Few people would be surprised to hear that couples in troubled relationships can also be depressed -- certainly not those of us who've been in such relationships and know how depressing they can be.
Frequently, the conflict in these relationships and distress that results can become so overwhelming that any other problems, like depression, are typically hidden from view. A couple I'm presently treating, Jim and Stacey (not they’re real names), are engrained in an attack-withdrawal routine (i.e., she criticizes him and then he avoids her and doesn't talk to her for days). This pattern is common in troubled relationships, but their hostility deftly masks, to all but the trained eye, depression’s underlying influence.
But does it really matter if one partner is depressed -- especially when couples like this are constantly at each other's throats? Yes, it does. To understand why, let's look at some research on the effects of depression on partners within troubled relationships.