128: ADHD and Sex – Dr. Ari Tuckman

Summary: To reach an ADHD diagnosis, Dr. Tuckman reports that a 45-minute interview is required. With the media coverage of young boys with ADHD, Dr. Tuckman says that most clinicians can diagnose childhood ADHD accurately, though he notes that girls aren’t diagnosed as often as boys. He suggests that clinicians might expect ADHD more often in boys than girls, leading to them not noticing the symptoms.<br><br>Ari says that adults with ADHD also have a harder time being diagnosed, partially because their symptoms vary a little. Grown men and women almost never display the hyperactivity of ADHD youths, he admits, but forgetfulness, poor time management, losing things, and high distractibility continue to impact people’s personal and professional lives throughout adulthood.<br><br>He shares that adults with ADHD frequently realize they have ADHD themselves in what he calls a two-for-one: Parents bring in their child for an assessment and realize they also display ADHD symptoms, leading to simultaneous diagnoses.<br><br>Adult women with ADHD can be particularly difficult to diagnose, according to Ari. He tells us that they often present with anxiety and depression, but he reports that most clinicians stop their analysis there, when the root cause of their mental anguish stems from poor executive function, poor time management, and other, similar symptoms of ADHD.<br><br>ADHD Symptoms<br>Dr. Tuckman explains that it’s easier for people with ADHD to maintain focus on more interesting activities and on tasks that have a strict, close deadline. Being consistent and reliable are difficult tasks for people with ADHD, admits Dr. Tuckman. In these scenarios, partners with ADHD often lament their lack of reliability, while partners without the condition hate seeing themselves turn into a nagging spouse.<br><br>Dr. Tuckman describes another scenario where one person who likes everything organized in a rational manner, marries someone who isn’t as attentive or consistent about item placement at home. He says this often becomes a power struggle when what is needed is a method of reconciling their differences by coming to a compromise. He informs us that partners with ADHD will genuinely commit to the compromise and will often fulfill it for a few days, but before long they get derailed by things like getting home late, work difficulties, or not sleeping well the night before. He adds that this also leads to nagging and relationship struggles.<br><br>ADHD or Simple Laziness?<br>Ari asserts that ADHD is characterized by a failure to actualize good intentions. He describes people with ADHD as genuinely intending to fulfill their responsibilities, and he tells us that they are aware of the positive and negative repercussions that will occur if they do or don’t—for example—take out the trash. They’re often angry at themselves for neglecting their duties and breaking their promises. Dr. Tuckman assures us that adult ADHD isn’t purely about forgetting to perform menial tasks. He says they often forget things that outright hurt themselves, like leaving their lunch at home. He contends that their good intentions and their tendency to harm themselves with their disease distinguish them from people who simply want to avoid housework.<br><br>Sex and ADHD<br>Ari relates that when he was researching his most recent book, he had 3,000 people fill out a form that covered their marital relationships and their sex lives. He found that most people with ADHD enjoy their sex life when they are having regular sex. Unfortunately, Dr. Tuckman discovered several barriers to intercourse including partners not having enough good feelings about each other and the couple not having enough time to have sex. The former problem comes from the power struggles described earlier, but Dr. Hickman describes the lack of time as resulting from getting distracted and consequently taking more time to do things.<br><br>The ADHD Sex Drive<br>Within...