If someone with a long history of abuse and a diagnosis like psychosis or schizophrenia is in total denial about their past behavior or condition, the situation becomes more complex and potentially concerning. Here are some factors to consider:

Should They Disclose?

Yes, ethical and responsible behavior would require them to disclose their mental health condition and history of abuse, especially if it might affect their new partner’s well-being. This allows the new partner to make an informed decision about whether and how to proceed with the relationship.

Denial and Its Impact

No Accountability: If the person is in denial, they may not acknowledge their abusive behavior or the role their untreated or unmanaged condition might have played. This increases the risk of repeating harmful patterns. Risk to the Partner: The new partner may unknowingly enter a relationship without understanding the risks, which could lead to harm if the abusive patterns resurface. Barriers to Change: Denial often prevents people from seeking help or making meaningful changes. Without acknowledgment of past behavior or current struggles, growth and improvement are unlikely.

What Happens If They Don’t Disclose?

If the person doesn’t disclose their condition or history:

Potential Harm: The new partner might face emotional, psychological, or physical harm if the abusive patterns recur. Breach of Trust: If the truth comes out later, it could significantly damage the relationship. Unmanaged Risks: Untreated symptoms of psychosis or schizophrenia, especially under stress, could lead to instability, affecting both the individual and the partner.

Encouraging Accountability

If you are concerned about someone in this situation, consider these steps:

Encourage Professional Help: Therapy or counseling can address both the mental health condition and the abusive behavior. Highlight the Need for Disclosure: Emphasize that honesty is essential in building healthy relationships. Set Boundaries: If you’re directly involved, ensure you establish and maintain clear boundaries to protect your own well-being.

Ultimately, protecting the potential new partner from harm is a priority. Denial of past behavior or mental health challenges is a significant barrier to a healthy relationship, and without acknowledgment and effort to change, the risk of repeating harmful patterns remains high.