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Parenting With ADHD: When You and Your Child Both Have It

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Parenting With ADHD: When You and Your Child Both Have It
Disclaimer. This article is educational and is not medical, legal, or financial advice. It does not replace an individual evaluation or the guidance of your own clinician. Do not start, stop, or change any medication without talking to your prescriber. If you are in crisis, call or text 988 or go to the nearest emergency room.

When a child is diagnosed with ADHD, there is roughly a 40 to 50 percent chance that at least one parent has it, and in many families the parent's diagnosis comes second, prompted by recognition during the child's evaluation. This produces a specific situation: a parent being asked to supply structure, consistency, and calm to a child, using exactly the capacities their own ADHD impairs. This article is for that parent.

Why it is harder

Behavioral parent training, the first-line treatment for childhood ADHD, asks parents to be consistent, to follow through on consequences every time, to remember the reward chart, to stay calm when provoked, and to build and maintain routines. Each of these is an executive task. A parent with ADHD will forget the chart, apply the consequence inconsistently, lose their temper, and let the routine slide, not from lack of love but from the same neurology the child has. Studies confirm that parent training is less effective when the parent has untreated ADHD, and that treating the parent improves the child's outcomes.

Why it is sometimes easier

The parent with ADHD understands the child in a way no one else does. They know what it is like to be told to sit still when the body will not, to be called lazy when trying harder than anyone, to forget the thing they cared about most. They are less likely to read the child's symptoms as defiance and more likely to offer the empathy that protects the child from shame. Maté's emphasis on the parent's attunement as the foundation of the child's regulation is met here by a parent who is, in this sense, exquisitely attuned. The task is to keep that empathy while building the structure the empathy alone cannot supply.

Get your own evaluation

If you recognized yourself in your child's evaluation, get your own. Not eventually; now. A parent with untreated ADHD is trying to be the child's external executive system while lacking one of their own, and the effort is enormous and often fails. Treatment for the parent, including medication where indicated, is one of the most effective interventions for the child, because it makes the parent capable of implementing everything else. Many parents resist this because it feels like taking resources from the child. It is not. It is the first step in the child's treatment plan. The testing page describes adult evaluation.

Build systems that run without you

The household with ADHD parents and ADHD children cannot depend on anyone remembering anything. It has to run on external systems: a shared family calendar with alerts, a visual schedule posted where everyone sees it, a launch pad by the door, recurring reminders for medication for everyone who takes it, automated everything that can be automated (bill payments, grocery delivery, prescription refills). The reward chart should be simple enough that a distracted parent can maintain it, or it should be an app that maintains itself. The systems described throughout the parents' hub apply here with one adjustment: they must be designed for the parent's ADHD as much as the child's.

Divide labor honestly

If one parent has ADHD and the other does not, the temptation is for the non-ADHD parent to carry all the structure, which produces the parent-child dynamic in the marriage and leaves the ADHD parent feeling like a third child. Instead, assign the ADHD parent the parts of parenting that fit: the active play, the homework body-doubling, the bedtime stories, the emotional conversations, the weekend adventures. Assign the non-ADHD parent, or the systems, the tracking and scheduling. If both parents have ADHD, outsource what can be outsourced and accept that the household will be messier and louder than others; that is not failure.

Model what you want the child to learn

The child with ADHD is watching how the parent with ADHD handles it. A parent who names their own symptoms ('I forgot again; let me put it on the list'), uses their systems visibly, takes their medication matter-of-factly, repairs after losing their temper, and speaks about their own brain without shame is teaching the child everything they need to know about living with ADHD. This is the one thing the parent with ADHD can do better than any other parent, and it is worth more than a perfectly maintained chart.

Watch your own depletion

Parenting an ADHD child depletes any parent; parenting one with your own ADHD depletes faster. The end-of-day collapse, the explosions, the abandoned systems all arrive sooner. Protect sleep, movement, and time away with more discipline than feels reasonable, because the margin is thinner. Treat your own anxiety and depression, which co-occur with ADHD and worsen under parenting stress. And get support: a parent training group where you can say 'I have it too' and be understood, a counselor who works with ADHD adults, a spouse or friend who can take over when the fuse is short. The anger article is especially relevant for parents.

The bottom line

When parent and child both have ADHD, the parent is asked to supply what they lack, and also has an empathy no one else can offer. Get your own evaluation and treatment first, build systems that do not depend on anyone's memory, divide labor by what fits each parent's brain, model open and shame-free management of your own ADHD, and guard your depletion. The child does not need a parent without ADHD. They need a parent who is handling it.

Sources

Faraone, S. V., & Larsson, H. (2019). Genetics of attention deficit hyperactivity disorder. Molecular Psychiatry, 24(4), 562–575.

Chronis-Tuscano, A., et al. (2011). The relation between maternal ADHD symptoms and improvement in child behavior following brief behavioral parent training is mediated by change in negative parenting. Journal of Abnormal Child Psychology, 39(7), 1047–1057.

Johnston, C., Mash, E. J., Miller, N., & Ninowski, J. E. (2012). Parenting in adults with attention-deficit/hyperactivity disorder (ADHD). Clinical Psychology Review, 32(4), 215–228.

Maté, G. (1999). Scattered minds. Knopf Canada.

Educational content only. Nothing here is a substitute for individual assessment or medical advice.

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