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Uncovering the Impact: How ADHD Affects Adult Relationships and 4 Strategies for Positive Change

  • Writer: Mara B. Edmunds, LMFT
    Mara B. Edmunds, LMFT
  • Jul 28, 2024
  • 7 min read

Updated: Mar 3

© 2024 Mara B. Edmunds. All rights reserved.




Sarah, who has ADHD, once completely forgot about picking up her partner from the airport despite discussing the plan earlier that day. Her partner, John, felt frustrated and confused when he had to call her after waiting for an hour at the airport. Sarah was genuinely surprised when John called her.

In this scenario, Sarah's challenges with working memory and executive functioning deficits further complicated the situation. Working memory issues made it difficult for her to retain the information about the pickup plan, leading to her forgetting it altogether. Additionally, her executive functioning deficits hindered her ability to organize and prioritize tasks that day, which may have contributed to her inability to set reminders or visual cues to help her remember the commitment. As a result, John was left in a frustrating situation, unaware of the underlying challenges Sarah faced due to her ADHD. This illustrates how cognitive difficulties can impact not only the individual but also their relationships and responsibilities.


Dealing with the intricacies of adult life is difficult, particularly when attention-deficit/hyperactivity disorder (ADHD) is involved. As a licensed therapist specializing in relationships and mental health, I have observed the significant effect ADHD can have on adult relationships. This includes specific communication challenges, differences in brain structure, and difficult emotional reactions, with ADHD affecting multiple aspects of the relationship.


The ADHD Effect on Adult Relationships


ADHD, commonly associated with children, persists into adulthood, presenting unique challenges within romantic relationships. One of the key areas where ADHD can affect adult partnerships is communication. Often characterized by impulsivity and distractibility, individuals with untreated ADHD may struggle to actively listen, leading to misunderstandings and frustration. Those with ADHD may also interrupt or get into a habit of listening to respond instead of listening to understand.

Additionally, the ADHD strengths of creativity, spontaneity, and thinking outside the box are often not valued by the non-ADHD partner during times of conflict. This common discrepancy can lead to more difficulties in the relationship.


Emotional regulation can be compromised especially in individuals with ADHD, leading to intense reactions, shutting down, isolation, or difficulty processing emotions. This can create tension in relationships as the partner without ADHD may struggle to understand or cope with the other's emotional responses that are being impacted by their experience of ADHD. The couple may be at a loss for what is needed in the moment to regulate emotions in a way that protects their connection.


Challenges may stem from lifestyle differences in relationships involving ADHD. Individuals with ADHD might not be aware that their lifestyle and thought processes can pose challenges for their partner, who may find it difficult to understand their priorities and potential disorganization. This discrepancy can result in misunderstandings and tensions, with the non-ADHD partner feeling that their preferences and priorities are ignored, while the ADHD partner might perceive judgment, impacting their ability to connect. Furthermore, the ADHD partner might experience demand avoidance, which is a sensitivity to being asked for a favor, interpreting it as an attempt to control them. They may also struggle to shift focus when deeply engaged in an activity or thought process, adding further strain to the relationship.


Adults with ADHD often experience a heightened perception of rejection, known as Rejection Sensitive Dysphoria (RSD). This can significantly impact their interpersonal relationships. This sensitivity may lead them to interpret neutral or ambiguous situations as personal slights, causing emotional distress and misunderstandings. For example, if an adult with ADHD forgets to respond to a text from their non-ADHD partner, they might immediately perceive their partner's subsequent inquiry as an attack or judgement. This misinterpretation can trigger feelings of inadequacy and defensiveness, potentially leading to conflict. Their partner, on the other hand, may not understand the ADHD-related sensitivities, resulting in frustration and a lack of effective communication between them.


Moreover, organization and planning can present a significant challenge for some adults with ADHD. Maintaining routines and fulfilling commitments may be difficult, contributing to stress and conflicts within the relationship. Sometimes the ADHD partner may walk right past something their non-ADHD partner assumed they would notice, and they may appear to "lack common sense" or be completely oblivious and unaware to their non-ADHD partner.


Additionally, some adults with ADHD might have difficulties with working memory. This can make their partner feel as though they are not a priority. Challenges with executive functioning along with time keeping can also arise. The partner with ADHD may find they lack task initiation skills, making it overwhelming to start unpleasant multi-step projects, let alone maintain focus to complete them. This situation can lead the partner without ADHD to feel isolated and solely responsible for managing all of the mundane tasks and duties within the relationship. If these issues are not addressed, bitterness, distance, and resentment can develop within the relationship.





