Date of Award

2026

Document Type

Dissertation

Degree Name

Doctor of Psychology (PsyD)

Department

Psychology

First Advisor

Orly Caldron, Psy.D.

Second Advisor

Traci Maynigo, Psy.D.

Third Advisor

Mark Sirkin, Psy.D.

Abstract

Attention-Deficit/Hyperactivity Disorder (ADHD) is a prevalent neurodevelopmental disorder that affects approximately 2.5% of the adult population globally (APA, 2022) and can influence functioning across multiple domains of functioning, including romantic relationships. Fourteen adults currently in romantic relationships participated in semi-structured interviews. Data were analyzed using Auerbach and Silverstein’s (2003) grounded theory method. The purpose of this study was to explore the lived experiences of adults with ADHD in romantic relationships, in order to inform interventions and strategies targeting the unique difficulties faced by this population and their partners. Findings suggest that ADHD influences romantic relationships through interconnected relational processes, including emotional dysregulation, executive functioning difficulties, challenges and strengths in physical and emotional intimacy, and the development of self-concept within the relationship. These processes were associated with cycles of misattunement, emotional reactivity, and relational strain. At the same time, supportive relational practices, such as emotional safety, partner understanding, structured systems, and therapeutic support, emerged as protective factors that helped promote relational stability. Together, these findings informed an emerging theoretical model in which ADHD-related difficulties and relational processes operate in a dynamic, reciprocal manner, influencing one another over time. The findings of this study contribute to the literature by offering a relational framework for understanding ADHD in adulthood and highlighting specific intervention targets for clinical practice. Implications include the importance of addressing emotion regulation, executive functioning, communication, and self-concept within a relational context, as well as incorporating ADHD-informed approaches into couples therapy. This study provides a foundation for future research to test and refine the proposed theoretical model and to develop targeted interventions for adults with ADHD and their partners.

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