Ask Dr. Saline: How to Make It Work in ADHD Relationships

Couple in relationship Dear Dr. Saline, my wife has ADHD and I do not. Sometimes it’s so frustrating and we argue more than either of us want to. Can you please offer some support for managing ADHD in couples? Sign-up for my newsletter + Free Handout | Ask Dr. Saline  

From Dr. Saline 

Dear Brady, Thanks for asking this important question. Whether you have ADHD or your partner does as in your situation, there’s one thing for certain–the tasks of living whether they are fun or tedious can often seem overwhelming and unmanageable.

ADHD & Relationships

Relationship holding handsExecutive functioning skill challenges, learning disabilities, ASD, anxiety, or depression can add to the complexity of any relationship. Sometimes these challenges are met with humor, empathy, and compassion. Other times, they produce resentment, frustration, and blame. How can you and your partner live with ADHD more successfully while nurturing positive connections?  

Learn How to Work Together

Woman and man paddling on stand up boatOne of my colleagues shared with me an anecdote from a client whose husband and two kids had ADHD and she didn’t. She compared living with her family to being in a canoe going across a lake with a group of paddlers. Everybody is paddling but each person is doing their own thing and struggling to work together. The boat, instead of going straight to the other side, is going around in circles, moving to the left or moving to the right. She ends up doing most of the paddling herself to arrive safely at the dock. This may sound familiar and feel similar to your situation.

Forget About Fairness

Man and woman pulling a ropeTo live successfully in a relationship means forgetting about fairness. Focusing on equality leads a couple down a rocky path. It may seem that one person does more of the heavy lifting.

Whether or not it’s true, we all have roles to play in our partnerships and in our families. You need to learn how to negotiate what these are so that there’s flexibility and compromise instead of rigidity and contempt.  

4 Ways to Have a Healthy Relationship

Healthy relationships are all about give and take, effective communication, and acceptance of the other person’s strengths and limitations.

1. Shift your attention to what will help

In partnerships, people have different skill sets. One person may be the organizer and motivation, and the other may be better at following lists, coming up with fun ideas, or recalling specific memories from five years ago. Instead of concentrating on fairness, shift your attention to what will help nurture your relationship, foster closeness and be useful in getting things done.

2. Break down tasks into manageable parts

When you make collaborative agreements with accountability plans and lean into each other’s strengths, you can create practical and reliable routines for living and being with each other. Break down tasks into manageable parts or delegate chores based on interest and capability. Instead of fairness being your goal, aim for effectiveness and equanimity. For example, I’m better at social planning, cooking, dealing with medical issues, reserving spaces to stay on vacations, and making sure we celebrate holidays, birthdays, and anniversaries. And my husband takes care of the garden, goes to the dump, manages structural house problems, and deals with airlines. Together, we take turns with the laundry, grocery shopping, and walking the dog.

3. Learn better tools for dealing with your own frustrations

Most couples have the same arguments over and over again. Whether it’s about money, who’s doing (or not doing) what, or how to parent the kids. People get caught up in (and sweat) the small stuff too often. When couples struggle like this and anger emerges all too often, they often focus on what the other person could do differently or better. This is a trap. You can’t control what anyone else does except yourself. So, learning better tools for dealing with your own frustration and emotional upset is what’s called for while understanding that emotional regulation is especially tough for ADHD brains.

4. Use my STAR method to manage intense feelings

Stop, Think, Act, and Recover are great tools to help you manage intense feelings. Why? Because you need to plan for those angry moments instead of winging them at the moment. In a calm moment, talk about what sets each of you off. Then pick one thing you would each like to do differently to respond to this trigger. Decide on a time period to cool off-anywhere from 20-40 minutes ensuring that the body has recalibrated from the burst of angry energy. Then come back together so each person can be accountable for some aspect of their behavior, words, or emotions. Discuss what the next right thing to do is and take that action. Give yourselves time and space to recover before trying to process what happened. Use “I” statements and reflective listening in those follow-up conversations.

In Conclusion

Lastly, many couples living with ADHD are so busy dealing with the pressures and responsibilities of daily life that they’ve lost track of what drew them together in the first place. Nurturing your positive connection is essential for growing your love. Find some time to remember what you like about one another. Take turns choosing an activity and mix things up by trying something new. Instead of going out to dinner again, try a whitewater rafting trip for the day, get food from a new restaurant and have a romantic picnic, be a tourist in your own town, or visit a new museum. Develop a shared interest such as playing tennis, dancing, or baking bread. Make time for intimacy. If you are not connecting positively, you will negatively. Anger and hostility also reflect a deep connection, just not a productive or pleasant one. If these activities are tough for you because there’s too much blame or resentment, I encourage you to seek counseling for more support.

Ask Dr. Saline

 

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Why ADHD Masking Is a Form of Self-Sabotage

Why ADHD Masking Is a Form of Self-Sabotage

Do you squander your precious time and energy trying to “act normal” at the expense of your mental health? That’s ADHD masking, which may include suppressing symptoms, trying to hide your ADHD in public settings, or denying the real effect ADHD has on your life. Here, learn the signs and features of masking, and how it can sabotage your social skills, prevent accurate diagnosis, reduce self-esteem, and lead to burnout.

