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ADHD Chatter PodcastRenowned Therapist: 3 Ways To SAVE A Failing ADHD Relationship - Karen Doherty
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WHAT ITβS REALLY ABOUT
Couples Therapist Karen Doherty on Sustaining Neurodivergent Relationships Through Communication, Triggers and Compassion
- Doherty says communication breaks down when an emotional trigger hits a neurodiverse partner, whose executive function falters so the two end up having different conversations.
- She describes tools for emotional dysregulation and RSD, including private code words, taking time out, and a process conversation the next day to build a lexicon of triggers.
- Doherty explains that many neurodiverse couples pair a brilliant partner with a capable, early-adultized one, and that inequality, resentment and exhaustion grow once children arrive.
- She cautions against assuming ADHD alone explains divorce or infidelity, saying there is usually a crack in the relationship and that younger, diagnosed couples have better odds.
- She stresses that the positives (fun, passion, loyalty, novelty) outweigh the negatives, which need to be managed through knowledge, compassion and communication.
IDEAS WORTH REMEMBERING
5 ideasTriggers derail conversations
Doherty says that once a neurodiverse partner is triggered, executive function falters and they stop hearing the rest of the sentence, as in her bins example. Recognizing this pattern helps couples see they have repeated it many times.
Agree a code word to pause escalation
Doherty describes couples using a signal or code word, agreed as being for the couple and not to shut anyone down, so they can walk away and reconvene. She says that most of the time the issue is forgotten quickly, followed by a process conversation the next day.
Both partners must take responsibility
Doherty says that whether the cause is ADHD or past trauma, individuals and the couple must eventually own, understand and share their triggers. She adds that it takes two to make the strategies work.
Inequality fuels resentment
She says a capable partner can become overloaded, especially after children arrive, producing a parent/child feel and resentment, anger, loneliness and exhaustion. She links this to a common couple fit between a brilliant neurodiverse partner and a life-skilled partner.
Disconnection is a warning sign
Doherty points to living separate parallel lives, a growing space between partners, and a lack of intimate reciprocity such as chatting and joshing. She also names absolute withdrawal on both sides as a sign that a relationship may be failing.
WORDS WORTH SAVING
5 quotesIt's all comes down to knowledge, compassion, and communication.
β Karen Doherty
ADHD isn't the identity. Who are you? Yes, you've got ADHD, but who are you? Relationships are impacted by this stuff, but they're not the whole person.
β Karen Doherty
You have to be able to be autonomous and then absolutely dependent. It's that dance, and you've got to get it right.
β Karen Doherty
Don't ever think about the negatives not being outweighed by the positives. We've just got to manage the negatives.
β Karen Doherty
It's the fundamental basis on which it's all built.
β Karen Doherty
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SPEAKERS
Alex Partridge
hostHost of ADHD Chatter who interviews experts about ADHD and neurodivergence.
Karen Doherty
guestCouples counsellor/therapist specializing in neurodivergent (ADHD/ASD) relationships.
High quality AI-generated summary created from speaker-labeled transcript.