The present qualitative study was conducted with 20 women with serious mental illness (SMI) in order to better characterise their romantic and intimate relationship experiences. Grounded theory methodology directed the identification of intimate and romantic relationships themes for women with SMI, which included the following: function matching, pathologising problems, symptom interference, dating deal breakers, sexual foreclosure, dating deprioritised, and relational resilience strategies. Clinical implications and future research directions are discussed.