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Relationship Rescue for ADHD Couples

Family picture torn with divorce

Relationship experts answer reader questions and share their ADHD marriage advice for couples where at least one partner has an attention deficit.

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Key Points:

    • “How Do I  Handle My Spouse’s Mood Changes?”
    • “I Resent Having to Give My Partner with ADHD Constant Reminders”
    • “Will Our Unhealthy Relationship Affect Our Kids?”
    • “Can We Achieve Unconditional Love?”

Tips for Homework Routines with ADDitude Magazine

Books on a desk

Learn more about how to establish healthy habits with your child.

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“If your child is taking medication, know that we want to do the homework as soon as they get home from school before the meds leave their body. The most effective thing you can do: come home, have a snack, do your homework, get it out of the way while the meds are still working, and then you can have fun.”

 

The ADHD Conflict Resolution Guide: Tools and Scripts for Settling Disagreements

Woman and man arguing

Conflict – within families and in other relationships – is normal. But disagreement can grow heated when ADHD sparks anger, impulsivity, and intense emotions.

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The best way to handle conflict is to prepare for it by creating a conflict resolution plan in advance. Here, find scripts and ideas for handling disagreements with tools like reflecting listening, the STAR method, and more.

  • Conflict Resolution 101
  • Conflict Resolution Strategy #1: Use Reflective Listening

 

Ask Dr. Saline: Lower Stress, Build Tolerance and Focus on Self-Care

Woman relaxing and self-careDear Dr. Saline, in some of your articles, you discuss ways to lower stress. Is there a way to build stress tolerance for people with ADHD besides doing less?  Most of my stress and anxiety come from missing clarity and new situations. ~ Jamison Sign-up for my newsletter + Free Handout | Ask Dr. Saline  

From Dr. Saline 

Dear Jamison, This is a great question. Building stress tolerance relies on more than doing less. We must focus on improving self-care and nurturing resilience to improve our stress tolerance. Let’s start by defining stress.

What Is Stress?

How stress affects the bodyStress is an experience of worry and tension set off by a challenging situation. A natural human response, like anxiety, leads us to deal with something tough or avoid it. Chronic stress weakens our immune systems and negatively affects our health. Stress hits your weakest executive functioning skills first. For people with ADHD, this means that if you already struggle with emotional regulation, you’re more likely to lose your temper or feel flooded by big feelings when you’re feeling tense and worried. Stress occurs in many forms: environmental, professional, relational, cultural, and societal pressures all contribute to feeling burdened by hardships. Plus, there are also the pressures we place on ourselves: doing too much, not doing enough, disorganization, tardiness, overwhelm, procrastination, perfectionism, etc.

How to Build Stress Tolerance

Brain lifting weights Living with ADHD means living with a stress baseline that neurotypical folks don’t have to deal with. It’s natural to miss things in conversations or meetings, to be uncertain before new events, to worry if people will like and accept you, and to wonder if you will follow through on things. Since people with ADHD live with the consistent inconsistency of their neurodivergent brains and the perpetual stress that’s often associated with that, developing tools for stress tolerance is not only helpful but also necessary.

Practicing Self-Care

Man sitting in egg chair reading a bookIt may sound corny, but stress tolerance develops from healthy living and well-being.  Self-care is critical for so many reasons: resilience, confidence, and rebalancing. You want to figure out what helps you regain your sense of calm and, if possible, assist your loved ones in doing the same. Practicing self-care means much more than just a bath and a nice candle (though those are always great!) The idea is to check in with yourself, step outside of routines that cause you to stress, re-center, and then enter back into your life with a new mindset and attitude.

 

4 Ways to Build Stress Tolerance

Follow these steps  to clarify what specific activities and actions you can take:

1. Discover what nurturing feels like

You can’t run on fumes. Our minds and bodies are intimately connected. Think about what soothes you or brings you joy. Meditation, exercise, yoga, music, cooking, gardening, reading–whatever makes you feel good. Make a playlist of music that makes you smile, or find some new podcasts. The point is to prioritize and practice what feeds you.

2. Pay as much or more attention to what’s going well as what is causing you difficulties

Keep a list of three good things about each day. These can be small or large: a nice dinner, a good conversation with a friend, completing a project, or wearing a favorite shirt. The point is noticing what’s gone well, not judging its value or significance. A positive mental attitude does wonders for boosting self-esteem and promoting well-being.

3. Focus on your resilience

Think about a tough time you’ve experienced in the past. How did you get through? What did you do or say to yourself? Write these words of encouragement down and, using Post-Its, put them up where you can see them. Visual cues are critical for triggering a different response in the ADHD brain. The negativity bias in our brains leads us to focus on what’s wrong and what needs fixing, increasing stress.

4. Schedule downtime

If you don’t put aside specific time for self-care, it won’t happen. Designate a special period for refueling each day (ideally) or each week. Set alerts on your phone to remind you. Step away from your computer, silence your phone, and change your environment. Get some fresh air. Even five minutes a day will help you feel refreshed.  

Ask Dr. Saline

 

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Become A Member

Please become a member of my newsletter community. You can find support and resources and connect with a group that understands your questions and needs. Click here  Follow me on social media: YouTubeFacebookTwitter, and Instagram. Invite Me to Speak | Join A Group | Newsletter | Read my blog  

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