Here we go Again...What do I have to do better to get off this ADHD Roller Coaster with my Spouse

Im finding these Blogs terrifically insighful and Melissa, I perceive you to make a lot of sense, so heres my details...Any insight you can provide is greatly appreciated.

Have been married for 20 years & my spouse told me he is going back on his ADD meds....Why he ever went off, I do not know, but he obviously think he was getting better....NOT.... He was in therapy  while on meds the  last time....getting individual help, but he never discusses his indiviual issues with me, so I have no way of knowing what was effective or not.... I assumed he liked the Dr several years ago...so much to my surprize when he mentioned to me last week he didnt like the original Dr., didnt click with him, office was too messy etc.....Talk about a delayed response as to what you feel....This is typical....

My husband is very reactive, and makes decisions based on if it " feels good". I feel he is not able to identify what worked or did not work during the time period on meds. he is reactionary..Not impulsive  but reactionary to feedback, criticism or being challenged. We look at things very differently. Has one therapist tell us...You two arent on the same page....You arent even in the same library .....

Lovely man, father to our 3 kids, and has a heart of gold to help anyone, does chores is mostly responsible  has the same job for the last 12 years, but has battled focus issues all his life...Also has depression and anxiety running in his family.   He got diagnosed with ADD 7-9 years ago,  took various meds Concerta, Strattera etc.... He has little abliity to plan, prioritize or move forward on anything substancial....He cooks, cleans, shares home chores, is on time to appointments, but get him to plan a vacation or anything or  make plans to go after a new job,,it doesnt happen....He cant identify sequential steps and gets lost in the details. Nothing materializes....He talks alot about what he plans to do, but Ive gotten my hopes up so many times to no avail.. He talks about starting a business, but he hasnt demonstrated the skills toward doing this to take him seriously... I honestly feel sorry for him, and our relationship hangs on a thread constantly....Ive been hurt too many times....

Im organized, process focused, multi task,get it done type of woman( Yes opposite attracts yes?), so his behavior is frustrating and intolerable to me... I see him talking in circles over and over and never really getting to the root of the problem to hold himself personally accountable on  any particular issue. To grow and develop he needs to take action..He has problems making decisions, and when he does... he tend to react, getting poor results. He is also not good at "reading" a situation or my emotions...Has known me for 23 years, but reacts to my emotions...Doesnt know me enough to be able to "read" me well. Its sad.

When asked over several months, Ive even sat with him and diagramed out the pattern of behavior he is stuck in....in an effort to help him as he requested.....also given suggestions on developing to do lists, for follow up.. The problem, is he never brings it up again. He doesnt ask for help, or to discuss progress, it just dies....

This is absolutely frustrating to me, and Ive definitely detached because each time he gets frustrated and commits to doing better, and it doesnt happen. There are other issues at play here.

His personal workspaces are cluttered with papers and infomation he cannot process through. His car, dresser, workbench in the garage. Maybe once in a while he cleans it all  up, but its more in response to an argument we've had. Ive learned he doesnt respond when I ask him nicely....He jumps when there is an argument between us.   (He grew up in a conflict avoidance environment,so when I get angry, his conditioning response is to take action and get things done)..The problem is when the tension lessens, he goes right back to a complacency pattern until the next marriage eruption. He doesnt want to be made to feel bad, but he doesnt make himself accountable for followup.....

Our communication is not terrific as I feel he talks in circles without action,and Ive tried to detach and position personal accountability for his own issues...I waffle from total detachment to trying to reach out to him to provide support but admittedly pull back when I dont see results and follow through....Anger doesnt work, support doesnt work....Im going in circles and not happy.

Rather than just going back on Meds and doing the same thing over and over, I asked him what is going to be different this time, so he increases his chances of success?   If I ask him challenging questions, he is HIGHLY DEFENSIVE and doesnt like to be put on the spot...Has issues with weak self esteem..If I give him plenty of time to get back with a response, he rarely does....He makes attempts to develop lists, but 2 days later he doesnt follow them.  I dont feel he has a lot of personal introspection to look inside himself to be truly honest...about what is going on..Maybe he truly doesnt know....but the what does therapy do if a person  doesnt learn from it.

My ideal situation would be to have him speak up and to ask for help when he is struggling, because at least I      know he is trying to figure things out... He doesnt do this...

Ive  made the suggestion to join  a  local ADHD group for him to talk to other ADDers and to get personal recommendations on Dr's, therapy, coaching etc...I'll know by the end of the month if he take the suggestion and follows through....

Is it unrealistic to expect him to understand what worked and did not from 4 past attempts at therapy so he isnt going back in this viscious circle again and again....Otherwize he has wasted a lot of time and money getting help in therapy, and still doesnt have a good understanding of the key issues...

Melissa, Can you please help me get off this ride as Im dizzy, unhappy and frustrated to be going down this rabbit hole again without success..

Thank you & Many Blessings,

AJR