This article provides a review of the literature and anecdotal observations of people with mental health disorders who find themselves in arranged marriages. Patients who have been coerced into marriage without their consent, or who lack capacity to consent, can be at risk from domestic violence or pose a risk to their potential spouse, who often marry unaware of their partner’s mental health problems. Such circumstances can lead to violence in the marriage, abuse and death. Mental health professionals can feel at a loss to intervene because there is no law or guidance on what to do when they believe patients may be at risk of a coerced marriage.