After the spirited discussion about my two posts on ADHD symptoms, I felt eager for more experience working with someone who considered himself “ADD”; my intake on Friday with a new Skype therapy client did just that and, even in the first session, provided many details that pointed toward a psychological explanation for his ADHD symptoms.
Adam told me he had been diagnosed as an adult for having a history of difficulties in the areas of concentration, classroom behavior, and for performing below his ability level. He has taken medications for two years.
Over the course of the session, Adam described his struggles in several different areas. His main concern — the reason for beginning treatment — is his recent infidelity, uncovered by his wife, which is jeopardizing his marriage. He also talked about problems at the law firm where he is a first-year associate.
In preparing for a recent trial, he “went AWOL” in order to be with his wife on a day when she was awaiting some important test results. He told no one at the firm he’d be away, he just simply disappeared. The partner on the case kept calling and texting him throughout the day but Adam ignored him. He felt the other associate on the case could handle the trial prep that day and they didn’t need him.
When he returned to the office, the partner was furious. As a summer associate at a different firm two years ago, Adam had run into similar difficulties with the higher-ups and didn’t follow through on assignments; at the end of the summer, he did not receive an offer to return once he finished law school.