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ADHD Meds Can Help Your Relationship – But He May Not Realize It!

Medications sure can help your relationship – as can non-medicinal treatments!  But the spouse with the ADHD may not realize it – that’s where you need to give him (or her) some constructive feedback.  This comment is typical of what happens:

“After 10 years of "hinting" that my husband may have symptoms of ADD he went to a doctor who felt that he indeed did struggle with ADD. He was given a script for Wellbutrin.  Difficult for the first few weeks.  Then things seemed to fall into place. I noticed a change. He would remember things I had asked him to do. He actually did them to completion. He was calmer than he had ever been. Then without warning last month he decided to stop his meds without telling me or his Doc. I noticed about mid Sept. that he was falling back into the same old stuff again. I questioned him and that's when I found out that he didn't feel it necessary to take his meds any longer. What do you do then?”

Fact is, it’s important to you, and to your husband, that your husband not “fall back into the same old stuff again”.  He had made some really significant progress on some of the key issues that were getting in the way of your relationship.

It’s important to understand why your husband didn’t continue his medications.  Did they have bad side effects?  Or did he simply not see the point?

My husband will tell you that when he first started taking his own ADHD meds he couldn’t feel them working at all.  He still can’t, but he has learned to trust my assessment that they work.  In fact, when he did an experiment a few months ago and stopped taking them for a week what he DID notice is that other people seemed to be responding to him differently.  As he thought about it he realized that he was being sharper towards others (and particularly towards me) than he had been.  He found himself yelling at me in the kitchen one evening over something that was very small.  I stalked off saying something productive like “Get a life!  You’re in your old ADD patterns again!” (okay, I’m not perfect, either!)  Happily, we’ve been through enough that this comment stopped him short, rather than made him more angry.

Talk with your husband about why he stopped taking his meds.  Tell him how much you appreciate his efforts to pay more attention to you by remembering what you say and to complete things that he had trouble completing before.  If he can’t feel the meds “working” but you see changes that are positive, that is a GOOD thing – in fact that is IDEAL.  Help him see the upsides of this situation.  If he tells you that he stopped because of side effects, pursue whether or not there are other medications or treatments that can garner positive results without side effects.

Folks with ADHD are not always great self-observers.  (This isn’t a put-down, any more than my telling you that I’m not a great mathematician is a put down…it just is what it is.) Not being a great self-observer means that the two of you need to work as a team when analyzing the effectiveness of medications – or any other treatment for ADHD.

Hopefully, he’ll be willing to work with you again to try to treat his ADHD.  Make sure, when he does, that you reinforce the positive benefits of his actions for you both.  Good luck!

re: ADHD Meds Can Help Your Relationship – But He May Not Reali

This is an important point that took me awhile to get with my ADD spouse: that they don't necessarily realize the meds are working. Hard to believe, when the difference can be so clear to the non-ADD partner. Several times (much to my chagrin and ultimate despair), my spouse decided that he even did "better" off meds, which was entirely not true in terms of actual day-to-day functioning, but may have relieved him temporarily of feeling "handicapped"...he still struggles with the fact that he is diagnosed with ADD at all and avoids fully accepting what this means to functioning in general, to how it affects our relationship specifically. Things have changed VERY slowly (kind of a two steps forward, one step back dance) over the several years we've known each other. (He was undiagnosed when we met...i thought he just needed some structure and boosting of his self esteem. It took over a year to realize, via research, that he was a "textbook" ADD person and then another year of threats and hysteria before he actually went to a therapist and got the diagnosis.) The hard part for me is keeping myself from falling into despair over not seeing enough change. It's difficult for me to handle his lack of self-awareness. We'll make an agreement only to have it broken the very next day. It hurts my heart every time even though i know it's not personal. Recently, I've seriously questioned why i ever got involved in such a relationship to begin with but i always come back to the fact that i love him and still want to keep trying to make our lives together more harmonious. I just recently found this website and was so relieved. I will suggest he review it to help realize much of our conflicts are totally typical (often verbatim) of "mixed" marriages and are manageable. Any tips on how to work with an ADD spouse and the need for at least a little bit of routine to get things happening on the mundane homefront? He is currently on meds and will begin biofeedback this week as he also has compulsive/addictive (internet, buying lottery tickets) behaviors and high anxiety at times. thanks! wren

re: ADHD Meds Can Help Your Relationship – But He May Not Reali

No way in hell would I stop taking my bupropion. I may not feel it working, but I don't feel the metformin or lipitor I take working either. I know the lipitor works when I get my cholesterol checked; I know the metformin is working when I see the results of my Hemoglobin A1c test, and I know the bupropion is working when I look at my life now vs. my life before I started taking it. Do I still have ADD? You bet. Am I still diabetic? Yep. But I know what it's like without and with meds. I prefer my life with meds.

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