Getting Intimate with ADHD II

In my relationship work, I frequently observe strained dynamics when one or both partners exhibit ADHD-related behaviours. I seek to promote a comprehensive and collaborative approach — grounded in empathy, clear communication, and practical supports — to help partners build understanding and lasting connection.

I believe, to this end, psychoeducation lays the essential foundation. When I teach couples about ADHD as a neurodevelopmental condition rather than a personal failing, empathy inevitably grows. And doing so allows partners to reframe missteps — like being forgetful or blurting impulsive comments — as symptoms. This shift consistently reduces blame, cultivates patience, and opens space for cooperative problem-solving.

Enhancing communication is key to gaining relationship stability. In my practice, couples often benefit from structured exercises. Here are a few examples:

  • John Gottman’s 5:1 ratio of positive to negative interactions, which offsets cycles of criticism

  • Active-listening techniques and “I-feel” statements that foster mutual understanding

  • Daily gratitude exercises to strengthen emotional bonds and rebuild neural pathways for connection

I encourage brief daily “check-in” rituals to ensure they have clarity and alignment. These ADHD-friendly check-ins are meant to be agenda-driven, concise, and supplemented with written notes. In addition to being on the same page, co-creating external supports and routines, such as shared calendars and task checklists, can address challenges like time blindness and disorganization and ultimately support harmonious outcomes. Clients who struggle with household management benefit from capacity-based chore negotiation. Such conflict generally subsides when tasks are allocated according to each partner’s strengths and follow-through ability.

Because emotional regulation may be challenging in these relationships, I teach practices like mindfulness and paced breathing to quickly lower limbic arousal. I help each partner recognize their personal escalation cues and practice “stop-and-think” techniques or calming mantras, so they can interrupt reactive cycles and restore balance between emotion and reason. Rather than suppressing impulsivity, I seek to show couples how to redirect spontaneity and energy into meaningful engagement. Over time, impulsivity may become an asset as couples learn to try differently rather than to try harder. 

I support a collaborative approach that equips couples to navigate ADHD’s challenges with empathy and practical support. This approach begins with psychoeducation — reframing forgetfulness or impulsivity as symptoms rather than personal failings — and extends into daily check-ins, positive interactions, and gratitude exercises that rebuild connection. Structured tools like shared calendars, task checklists, and capacity-based chore negotiations address executive-function gaps and reduce resentment. When conflicts arise, mindfulness, paced breathing, and “stop-and-think” mantras help partners interrupt reactive cycles and restore balance. Together, these strategies may transform chronic frustration into empathy, cooperation, and sustained intimacy. Ultimately, nurturing the relationship is paramount and a spirit of positivity may fuel connection.

Getting Intimate with ADHD

I believe challenges in intimate relationships are inevitable. For any two individuals to share their lives requires, at the very least, a deep commitment to learning, acceptance, respect, and appreciation. I also recognize there are many reasons relationship difficulties arise—and among them are the stressors that come with living alongside Attention-Deficit/Hyperactivity Disorder (ADHD) symptoms.

Part of my clinical work addresses relational dynamics both in couples with normative functioning and those in which one or more individuals has been diagnosed with ADHD. Consider the relational impact of executive function deficits—such as time blindness, emotional dysregulation, and challenges with working memory.

People with ADHD often exhibit consistently inconsistent behavior. Over time, this can lead to unpredictable performance and repeated negative feedback. These patterns may foster personal insecurities, and it’s not uncommon for adults with ADHD—even those who’ve achieved success in certain areas of life—to struggle with chronic low self-esteem or an “imposter complex.” Now imagine the difficulty for someone trying to open up and be emotionally vulnerable while questioning their worth and capacity to feel loved.

Almost daily in my practice, I witness the legitimate frustration of partners affected by ADHD-related behaviors such as emotional reactivity, impulsivity, disorganization, forgetfulness, and poor time management. These patterns can challenge integrity, erode trust, and drive conflict within the relationship. Imagine longing to be seen, heard, and understood by someone who is inattentive and distracted.

But there is good news. In my work with couples, I consistently observe that receiving a diagnosis can foster a powerful sense of empathy and understanding between partners. ADHD is also highly manageable. With the right tools and mindset, couples can implement effective, tailored strategies and open the door to meaningful connection and mutual support.

ADHD in Intimate Relationships

I have received a few requests for books on navigating relationships when one or both partners have ADHD. Although I generally recommend therapy to address specific concerns I do believe the following books can be quite helpful. These books blend evidence-based insights with practical strategies:

Taking Charge of Adult ADHD by Russell A. Barkley

Taking Charge condenses decades of longitudinal and neuropsychological research with chapters on interpersonal functioning and relationship management.

The ADHD Marriage Workbook: A User-Friendly Guide to Improving Your Relationship by Michael T. Bell

The ADHD Marriage Workbook provides structured exercises based on CBT and couples-therapy protocols to address ADHD-driven conflicts.

Driven to Distraction: Recognizing and Coping with Attention Deficit Disorder from Childhood Through Adulthood by Edward M. Hallowell & John J. Ratey

Driven to Distraction is broad in scope but it provides troves of clinical trials and neurobiological studies with a particularly poignant section on adult relationships.

Two other resources that specifically address navigating the impact of ADHD on marriage include:

The ADHD Effect on Marriage: Understand and Rebuild Your Relationship in Six Steps by Melissa Orlov

The Couple’s Guide to Thriving with ADHD by Melissa Orlov and Nancie Kohlenberger