4 Strategies for Positive Change


Despite the challenges posed by ADHD, there are actionable steps individuals can take to foster healthier and more fulfilling relationships. Here are four of many strategies to consider implementing today:


1. Educate Yourself and Your Partner


Knowledge is power. Taking the time to learn about ADHD, its symptoms, and how it manifests in adults can promote understanding and empathy within the relationship. Engaging in open and honest discussions with your partner about ADHD can encourage mutual support and collaboration. You may also both learn the unique strengths that come with ADHD. People with ADHD often exhibit high levels of creativity, thinking outside the box, and generating innovative ideas. This creative thinking can lead to unique solutions to problems and unconventional approaches to tasks.

However, extra supports and precautions might be necessary that other couples without ADHD might not require.



2. Implement Effective Communication Techniques


Healthy communication is important in any successful relationship. For individuals affected by ADHD, employing strategies such as clarifying expectations and customizing how active listening takes place can enhance communication effectiveness. Noticing patterns and scenarios of when the partner with ADHD can best participate in effective conversations is key. For example, a couple may find that they do best discussing their challenges when they are on a walk together. This physical activity may allow them both to focus and communicate more effectively, honoring the dual-focused nature part of the ADHD brain. Others may find that allowing the partner with ADHD to hold a fidget and choosing to be purposeful in the time of day the discussion happens sets both up for success in communicating their perspectives, brainstorming together, and later negotiating and solving.

By establishing communication habits tailored to your unique needs, you can bridge the gap created by ADHD-related differences.



3. Establish Structured Routines and Systems


Creating structure and routines can provide a sense of stability and predictability for both partners. Implementing calendars, to-do lists, visual aids, digital reminders, and organization systems can help individuals with ADHD manage daily tasks and commitments more effectively. External reminders often reduce the need for the partner without ADHD to nag. By setting achievable goals and breaking tasks into manageable steps, you can mitigate the impact of ADHD-related impulsivity and disorganization. Co-constructing a new approach together works far better than one partner trying to convince the other that only their way is correct. It is essential to initially understand the perspective of each partner in a calm manner before introducing new routines, ensuring that both partners feel unified and neither feels dominated by the other.





`4. Maintain A Positive Strengths-Based Perspective


When frustrations and loneliness grow, the partner without ADHD may start viewing their ADHD partner negatively, particularly if there hasn't been an effort to understand and address their differences. For the relationship's well-being, it's important to focus on the strengths and positive traits of the partner with ADHD. One approach is to think about the qualities in the ADHD parter that initially attracted the partner without ADHD to them. Do any of the following come to mind?


Positive Qualities of a Person with ADHD

  • Creativity: Individuals with ADHD often think outside the box, leading to innovative ideas and solutions that others might not consider.

  • Spontaneity: They tend to embrace spontaneity, bringing excitement and a sense of adventure to the relationship.

  • High Energy Levels: Many people with ADHD possess a vibrant energy that can be infectious, making social interactions lively and engaging.

  • Passion: When they are interested in something, they can exhibit intense passion and enthusiasm, which can inspire those around them.

  • Empathy: Some individuals with ADHD are particularly sensitive to others' emotions, which can lead to a deep understanding and strong emotional connections.

  • Resourcefulness: They often develop unique strategies to cope with challenges, demonstrating resilience and adaptability.

  • Humor: Many people with ADHD have a great sense of humor, which can lighten difficult moments and strengthen bonds through laughter.

  • Open-Mindedness: They may be more willing to explore new ideas and experiences, fostering growth and learning within the relationship.


For example, a partner with ADHD might bring creativity to the relationship, resulting in spontaneous date nights packed with various adventures, like visiting a new restaurant or participating in a new activity such as rock climbing. This not only adds excitement and newness to the relationship but also motivates both partners to move beyond their comfort zones and make new memories together. It's important to recognize that ADHD can manifest in various forms, and even in relationships where both partners have ADHD, their traits can differ significantly.



Seeking Additional Support


Strategies for navigating adult relationships impacted by ADHD include seeking guidance from a licensed therapist trained in ADHD for personalized insights and support. Therapists can offer tailored strategies to address the unique challenges faced by couples dealing with ADHD.

Acknowledging ADHD's influence on relationships is a proactive step toward fostering understanding and resilience. By implementing practical strategies and seeking professional help, you can cultivate a supportive relationship despite the challenges of ADHD.

Prioritize establishing connection by reflecting on the positives of the partnership while expressing needs in a non-threatening manner. Fostering understanding and using proactive approaches can build a secure partnership based on empathy.




© 2024 Mara B. Edmunds. All rights reserved.




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