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  • Writer's pictureDr Oscar D'Agnone, MD, MRCPsych.

The Interpersonal Magic of ADHD: Navigating Personal Relationships with Adult ADHD

Updated: Oct 28

Over my years of practice at The OAD Clinic I've seen up close the rollercoaster that is ADHD, especially when it comes to building relationships. But here's something many miss: people with ADHD have this incredible knack for seeing things differently. Their creativity? It's off the charts! And it brings a spark to conversations that's simply infectious. They're not just my patients; they're some of the most captivating folks you'll ever meet.

For instance, Sophie and Alex had been friends for years. Both in their late twenties, they often met up after work to catch up over coffee or dinner. Sophie, diagnosed with ADHD in her teens, was known for her bubbly personality and her knack for turning ordinary events into memorable ones.

One Friday evening, as the two sat in their usual café, Alex began to share about the monotony of his week. The conversation slowly veered towards the upcoming weekend, and Alex sighed about the lack of plans and the looming boredom ahead. Just as he was lamenting the predictable weekend routine, Sophie's eyes sparkled with an idea. "Why don't we have a 'Travel from Home' dinner night tomorrow? We can pick a country, cook dishes from that region, and even dress the part!" she suggested.

Her spontaneity transformed Alex's anticipation of a dull weekend into excitement for their impromptu Italian night. The next day saw them making homemade pasta, sipping on Italian wine, and laughing over their attempts at speaking in Italian accents.

Moreover, their ability to hyperfocus can make their loved ones feel truly valued.

A few weeks later, Alex went through a challenging time at work, grappling with the loss of a significant project. He called Sophie, needing a listening ear. They met at a quiet park, and as Alex began to share his frustrations and disappointments, he noticed something remarkable. Sophie, often so energetic and buzzing with ideas, was entirely focused on him. Her usual restless energy was replaced with a quiet attentiveness. Every word he spoke, every emotion he conveyed, she absorbed with an intensity that made him feel genuinely valued. In that moment, Alex didn't just feel heard; he felt understood and supported.

Diving deep into conversations really tightens the bond between people, leaving behind some unforgettable moments. ADHD can be a tough cookie, but it also throws in these awesome surprises – a splash of spontaneity here, a dash of creativity there, and heaps of depth in relationships. It's like adding a secret sauce to connections!


However, the spontaneous nature that makes individuals with ADHD delightful can also lead to unforeseen challenges. Their impulsivity, while often leading to exciting adventures – like an unexpected road trip based on a morning's whim – can also result in misunderstandings. It's not uncommon for them to blurt out something without fully processing it, leading to potential hurt feelings. Yet, this very impulsiveness can be an asset. In relationships, where risks like expressing feelings or addressing concerns are paramount, their candid nature can pave the way for open and honest communication.


At the heart of a bustling city lived Mia, a young woman with ADHD. Her apartment was a canvas of her life - a mix of brilliant colours, unfinished paintings, and a multitude of books, each bookmarked at different chapters. Mia was known in her circle for her vivacious energy and was often the life of any gathering she attended.

One summer evening, Mia's extended family had come together for a reunion. As the hours wore on, conversations began to dwindle, and a lull descended upon the group. Sensing the dip in energy, Mia, always the initiator, sprang up from her chair. With a mischievous glint in her eyes, she announced a spontaneous charades competition. Before anyone knew it, the room was echoing with laughter and playful banter as family members acted out and guessed. Mia's infectious energy had turned the evening around, making it one of the most memorable nights for everyone.

On the romantic front, Mia had been dating Liam for over a year. Liam, calm and composed, was the perfect foil to Mia's spirited nature.

They shared an intense connection, but like any couple, they had their challenges. Mia's forgetfulness meant she sometimes missed dates or forgot plans they'd made. On one such occasion, she realized she'd forgotten their monthly date night. Feeling guilty, Mia decided to surprise Liam. She transformed her apartment into a makeshift cinema, complete with popcorn and fairy lights, and they had an impromptu movie night. Such gestures were Mia's way of making up for her lapses, turning potential conflicts into cherished memories.

Mia's friendships were equally dynamic. Her best friend, Zoe, often joked that a conversation with Mia was like hopping onto a high-speed train; you never knew where you'd end up. They'd start discussing a book and, in a matter of minutes, would traverse topics from art to zodiac signs. While some found Mia's rapid-fire thinking overwhelming, Zoe loved it. Their discussions were diverse, deep, and always enlightening.

Their boundless energy, while sometimes overwhelming, can be infectious in group settings. Picture a family gathering where the mood starts to dip.


Someone with ADHD, brimming with energy, might initiate a game or share a humorous anecdote, instantly lifting the spirits of everyone present. Navigating romantic relationships offers its own set of complexities for those with ADHD. While their passion and intensity can lead to deeply fulfilling relationships, it's crucial for both partners to understand and navigate the nuances of ADHD.

For example, forgetfulness, a common trait, might lead to missed anniversaries or appointments. However, this same forgetfulness can lead to spontaneous acts of affection, like surprise dates or unexpected gifts, as they compensate for their lapses. In friendships, the ADHD trait of rapid-fire thinking can be a double-edged sword. While it ensures that there's never a dull moment – with topics of conversation shifting and evolving quickly – it can also lead to feelings of being overwhelmed for those unfamiliar with this trait. However, with understanding friends who appreciate this dynamism, such interactions can lead to deep and enriching friendships filled with diverse discussions.


Relationships with ADHD can be a rollercoaster, but always remember: it's this unique journey that adds depth and colour to our connections. Always communicate, be kind to yourself, and cherish every moment. You've got this, and you're never alone in it. Take care.


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