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The symptoms of Attention Deficit Disorder can have far reaching
implications. Adults and children are likely to be seen as underachievers,
having great potential but consistently performing below their abilities.
They may appear disrespectful or non-caring by not listening when they
should or by losing interest easily. They may seem forgetful or
uncooperative. They may appear to lack judgment in social situations by
interrupting, speaking their mind or failing to consider the needs and
social conventions of others. Commonly, academic problems are pronounced.
They are likely to have poor reading comprehension, poor writing mechanics
and bad spelling. They may show difficulties in completing tasks or not
turn in completed works on time, or at all. Even with tutoring or coaching
they may seem to lack the discipline required for improving organizational
skills or for developing good study habits.
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Make sure you have an accurate diagnosis. Once
you are sure of the diagnosis, learn as much as you can about ADD. There is
an increasing body of literature out on the topic. The more you and your mate
know, the better you will be able to help each other. The first step in the
treatment of ADD is accurate diagnosis and education.
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Keep a sense of humor! If you let it be,
ADD can be really funny at times. Don't miss out on the chance to laugh when
the laugh is there. At that psychological branch point we all know so
well-ADD or no ADD-when the split-second options are to get mad, cry, or
laugh, go for the laughter. Humor is a key to a happy life with ADD.
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Declare a truce. After you have made the
diagnosis and have done some reading, take a deep breath and wave the white
flag. You both need some breathing space to begin to get your relationship on
new footing. You may need to ventilate a lot of stored-up bad feeling. Do
that, so you won't lug it with you everywhere.
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Set up a time for talking. You will need
some time to talk to each other about ADD-what it is, how it affects your
relationship, what each of you wants to do about it, what feelings you have
about it. Don't do this on the run i.e., during TV
commercials, while drying dishes, in between telephone calls, etc. Set up
some time. Reserve it for yourselves.
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Spill the beans. Tell each other what is on
your mind. The effects of ADD show up in different ways for different
couples. Tell each other how it is showing up between you. Tell each other
just how you are being driven crazy, what you like, what you want to change,
what you want to preserve. Get it all out on the table. Try to say it all
before you both start reacting. People with ADD have a tendency to bring
premature closure on discussions, to go for the bottom line. In this case,
the bottom line is the discussion itself.
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Write down your complaints and your
recommendations. It is good to have in writing what you want to change and
what you want to preserve. Otherwise you'll forget.
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Make a treatment plan. Brainstorm with each
other as to how to reach your goals. You may want some professional help with
this phase, but it is a good idea to try starting it on your own.
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Follow through on the plan. Remember, one
of the hallmarks of ADD is insufficient follow-through, so you'll have to
work to stick with your plan.
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Make lists for each other. Try to use them
constructively, not as threats or evidence in arguments of what you have
requested that hasn't been done.
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Use bulletin boards. Messages in writing
are less likely to be forgotten. Of course, you have to get in the habit of
looking at the bulletin board!
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Put notepads in strategic places such as by
your bed, in your car, in the bathroom and kitchen.
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Consider writing down what you want the
other person to do and give into him or her in the form of a list every day.
This must be done in a spirit of assistance, not of dictatorship. Keep a
master appointment book for both of you. Make sure each of you checks it
every day.
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Take stock of your sex lives in light of
ADD. As was mentioned earlier, ADD can affect sexual interest and
performance. It is good to know the problems are due to ADD, and not
something else.
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Avoid the pattern of mess-maker and
cleaner-upper. You don't want the non-ADD partner to "enable" the
ADD partner by cleaning up all the time, in the manner that the nonalcoholic
spouse may "enable" the alcoholic spouse by covering up all the
time. Rather, set up strategies to break this pattern.
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Avoid the pattern of pesterer
and tuner-outer. You don't want the non-ADD partner to be forever nagging and
kvetching at the ADD partner to pay attention, get his or her act together,
come out from behind the newspaper, etc. People with ADD frequently need a
certain amount of "down time" every day to recharge their
batteries. It is better that this time be negotiated and set aside in advance
rather than struggled over each time it comes up.
