆโ€ vs. โ€œYou alwaysโ€ฆโ€).

  • Stay connected: plan small moments of joy or calm together, even during difficult times.

  • Seek outside support: friends, family, group therapy, or professional counseling.

  • Normalize the struggle: remind yourself this is not a marriage failureโ€”itโ€™s a challenge many couples face.

At The Marriage Restoration Project, weโ€™ve helped couples for over 20 years navigate crises like depression, trauma, and disconnection. As therapist working exclusively with couples, our experience shows that couples can heal and even grow closer through adversity when the right support is in place.

Key Takeaways

  • Depression impacts both partners and the marriage, not just the individual.

  • Many couples suffer in silence, but recognizing that you are not alone brings hope.

  • Supportive communication and empathy are essential to surviving depression in marriage.

  • Therapyโ€”individual and couplesโ€”offers proven tools to restore connection.

  • Hope is possible: depression does not mean your marriage is doomed.

Sources

ยน Whisman, M. A. (2007). Marital distress and DSM-IV psychiatric disorders in a population-based national survey. Journal of Abnormal Psychology, 116(3), 638โ€“643.
ยฒ Yalom, I. D. (1995). The Theory and Practice of Group Psychotherapy. Basic Books.
ยณ Beach, S. R. H., & Whisman, M. A. (2012). Relationship distress and depression: The role of marital processes. Journal of Family Theory & Review, 4(1), 48โ€“59.
โด American Psychological Association. (2020). Understanding psychotherapy and how it works.

More inspiration for when you’re married to a spouse with depression

Picture of Shlomo & Rivka Slatkin

Shlomo & Rivka Slatkin

Rabbi Shlomo Slatkin is an Imago relationship therapist and certified (master level) Imago workshop presenter with over 20 years of experience hosting couples therapy retreats in-person and online.

Picture of Shlomo & Rivka Slatkin

Shlomo & Rivka Slatkin

Rabbi Shlomo Slatkin is an Imago relationship therapist and certified (master level) Imago workshop presenter with over 20 years of experience hosting couples therapy retreats in-person and online.

FEATURED IN

my wife yells at me
Get effective relationship help even if you’ve tried couples counseling before.
Name(Required)
Privacy*
*By using this form you agree with this site's privacy policy and consent to you submitted data being collected and stored. We take your privacy seriously, and will never spam you. - In addition, you are giving us permission to add you to our email list. You will receive our free 60 Second Plan to a Happy Marriage, along with transformational emails that will help you with your marriage.
This field is for validation purposes and should be left unchanged.
CONTACT US