When he sees many discussions as a negative...
I understand that men and women communicate differently, but I really think it is an entirely different world for an ADD mate and a non-ADD spouse. My husband was diagnosed 2 years ago at his own suspicion of what was *wrong* with him, and his progress is somewhat erratic though he has good intentions. We are actively working on getting him a new coach, we have some things we're working on from the AD/HD conference, and he takes his meds almost like he is supposed to. Not perfect, but decent improvement all in all.