In this short video, I explain how I help one person through the first days after an ADHD relationship cracks, and how we keep things simple enough to hold on to.
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Acute online ADHD couples therapy alone is for one person, anywhere in the world, when ADHD is part of a relationship that has just hit a crisis and your partner is not joining. You may be the one with ADHD, or the one who has been carrying the load. We meet by video, soon, in 1-hour sessions timed to your time zone.
First we settle the panic. Then we look at what really happened and what ADHD has to do with it, and you choose your next step at your own pace. It is the solo version of acute online ADHD couples therapy.
When you are ready, book a session or request a free 30-minute call. The terms are in my client policy, and you can write to me at any point.
Acute online ADHD couples therapy alone is for one person, wherever you live, when ADHD is part of a relationship that has just hit a crisis and your partner is not taking part. You may be the one with ADHD, or the one who has carried the load.
This one is for a single person in the first rough weeks. These may suit you better:
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These reviews describe clients’ experiences of working with me. They come from my wider practice and do not all relate to online sessions. Each person’s experience is their own, and a review does not promise a particular outcome.
“In my experience, people who come alone after an ADHD relationship has cracked are carrying one of two heavy loads. Some have ADHD and arrive soaked in shame, sure they have ruined everything again. Others have been the organiser for years and arrive hollowed out, angry and guilty for being angry. Both deserve kindness, and both deserve the truth. My first job is to take enough pressure off that you can look at what happened without drowning in it. From there, better decisions follow almost by themselves.”
Mark Colclough, MA, psychotherapist and EFT couples therapist
I am Mark Colclough, MA. I have practised since 2004 and offer online psychotherapy and couples therapy in English.
My training brings together your emotions, your thoughts and your relationships. My deep passion is the moment when what happens between you finally makes sense, to each of you and to each other. I have lived and worked in nine countries, so I know something of life across languages, cultures and borders.
Read about my background, or explore online psychotherapy and online couples therapy.
I meet regularly with experienced psychotherapists to reflect on my work, question my understanding and develop my skills. Supervision is part of the professional care I bring to individual and couples work, including online sessions.
My focus is thoughtful practice, integrity and responsibility.
You are welcome to ask about the kind of support you need.
Tell me where you are based and your time zone. We can then consider whether online sessions together are suitable.
Miguel has ADHD and lives in Madrid with his partner Elena. After he forgets to pay their rent for the second time in a year, Elena moves to her sister’s and says she needs a month to think. Miguel stops sleeping, sends a stream of long apologies and starts planning a surprise trip to win her back.
In our first online session we put the trip on hold. We write a short plan: sleep, one friend to call each evening, a single honest message to Elena and a standing order for the rent. Two weeks later Elena agrees to meet for coffee. Miguel arrives calm.
I have presented this clinical example as a compound of 22 years of clinical practice.
The relationship has cracked, and you are the one sitting with the pieces.
Maybe your partner has left, asked for a break or refuses to talk. Maybe they just will not come to therapy. Either way, you are the one asking for help, and that is a good place to start.
One person who calms down and sees the pattern can change a surprising amount, whatever the other decides.
Sometimes a partner leaves after a long run of small slips, with one forgotten thing as the final straw. If you have ADHD, that can feel brutally unfair and deeply shaming at once.
We look at the whole story, not only the last mistake.
If you are the partner without ADHD, you may have been reminding, organising and covering for years. Now you are empty, and guilty for feeling that way.
Your tiredness is real, and it deserves room.
Shame can make the ADHD mind race, freeze or swing into frantic action. None of those helps you think.
We bring the shame down first, so the facts can be looked at calmly.
A spending spree, a careless message or a risky decision may have set things off. Now you want to undo it all at once.
We separate what can be repaired now from what needs time.
Many people in this spot lie awake replaying conversations and listing what they should have done.
We turn that loop into a short, written plan you can actually follow.
The urge to fix everything immediately, with grand promises or big gestures, is strong. Often it makes things worse.
Small, visible steps do far more good.
Does this sound like you? Request a call or book a session, and we will start with the coming days.
