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The Impact of Mental Health on Custody Evaluations

The Law Offices of Steven E. Springer June 13, 2025

When it comes to custody decisions, family courts are focused on one central question: what’s in the best interest of the child? In San Jose, California, and throughout the state, this evaluation includes a wide range of factors, including each parent's mental health. 

While many parents approach custody proceedings with the belief that love and presence are enough, mental wellness plays a major role in shaping custody outcomes.

At The Law Offices of Steven E. Springer, we’ve seen how mental health concerns can affect the trajectory of a custody case. Whether a parent struggles with anxiety, depression, or more severe diagnoses, these issues can impact how the court views their ability to provide a stable environment. 

Our goal is to help families make informed decisions while protecting the well-being of the children involved. Read on to learn how a child custody lawyer can help you through this process.

How Mental Health Is Assessed in Custody Evaluations

Mental health is rarely evaluated in isolation. Courts rely on trained evaluators to look at the big picture, combining psychological testing, interviews, and collateral sources.

  • Psychological evaluations: These are often conducted by licensed mental health professionals and may include standardized tests to assess emotional functioning and personality traits.

  • Parental interviews: Evaluators speak directly with each parent to get a sense of their mental state, stress levels, and ability to co-parent.

  • Observations with children: Some evaluations include direct observation of how each parent interacts with the child.

  • Review of medical records: A parent’s mental health history—including diagnoses, medications, and therapy—may be taken into account.

  • Collateral input: Friends, family members, teachers, and therapists can offer useful context about a parent’s behavior and stability.

While the presence of a mental health condition doesn't automatically disqualify a parent, the court will closely examine how it affects the parent’s daily life and parenting capacity.

Key Mental Health Conditions That Often Appear in Custody Cases

Certain mental health issues tend to surface more frequently in custody evaluations. Each condition brings its own set of challenges that evaluators must consider.

  • Depression: Chronic sadness, low energy, and impaired decision-making can raise concerns about a parent’s ability to meet a child’s needs consistently.

  • Anxiety disorders: Excessive worry or panic attacks may interfere with a parent’s ability to maintain structure and calm within the home.

  • Bipolar disorder: Sudden mood swings or periods of mania followed by depression can create instability in caregiving.

  • Substance use disorders: If a parent is struggling with addiction, the court may view it as a risk to the child’s safety and emotional development.

  • Personality disorders: Conditions such as narcissistic or borderline personality disorder can impair relationships, especially if the parent struggles with impulse control or emotional regulation.

Having a diagnosis isn’t necessarily a deal-breaker. What matters is how well the condition is managed and whether it affects the child’s environment.

How Courts Weigh Mental Health Against Other Factors

Mental health is only one part of the custody puzzle. Courts consider a range of issues to determine what’s in the child’s best interest.

  • Parent-child bond: A strong, positive relationship between the parent and child weighs heavily in evaluations.

  • History of caregiving: Courts look at who has been the primary caregiver and how consistently that role has been fulfilled.

  • Ability to co-parent: Courts prefer arrangements where parents can cooperate and communicate about the child’s needs.

  • Stability of living environment: Judges assess whether each parent can provide a secure, predictable home.

  • Safety concerns: Any history of violence, neglect, or erratic behavior is taken seriously.

If mental health conditions impact any of these areas, they’re more likely to influence custody outcomes. That’s why working with a skilled child custody lawyer is so important.

Legal Tools to Protect Parental Rights During Evaluations

When mental health is part of the custody conversation, preparation is key. Here’s how an attorney will help clients protect their rights and present their case effectively:

  • Gathering supportive documentation: Therapy records, medication history, and physician letters can show responsible management of a condition.

  • Providing character witnesses: Friends, relatives, and colleagues can speak to your parenting strengths and day-to-day behavior.

  • Requesting a neutral evaluator: May recommend that the court appoint an independent expert to conduct the assessment fairly.

  • Addressing false claims: If one parent is exaggerating or fabricating mental health issues to gain leverage, an attorney will push back with evidence.

  • Highlighting progress and support systems: Evidence of consistent treatment, stable routines, and a reliable support network makes a strong impression.

Experienced child custody lawyers know what judges look for and how to present clients in the best possible light.

When Mental Health Becomes a Point of Conflict

In many cases, both parents are mentally healthy, and custody decisions focus on logistics and preferences. But when mental health becomes contested, the stakes rise.

One parent may allege that the other is mentally unfit, sometimes unfairly. Others may weaponize legitimate concerns. In these scenarios, emotions run high, and it’s easy for the process to spiral. That’s why it’s important to stay focused on what the court needs: credible evidence, thoughtful legal arguments, and the best interests of the child.

  • False accusations can backfire: Courts don’t take kindly to parents who lie or manipulate psychological concerns.

  • Mental illness doesn't equal incompetence: An attorney will work hard to differentiate between managed mental illness and parenting unfitness.

  • Experts make a difference: Judges rely heavily on expert evaluations, which makes the choice of evaluator and legal framing so important.

Having a child custody lawyer by your side can help you manage accusations and protect your standing in court.

Broader Patterns in Custody Outcomes

Across the U.S., certain patterns repeat in custody cases. While courts don’t automatically favor one parent over another, trends still emerge.

The majority of parents mutually agree to maternal custody. While this might reflect historical caregiving roles, courts are increasingly open to shared parenting or father custody—especially when both parents demonstrate mental and emotional stability.

Judges care most about the child’s welfare, not outdated assumptions. That’s why our focus as child custody lawyers is always on evidence, preparation, and advocacy.

Supporting Mental Wellness for Stronger Custody Cases

We believe mental wellness shouldn’t be a hidden topic. It’s something many parents deal with, and addressing it openly often works in a parent’s favor. Courts respect accountability, effort, and progress.

  • Stick with treatment: Ongoing therapy, medication compliance, and regular check-ins show commitment.

  • Build a support network: Family, friends, and even community organizations can help with parenting support.

  • Keep records: Journals, treatment logs, and appointment summaries can offer valuable evidence.

  • Stay child-focused: Making decisions that prioritize your child’s health, education, and emotional development reflects well in court.

Taking care of your mental health is part of being a responsible parent. When custody is at stake, that effort can make all the difference.

Contact Us Today

Custody decisions aren’t just legal—they’re deeply personal. At The Law Offices of Steven E. Springer, we help families in San Jose, California; Morgan Hill, California; and throughout Santa Clara County prepare for custody evaluations with clarity and compassion. If you need a trusted child custody lawyer to help protect your rights and your child’s future, we’re ready to stand with you every step of the way. Call The Law Offices of Steven E. Springer today.