Can people with mental illness get married and have children?
Nov 20, 2025
Source: Cainiu Health
Dr. Zhang Baohua
Introduction
If a psychiatric patient's condition remains stable for a long period after standardized treatment, with no obvious symptom flare-ups, the ability to manage daily life normally, and sufficient energy and resources to undertake marital responsibilities and parenting duties, and if a medical evaluation indicates minimal genetic risk or appropriate risk management measures are in place, marriage and childbearing may be considered under professional guidance, with ongoing monitoring of the patient's condition throughout the process.
Generally, individuals with mental illness may consider marriage and having children if their condition is stable and they have the ability to raise a child. However, it is not recommended if their condition is unstable or if they lack parenting capacity. If in doubt, it is advisable to seek medical consultation in advance. Detailed analysis is as follows:
If a patient with mental illness has achieved long-term stability through standardized treatment, shows no obvious symptom flare-ups, can manage daily life normally, and has sufficient energy and resources to fulfill marital responsibilities and parenting duties, and if a doctor evaluates that there is minimal genetic risk or appropriate risk management measures are in place, then under professional guidance, marriage and childbearing may be considered, with continuous monitoring of the condition throughout the process.
If a patient experiences frequent fluctuations in their condition, recurrent symptom episodes, difficulty managing daily activities, lacks the capacity to assume marital and parenting responsibilities, or faces significant genetic risks without effective preventive measures, marriage and childbearing are not recommended. Proceeding under such circumstances may worsen the illness and could negatively impact family stability and child development.
Before considering marriage and childbearing, individuals with mental illness must undergo a comprehensive evaluation by psychiatrists and other relevant professionals; decisions should not be made independently. Active cooperation with treatment and maintenance of stable mental health are essential to lay a solid foundation for marriage and parenting.
