What you're describing - impulsive speech and working memory issues affecting your closest relationship - is a really valid reason to consider pursuing diagnosis and exploring medication.
The impact you're describing:
Blurting things out without thinking and forgetting conversations aren't character flaws or rudeness - they're core ADHD symptoms (impulsivity and working memory deficits). But I can hear that even though you know this isn't intentional, it's affecting your relationship, and that matters.
Why medication might help:
Stimulant medication often helps specifically with:
- That pause between thought and speech (reducing impulsivity)
- Working memory (actually retaining what your DH is saying)
- Sustained attention in conversations
- Following through on things you've said you'll do
Many people find their relationships significantly improve on medication because they can actually
be present in ways they couldn't before, even with the best intentions.
Is it worth it?
If your ADHD traits are causing genuine distress in your marriage and daily life, then yes - diagnosis and medication could be worth exploring. You've lived with strategies for years, but if those strategies aren't enough to prevent relationship strain, medication might be the missing piece.
Practical steps:
- Consider private assessment (£500-£1200, 4-12 weeks) if you want to move quickly
- Be honest in the assessment about the interpersonal impact - this demonstrates functional impairment
- Your school reports supporting ADHD are gold - bring those to the assessment
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One important point:
It's worth having an honest conversation with your DH about this. Explain that you're taking his concerns seriously and actively pursuing support - that in itself may help him understand these aren't deliberate behaviours. However, a diagnosis doesn't excuse impact - it just explains it and opens doors to solutions.
Would exploring diagnosis feel like a positive step forward for you both?