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Tell me briefly what kind of support you are looking for.
Include your country and time zone so we can discuss whether online work together is possible and find a suitable time.
You do not need to explain your whole story in your first message.
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Settle first. See clearly next. Decide only after that.
Acute online ADHD couples therapy alone moves through those three steps. We bring your stress down, look honestly at the pattern between you and your partner, and only then weigh up the options.
We write a very short plan for the next few days: sleep, food, one or two people to lean on and clear limits on contact with your partner.
Short and written is much easier to follow when your head is full.
Yes. Impulsive messages in the middle of the night are common in shock, especially with ADHD. We agree a simple rule: write it, save it, look at it again in daylight.
We draft a few honest sentences: what you understand, what you are sorry for, what you need. No speeches, no pleading.
You cannot decide whether your partner stays, returns or comes to therapy. You can decide how you behave, which systems you put in place and what you will accept.
Once you are steadier, we look at what you really want: to repair, to wait or to let go. You do not have to know today.
Some people go on to online ADHD couples therapy alone at a calmer pace. Some invite their partner into joint sessions. Some move towards separation. Whatever you pick, you pick it with a clear head.
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No diagnosis letter, no plan and no perfect words needed. Just log in.
Our first sessions are about what has happened, how you are coping and what the next few days need.
If another kind of help would suit you better now, I will say so.
It is one hour by video. We go through what happened, how you are sleeping and who is around you, and finish with a short written plan.
Yes. I keep things structured and recap often. You can move, fidget or take notes, and I will send you the key points in writing if that helps.
Usually within days, depending on my calendar. Book the earliest open slot or request a call, with a line about what has happened.
Early on, acute online ADHD couples therapy alone runs at a quicker rhythm than ordinary therapy. As you steady, the gaps grow.
A crisis like this often needs several sessions in quick succession. A bundle gives you a plan, a lower price per session and nothing extra to remember. See the cards below.
You are sleeping again, the shame has eased and you can think about the relationship without spiralling. Then we look further ahead.
Comparing your options? Here are the nearest ones.
| Option | Choose it when | Pace |
|---|---|---|
| Acute online ADHD couples therapy alone (this page) | ADHD is part of a crisis you are facing alone. | 1-hour sessions, frequent at first |
| Acute online ADHD couples therapy | Your partner is willing to join you. | 2-hour sessions with pauses |
| Online ADHD couples therapy alone | Difficult, but nothing has just exploded. | 1-hour sessions every few weeks |
| Acute online couples therapy alone | ADHD is not really part of it. | 1-hour sessions, frequent at first |
It is short, structured support by video for one person whose relationship has just hit a crisis in which ADHD plays a part, when the partner is not joining. We steady you, look at the pattern and plan your next step. It is offered in English, worldwide.
Yes. Many people with ADHD come alone after a partner has had enough. We look at what happened without shame, and at what you can change.
Yes. Many partners without ADHD come because they are exhausted and need somewhere to think. Your needs matter here as much as anyone’s.
I cannot promise that, and I will not help you pressure anyone. I can help you act in a way you respect, which gives repair its best chance if it is possible.
No. A suspicion or a self-recognised ADHD profile is enough. What matters is how it shows up in daily life.
Yes. When they are ready, joint acute online ADHD couples therapy or calmer online ADHD couples therapy can follow.
That is your choice. Some people tell their partner, some keep it private for now. We can think through what feels right and safe.
It differs. A few sessions steady some people; others want close support for several weeks. We review as we go.
Solo sessions are one hour long, online. Fees in US dollars are on the prices page, and a bundle brings them down by 10 per cent.
Pick a time in the booking calendar, or request a free 30-minute call. If nothing is early enough, send me a message.
You can also send me an email
I want therapy to help you understand your experience and make choices you can use in everyday life. We pay attention to feelings, needs and the responses that happen before you have time to think.
Our online room should offer enough trust and honesty to explore what is difficult. I bring attention and professional judgement. You bring your experience, questions and the right to say when something does not fit.
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P.S. I’ll call you in a bit!
