Domestic violence and abuse (DVA) are stigmatised and hidden in the culture of South Asian populations, including the Sikhs. Consequently, reported data is often unreliable, as it is in all modalities of domestic violence. Gender, ethnicity, class, and religion need to be addressed as well, to ensure an intersectionality lens. Sikhs are a minority religion in the UK and in most of the world, and they often originate from the Punjab region of India. Ethically, the contentious practice of scrutinising women’s past mental health diagnoses, in the face of DVA, should be reconsidered. Women are disproportionately diagnosed, and relying on unrelated antecedent mental health histories highlights an inherent inequity. Regardless of preexisting mental health conditions or vulnerabilities, the mental health impact of abuse should be addressed by the healthcare establishment as an isolated treatment episode. Drawing broad conclusions about a person’s overall deficits, as frequently occurs, perpetuates victim-blaming and undermines their experiences. From the equity point of view, sensitive healthcare is of paramount importance in countries with vulnerable minorities, to better understand their medical, psychological, religious, and social needs, particularly of the women.