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Avoid the pattern of the victim and the
victimizer. You don't want the ADD partner to present himself or herself as a
helpless victim left at the merciless hands of the all-controlling non-ADD
mate. This dynamic can evolve easily if you aren't careful. The ADD person
needs support and structure; the non-ADD mate tries to provide these. Unless
there is open and clear communication about what is going on, the support and
structure can feel like control and nagging.
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Avoid the pattern of master and slave. Akin
to number 16. However, in a funny way it can often be the non-ADD partner who
feels like the slave to his or her mate's ADD. The non-ADD partner can feel
that the symptoms of ADD are ruining the relationship, wrapping around it
like tentacles, daily disrupting what could be, and once was, an affectionate
bond.
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Avoid the pattern of a sadomasochistic
struggle as a routine way of interacting. Prior to diagnosis and intervention,
many couples dealing with ADD spend most of their time attacking and
counterattacking each other. One hopes to get past that and into the realm of
problem-solving. What you have to beware of is the covert pleasure that can
be found in the struggle. ADD is exasperating; therefore, you can enjoy
punishing your mate by fighting with him or her. Try, rather, to vent your
anger at the disorder, not at the person. Say "I hate ADD" instead
of "I hate you," or say "ADD drives me crazy" instead of
"You drive me crazy."
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In general, watch out for the dynamics of
control, dominance, and submission that lurk in the background of most
relationships, let alone relationships where ADD is involved. Try to get as
clear on this as possible, so that you can work toward cooperation rather
than competitive struggle.
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Break the tapes of negativity. Many people
who have ADD have long ago taken on a resigned attitude of "There's no
hope for me." The same can happen to both members of the couple. As will
be mentioned in many places throughout this book, negative thinking is a
most corrosive force in the treatment of ADD. What I call the "tapes of
negativity" can play relentlessly, unforgivingly,
endlessly in the mind of the person with ADD. It is as if they click on as
the sun rises and click off only when the unconsciousness of sleep shuts them
down. They play, over and over, grinding noises of "You can't,"
"You're dumb," "It won't work out," "Look how far
be-hind you are," "You're just a born loser." The tapes can be
playing in the midst of a business deal, in the reverie of a car ride home,
or they can take the place of making love. It is hard to be romantic when you
are full of negative thoughts. The thoughts seduce you, like a satanic
mistress, into "loving" them instead. These tapes are very
difficult to stop, but with conscious and sustained effort, they can be
smashed.
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Use praise freely. Encouragement, too.
Begin to play positive tapes. Find something positive to say about your mate
or about yourself every day. Build each other up consciously, deliberately.
Even if it feels hokey at first, often as exercise feels good
at first, over time it will feel good and have a sustaining effect.
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Learn about mood management. Anticipation
is a great way to help anyone deal with the highs and lows that come along.
This is especially true in ADD. If you know in advance that when you say
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"Good
morning, honey!" the response you get might be "Get off my back,
will you!" then it is easier to deal with that response without getting
a divorce. And if the other member of the couple has learned something about
his or her moods, the response to "Good morning, honey!" might be
"I'm in one of my ADD flinks," or
something like that, instead of an attack on the other person.
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Let the one who is the better organizer take
on the job of organization. There's no point in flogging yourself with a job
you can't do. If you can't do the checkbook, don't do the checkbook. IF you
can't do the kids' clothes shopping, then don't do the kids' clothes shopping.
That's one of the advantages of being in a couple. You have another person to
help out. However, the job the other person does instead of you must then be
adequately appreciated, noticed, and reciprocated.
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Make time for each other. If the only way
you can do this is by scheduling it, then schedule it. This is imperative.
Many people with ADD slip away like quicksilver: now you have them, now you
don't. Clear communication, the expression of affection, the taking up of
problems, playing together and having flin-all
these ingredients of a good relationship cannot occur unless you spend time
together.
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Don't use ADD as an excuse. Each member of
the couple has to take responsibility for his or her actions. On the other
hand, while one mustn't use ADD as an excuse, knowledge of the syndrome can
add immeasurably to the understanding one brings to the relationship.