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Paolo Assandri
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Toxic Relationships: when relationships hurt us

Relationships shape our lives far more than we often realise. They influence our mood, our self-image, our sense of wellbeing, and even our mental and physical health. But not all relationships are healthy. Some bonds, instead of supporting and helping us grow, slowly wear us down.

Toxic relationships rarely reveal their true nature right away. Sometimes they enter quietly, making us feel loved and understood at first, only to slowly shift, undermining our self-esteem, increasing stress levels, and even affecting our physical health with symptoms such as insomnia, changes in appetite, or various forms of somatisation (Cornell et al., 2021). Yet, despite the evident impact, toxic relationships often go unrecognised and can affect our lives for a very long time.

What Is a Toxic Relationship?

It’s not about the occasional argument or everyday relationship struggles, those are part of any partnership. A relationship becomes toxic when a repeated pattern of disrespect, manipulation, and emotional harm takes hold, ultimately damaging the psychological wellbeing of the person involved (Kinkead, Heywood & Vázquez, 2025).

How Toxicity Manifests

Certain behaviours tend to recur: feeling constantly devalued or unsupported, getting caught in endless arguments that resolve nothing, facing relentless criticism over minor issues, or being manipulated through guilt and lies. In some cases, a partner may try to control friendships, activities, even thoughts and decisions, limiting the other person’s freedom (Martin & Grosz, 2024). Other common signs include unjustified jealousy and suspicion, social isolation, and egocentricity where one partner always puts themselves first, disregarding the other’s needs (ibid., 2024).

Red flags

Here are five particularly clear red flags:

  1. You constantly feel on edge or unsafe, fearing your partner’s reactions.
    For example, before sharing something about your day, you think: “Better not mention that. He/she might get angry or criticise me.” You feel like you're walking on eggshells.
  2. Your partner repeatedly disrespects you through words, gestures, or demeaning behaviour.
    At dinner with friends, they make hurtful jokes at your expense to amuse others. When you express discomfort, they reply: “You just can’t take a joke.”
  3. Your memories and emotions are constantly dismissed.
    You mention feeling hurt by something they said the night before, and they respond with: “That never happened, you made it up,” or “You’re just too sensitive.”
  4. You notice you’ve become isolated from friends and family, gradually losing your support network (Parks, Johnson & Khasawneh, 2014).
    Each time you want to see friends, your partner claims they’re a bad influence, until you begin to stop seeing them altogether.
  5. Your self-esteem declines, to the point where you feel unworthy or incapable of finding better.
    After months of criticism and put-downs, you start thinking: “Maybe they’re right. Maybe I really am useless. Maybe no one else would ever want to be with me.”

These signs don’t necessarily mean the relationship is beyond hope, but they are a signal that it’s time to pause, reflect, and care for yourself.

Why We Stay in Relationships That Harm Us

The roots often lie in personal history. Those who grew up in emotionally insecure or difficult family environments may struggle to recognise toxic behaviour, perceiving it as “normal” (Cornell et al., 2021). Others stay because they fear loneliness, suffer from emotional dependency, or experience what is known as trauma bonding, a dynamic where episodes of aggression are followed by moments of affection, such as after a fight when the partner shouts and then is exceedingly kind the next day. This emotional rollercoaster creates confusion and makes it harder to leave (Martin & Grosz, 2024).

How to Start Changing

The good news is that it is possible to break free from these dynamics. Everything starts with awareness. Asking yourself, “How do I feel when I’m with this person?” can be eye-opening. Speaking to someone you trust or a professional can help you see the situation more clearly.

Setting boundaries, recognising your own needs, and taking responsibility for protecting them is an act of strength, not selfishness.

Leaving a toxic relationship may not be easy, but it can mark the beginning of a healing journey. Reconnecting with your passions, building new healthy connections, engaging in activities that bring joy, and starting psychotherapy are all concrete steps that can help restore your self-worth and confidence.

References

  1. Cornell, D.G., DeLisi, M., Lee, Z.-Y. and Shook, J.J. (2021) ‘Toxic relationships: The experiences and effects of psychopathy in romantic relationships’,Journal of Interpersonal Violence, 36(21–22), pp. NP11416–NP11442. doi:10.1177/08862605211049187
  2. Kinkead, E., Heywood, W. and Vázquez, D. (2025) ‘A study of psychological violence in intimate partner relationships: The role of attachment styles and gender roles’,Humanities and Social Sciences Communications, 12(1), Article 143. doi:10.1038/s41599-025-04375-0
  3. Martin, M. and Grosz, M. (2024) ‘Dynamics of abusive relationships’,The Quarterly Journal of Economics, 139(4), pp. 2135–2183. doi:10.1093/qje/qjad02
  4. Parks, S.E., Johnson, T.P. and Khasawneh, A.M. (2014) ‘Social relationships and health: The toxic effects of perceived social isolation’,Annals of Behavioral Medicine, 47(1), pp. 27–35. doi:10.1007/s12160-013-9501-9

Author: Paolo Assandri is a HCPC Registered Counselling Psychologist and a UKCP Registered Full Clinical Psychotherapist. He is also a fully qualified Italian psychologist (Ordine degli Psicologi del Piemonte). He lives and works in London offering counselling and psychotherapy.

Warning:
This exercise is not intended to replace any kind of medical/psychological therapy. Its only purpose is to increase individual perception of well-being. If you need medical or psychological support, please contact a qualified health practitioner. Authors, producers, consultants involved in the production of this exercise are not responsible for any psychological or physical injury which could happen during or after completing the activity explained in this article.

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