The Effects of Adult ADHD on Relationships

Although ADHD may negatively affect adult relationships, compassion and teamwork can help make a relationship work.

Building and maintaining a strong relationship can be a challenge for anyone. But having attention deficit hyperactivity disorder (ADHD) may pose different sets of challenges.

This neurodevelopmental disorder may make partners of people with ADHD think of them as::

Due to such difficulties, sometimes even the most loving partnership can falter.

Understanding the effects of adult ADHD on relationships can help prevent broken relationships. In fact, there are even ways to ensure a completely happy relationship.

If your partner has ADHD, they may display symptoms of attention difficulties as well as hyper behaviors. This neurodevelopmental disorder is chronic, which means that people have it throughout their lives.

Given the high cost of medical care, it’s hardly a shock that patients are drowning in medical debt. Almost 20% of American households have delinquent medical bills that affect their credit report, according to NBC News. Having medical bills in collections makes it more difficult for patients to engage in other economic activities, such as purchasing a home or securing a loan to start a business.

Most people with ADHD experience difficulties with the following:

Relationships may be characterized by angry or inappropriate outbursts by the partner with ADHD. Sometimes, scenes may erupt that can traumatize partners and children.

Although these fits of anger may pass as quickly as they appear, cruel words uttered on impulse may increase tension in the home environment.

Although every partner brings their own sets of baggage into a relationship, a partner with ADHD may often have the following issues:

  • negative self image
  • lack of self confidence
  • feelings of shame

These issues may at first be masked by their ability to shower their beloved with romance and attentiveness, a benefit of the ADHD symptom hyperfocus. This is the ability to intensely concentrate and become fully engrossed in an activity.

But that hyperfocus inevitably shifts. When it does, a person with ADHD may seem to barely notice their partner at all. This may make the ignored partner wonder if they’re really loved. This dynamic can strain a relationship.

The partner with ADHD might constantly question their partner’s love or commitment, which may be perceived as a lack of trust. This can drive the couple even further apart.

ADHD can create even more strain in a marriage. As time passes, the spouse unaffected by ADHD may find that they have to carry most of the following:

  • parenting
  • financial responsibility
  • home management
  • resolving family problems
  • household chores

This division of responsibilities can make the partner with ADHD seem like a child, rather than a mate. If the marriage transforms into a parent-child relationship, the sexual dynamic suffers. The non-ADHD spouse may interpret their partner’s behavior as a sign of lost love. This type of situation can lead to divorce.

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If your spouse has ADHD, it’s important to practice empathy. When times get tough, take a deep breath and remember the reasons why you fell in love. Such small reminders can carry you through some of the most chaotic days.

If you feel like you can’t take the situation any longer, it may be time to consider marriage counseling or couples therapy.

Sometimes, the end of a relationship may come as a complete shock to the partner with ADHD, who was too distracted to notice that the relationship was failing.

In an effort to escape feeling overwhelmed by housework or demanding children, the partner with ADHD may have mentally and emotionally withdrawn, leaving the other partner feeling abandoned and resentful.

This dynamic may be worse if the partner with ADHD is undiagnosed and not in treatment. Still, treatment may not even be enough to curb anger and resentment.

The longer that problems are left to continue in a relationship, the higher the likelihood of a breakup.

A relationship involving someone with ADHD is never easy, but by no means is it doomed to failure.

If a couple coping with ADHD wants to revive their relationship, they must recognize that ADHD is the problem, not the person with the condition. Blaming one another for the symptoms of ADHD will only widen the gap between them.

These symptoms can include:

  • diminished sex life
  • messy home
  • financial struggles

At a minimum, the ADHD partner must get treatment through medication and counseling.

The following treatments may help keep your relationship both strong and healthy:

  • medications to decrease ADHD symptoms
  • behavioral therapy for ADHD
  • efforts to strengthen communication
  • mutual consideration for each other
  • commitment to a fair division of responsibilities

Consider couples therapy

Couples therapy with a professional who specializes in ADHD can provide additional support for both partners, and help the couple navigate their way back to productive, honest communication.

Managing the disorder as a couple can help partners rebuild their bonds and adopt healthy roles in their relationship.

ADHD can negatively affect relationships, but this does not have to be the case. Mutual acceptance of imperfections can go a long way in terms of creating empathy for each other, and learning to slow down.

Compassion and teamwork top the list of qualities that make a relationship with an ADHD partner work.

At the same time, you should encourage your partner to get help if you think treatment could help minimize some extreme symptoms. Counseling can also create more of the team atmosphere you both need.

Last medically reviewed on March 3, 2023

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