I am not a doctor, but I I have been teaching psychology for 20 years,and what I think is that she had both a bi-poler disorder (manic depression) and also severe gynecological trouble. She mentions she was perfectly fine after she hit menopause, which says a lot. Remember Tom says she has manic highs and then bad depression? Maybe the bi-polar disorder was somehow caused by the hormone imbalance? What broke my heart is that he was so appalled by her bleeding on their wedding night, which in turn crushed and panicked her. Sorry fellas, sometimes we have no control over these things, and if you are married to a woman for any time at all-you just get used to the little jokes mother nature plays. We know that stress and loneliness only make mental illness worse, and hormonal problems worse too. She was very ill and violent, but I feel Tom turned cold and selfish toward her, which made all of her problems worse. Also remember she purposely misses the "monkey on a greasy pole" (catch the symbolism?) mental fitness question, after pleading at Tom with her eyes, but he just looks away.
Review of Tom & Viv
