Impulsivity, Relationship Conflict & Mental Health: Arguing With Someone Who Has ADHD

Medically reviewed by Nikki Ciletti, M.Ed, LPC
Updated July 16th, 2025 by BetterHelp Editorial Team

Relationships are often a central aspect of life. However, every relationship tends to face challenges. For neurodivergent individuals, including people with attention-deficit/hyperactivity disorder (ADHD), relationship challenges can be especially difficult to navigate due to a variety of factors, such as impulsiveness and difficulty managing emotions. Strategies like learning about each other’s values, establishing guidelines, and taking a step back when challenging emotions arise can be helpful. For more personalized guidance, consider scheduling an online or in-office session with a licensed therapist. 

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What is attention-deficit/hyperactivity disorder?

Attention-deficit/hyperactivity disorder (ADHD) can be defined as a neurological condition impacting the brain and nervous system. It is commonly discovered during childhood, and ADHD symptoms usually persist into adulthood. 

How many people have ADHD?

ADHD is relatively common. According to Children and Adults with Attention-Deficit/Hyperactivity Disorder (CHADD), 15.5 million adults (6%) in the US currently have an ADHD diagnosis. People of any age, gender, sexual orientation, or race can and do experience ADHD.

How attention-deficit/hyperactivity disorder can show up: common ADHD symptoms

While adult ADHD symptoms often vary, someone who has an ADHD brain could experience the following: 
  • Impulsive behavior
  • Lack of organization
  • Difficulty with prioritization
  • Challenges with time management
  • Difficulty maintaining focus on tasks
  • Excessive restlessness or activity
  • Ineffective planning skills
  • Limited tolerance for frustration
  • Frequent fluctuations in mood
  • Struggles with task completion and follow-through
  • Tendency toward a quick temper
  • Difficulty coping with stress

Challenges that people with ADHD may face in relationships

In neurodivergent relationships, the impact of ADHD symptoms often goes beyond challenges with attention and focus. Emotional dysregulation, one of the key symptoms of the disorder, can significantly influence personal interactions and lead to conflict.  

Often, people with ADHD struggle with impulse control and emotion regulation, which can contribute to arguments. Individuals with ADHD may find it harder to manage their emotions and, as a result, may impulsively engage in unnecessary conflicts. Difficulty processing feelings and engaging in emotional regulation can make it challenging for individuals with ADHD to express themselves calmly and effectively, sometimes leading to misunderstandings and strained relationships.
Additionally, ADHD can be associated with a phenomenon known as rejection sensitive dysphoria (RSD). RSD tends to amplify emotional responses to perceived criticism or rejection, often leading to intense emotional distress.
Arguing with someone who has ADHD

Impulsivity, other ADHD symptoms, and relationship conflict: arguing with someone who has ADHD

The impulsive nature of those with ADHD can lead to difficulties in navigating disagreements and resolving conflicts. Renowned ADHD author and expert Gina Pera can shed light on the intricate dynamics of relationships involving individuals with ADHD. Pera describes the "ADHD roller coaster,” capturing the ups and downs neurodivergent individuals may experience in their interactions with others.
Gina Pera also highlights that some with ADHD to “self-medicate” through arguments. As explained by Pera, ADHD self-medication in this context refers to the stimulation that individuals with ADHD seek by provoking conflicts, whether consciously or not. This self-stimulating behavior can have detrimental effects on their lives and relationships. 

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ADHD communication strategies

To address the potential pitfalls of ADHD self-medication through arguments, exploring ADHD-specific communication strategies can help. Fighting fair and looking for solutions together can be recommended, as can the following tips to help you and your partner navigate conflict in a neurodivergent relationship.

Explore each other’s values before arguing with someone who has ADHD

Determine what matters most to you, and ask your ADHD partner to share what matters most to them, in their own words. It can be helpful to consider the unique perspective of an individual with ADHD and take your partner’s words to heart. Identifying common ground and acknowledging differences in values can help you approach disagreements with understanding and respect for mental health.

Establish guidelines for your neurodivergent relationship to balance out symptoms like impulsivity

Implement guidelines for how, when, and where arguments can occur. This can be crucial for fighting fairly and maintaining mental health. For instance, you might limit intense conversations to times when ADHD symptoms feel well-controlled. Consider alternative communication methods, like email, if face-to-face discussions pose challenges related to impulsivity and resulting emotional stress.

Take a step back

One of the critical ground rules of arguing may be to halt discussions immediately if either you or your partner becomes angry. You might allow a 30-minute breather to let emotions settle before resuming the conversation. This may involve soothing activities like going for a walk or spending time with a pet, which can be helpful for preserving mental health and avoiding saying hurtful things to each other.

Look out for body language in people with ADHD symptoms

Recognize signs of anger in your ADHD partner and pause the argument when they arise. It can be best to address the conflict later in a calm manner. Prioritizing verbal resolution over escalating emotions often contributes to a healthier overall dynamic.

Consider the importance of the argument compared to harmony and mental health

Assess the significance of the argument and consider whether it's worth the potential toll on your and your partner’s physical and mental well-being. Maintaining perspective can be crucial for mental health, especially in neurodivergent relationships.

Acknowledging and addressing the unique communication needs associated with ADHD can be vital for fostering understanding and creating a supportive environment for neurodivergent relationships. 

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How individual mental health therapy or couples therapy can help a neurodivergent relationship

Using arguments to cope with the challenges of ADHD can inadvertently exacerbate conflicts and strain connections with loved ones. Therapy may serve as a transformative tool in addressing these tendencies. Through therapeutic interventions, individuals can gain insight into the root of their impulsive behavior and develop healthier coping mechanisms. 

A marriage and family therapist or other provider specializing in ADHD can offer guidance in identifying symptoms and navigating them effectively. However, it can be challenging to stick to the therapy process, particularly for individuals with ADHD. The demands of life and busy schedules can often pose obstacles to consistent attendance. This challenge may be amplified for couples seeking therapy, when synchronizing schedules can become an added complication.

Benefits of online therapy for people in neurodivergent relationships

Online therapy can offer a flexible alternative, potentially making it easier for individuals and couples to engage in therapeutic sessions from the comfort of their homes. This adaptability can align well with the often-unpredictable nature of ADHD and the challenges couples may face in maintaining consistent therapy attendance.

Research on the effectiveness of online therapy treatment

Research suggests that online therapy tends to be as effective as in-office therapy. A 2022 study on the efficacy of online therapy for adult ADHD found that most participants experienced improvements in attention deficit and social function.
Takeaway
ADHD is a condition that can significantly impact the nature of arguments within all types of relationships. However, by implementing tailored communication techniques like establishing guidelines and paying attention to body language, individuals with ADHD and their loved ones can enhance their conflict resolution skills, leading to more harmonious connections with their partners, family members, and friends. A licensed therapist can offer further support in managing ADHD symptoms and relationship conflicts through online or in-person sessions.

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