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ADHD Sexual Intimacy Measure (ADHD-SIM-24)  

This self-assessment is designed for adults with ADHD who want to better understand how their neurotype may influence sexual experiences. It measures strengths and challenges across four subscales: Attention & Presence, Impulse Control & Risk, Boundaries & Consent, and Relationship Communication & Satisfaction.
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    INSTRUCTIONS

    Read each statement and rate how strongly you agree or disagree based on your current experiences in your family.

    All responses are confidential.

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    Understanding Scores in the High Support Needed Category

    Your total score is: {total}, which falls into the High Support Needed range (24–56)

    Score Breakdown

    24–56: High Support Needed
    57–88: Growth Zone
    89–120: Strong Foundation


    Your Score Suggests:

    • You may be finding it hard to stay mentally and emotionally present during sexual experiences.

    • It might be difficult to track your own attention, recognize your partner’s cues, or slow things down when needed. Impulsivity, distraction, or difficulty communicating clearly in the moment may be affecting your ability to feel safe, connected, or in control.

    • You might also struggle with planning ahead for safety, setting or respecting boundaries, or checking in with yourself and your partner as things unfold.

    • These challenges are common for people with ADHD—especially when it comes to fast-moving or emotionally charged situations like sex.


    How Therapy Can Help

    • Struggling in these areas doesn’t mean you’re broken. It means your brain processes things differently—and you deserve tools that actually work for you.

    • A neurodivergent-affirming therapist can help you build skills for pausing, communicating, and staying more present.

    • This can include learning how to regulate attention during intimacy, prepare for safe and enjoyable experiences, and feel more in sync with your partner.

    • Therapy can also support healing if past experiences have led to shame, regret, or confusion. With the right guidance, sexual connection can become something you feel safe, confident, and proud of.
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    Understanding Scores in the Growth Zone

    Your total score is: {total}, which falls into the Growth Zone range (57–88).

    Score Breakdown

    24–56: High Support Needed
    57–88: Growth Zone
    89–120: Strong Foundation


    Your Score Suggests:

    • You may have a good foundation of skills but still experience moments of distraction or emotional disconnection during intimacy

    • Communication around needs, boundaries, or consent may occasionally feel rushed, unclear, or off-track

    • You might notice impulsive tendencies show up in certain situations, even when you’re trying to slow things down

    • These patterns are common among people with ADHD and reflect areas where some extra support could be helpful

     


    How Therapy Can Help

    • Strengthen your ability to stay focused and grounded during sexual experiences

    • Build confidence in navigating consent, boundaries, and emotional cues

    • Practice communication strategies that work with your ADHD brain—not against it

    • Explore tools and routines that support safer, more connected intimacy
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    Understanding Scores in the Strong Foundation Range

    Your total score is: {total}, which falls into the Strong Foundation range (89–120)

    Score Breakdown

    24–56: High Support Needed
    57–88: Growth Zone
    89–120: Strong Foundation


    Your Score Suggests:

    • You appear to have solid skills in staying present, communicating boundaries, and thinking through risks in sexual situations

    • You likely feel confident checking in with your partner, reading cues, and speaking up for your needs

    • You’ve found ways to manage attention, impulse, and emotional regulation in ways that support healthy sexual experiences

    • While no one is perfect, your responses suggest a strong base of awareness and intentionality when it comes to intimacy

     

    How Therapy Can Help

    • Celebrate and reinforce the strategies that are already working well for you

    • Explore more nuanced aspects of intimacy, such as sensory preferences or deepening emotional connection

    • Learn advanced tools for navigating complex conversations around consent, pacing, or partner dynamics

    • Support continued growth by identifying any emerging challenges or blind spots
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    Subscale Breakdown

    In addition to providing a Total Score, the ADHD Sexual Pleasure, Awareness, Risk & Knowledge Check (ADHD-SPARK-24) explores four key areas of how ADHD may impact sexual experiences: Attention & Presence, Impulse Control & Risk, Boundaries & Consent, and Relationship Communication & Satisfaction.


    1. Attention & Presence

    Your Score: {communicationampamp}

    6–13: High Support Needed – You may struggle to stay mentally and emotionally present during intimacy, often feeling distracted or disconnected from your body, your partner, or the moment itself.

    14–22: Growth Zone – You’re making progress in staying present, but distractions or attention shifts may still interrupt sexual experiences or emotional closeness.

    23–30: Strong Foundation – You likely feel grounded and focused during intimacy, with good awareness of your sensations, emotions, and your partner's presence.



    2. Impulse Control & Risk

    Your Score: {impulseControl}

    6–13: High Support Needed – You may find it difficult to pause, assess safety, or resist acting on urges in the moment. This can lead to regret or risky decisions that feel out of sync with your values.

    14–22: Growth Zone – You’re developing more awareness of your impulses and risks, though there may still be moments where excitement overrides caution or planning.

    23–30: Strong Foundation – You likely approach intimacy with forethought and care, balancing desire with awareness of safety, pacing, and consequences.


    3. Boundaries & Consent

    Your Score: {boundaries}

    6–13: High Support Needed – You might feel unsure about expressing or recognizing boundaries—both your own and your partner’s. Consent conversations may be confusing, rushed, or avoided.

    14–22: Growth Zone – You have some tools for navigating boundaries and consent, but may still feel uncertain in the moment or struggle with clarity and timing.

    23–30: Strong Foundation – You likely feel confident in stating your boundaries and checking in with your partner, with strong respect for consent and comfort on both sides.



    4. Relationship Communication & Satisfaction

    Your Score: {communication}

    6–13: High Support Needed – Talking about sexual needs or feelings may be overwhelming, disorganized, or avoided altogether. Misunderstandings may cause frustration or emotional distance.

    14–22: Growth Zone – You’re building communication skills, but may still drift off-topic, miss cues, or struggle with detailed or emotionally charged conversations.

    23–30: Strong Foundation – You likely express your needs clearly, stay engaged in conversations, and feel satisfied with your ability to communicate and connect around intimacy.

     

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    Please note: We can only send your scores to therapists within our group.
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    Disclaimer:

    This questionnaire is designed to offer helpful insights and support self-reflection. It can be a useful starting point for understanding how ADHD may impact sexual awareness, boundaries, communication, and risk. Many individuals find it valuable for identifying patterns and starting meaningful conversations—whether with a partner, therapist, or coach.

    That said, this tool is still in development and has not been validated through formal scientific research. While the questions are based on commonly reported experiences, the questionnaire’s reliability and accuracy have not been formally established. It is not intended to diagnose any condition or replace professional evaluation.

    For personalized guidance, we encourage you to consult with a neurodivergent-affirming clinician.

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    What's Next?

    You will be sent a copy of your scores if you've provided your email address.

    If you marked that you are interested in counseling services, our Client Care Coordinator will be in touch within 24 hours to connect you with one of our experts.

    Please Note: If you provide an email address, you will be added to our mailing list. However, you can reach out to unsubscribe at any time.

    Reach out to our Client Care Coordinator, Cassie Clayton, if you have any questions in the meantime!

    Email : clientcare@newpathfamily.com

    Text or Call: (408) 475-2746

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