Abelard suffered at least two nervous collapses, the first around 1104–5, cited as due to the stresses of too much study. In his words: "Not long afterward, though, my health broke down under the strain of too much study and I had to return home to Brittany. I was away from France for several years, bitterly missed..."[41] His second documented collapse took place in 1141 at the Council of Sens, where he was accused of heresy and was unable to speak in reply. In the words of Geoffrey of Auxerre: his "memory became very confused, his reason blacked out and his interior sense forsook him."[42][43]
Medieval understanding of mental health precedes development of modern psychiatric diagnosis. No diagnosis besides "ill health" was applied to Abelard at the time. His tendencies towards self-acclaim, grandiosity,[44] paranoia[45] and shame[46] are suggestive of possible latent narcissism[47] (despite his great talents and fame), or – recently conjectured – in keeping with his breakdowns, overwork, loquaciousness and belligerence – mood-related mental health issues[48] such as mania related to bipolar disorder.[49][50][51][52]
At the time, some of these characteristics were attributed disparagingly to his Breton heritage,[53] his difficult "indomitable" personality[54] and overwork.[55]
