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I was that guy.
Well, maybe not exactly that that guy, but I can certainly relate. And my wife would be able to identify with your situation.
I didn't really know this for a long time, but one of my problems is that I don't always pick up on cues or see things that my wife does. This is especially true of personal interactions. Fortunately, my meds make a huge difference.
You and he may not feel this way, but I would suggest that the biggest favor you can do is to let him know what you see. If he's smart, he will be grateful that someone is giving him honest feedback. Having said that, it is important that you tell him what behavior that you see, how it is (or could be) interpreted by others. Then tell him how it makes you feel. If it doesn't match his character (he acts loud and appears rude, but is a caring person, for example) let him know that too.
A really clear, unemotional description of what you see is helpful. Don't be surprised if he's defensive. I know I was embarrassed and ashamed when these type of things were brought to my attention and my first reaction was to be defensive. If you can tell him in a relatively unemotional way, with clear descriptions, then let him know that all you are doing is describing what you see and how it's interpreted by others, this may help reduce his defensiveness.
I am very grateful to my wife for being straight with me - even though it hurt to hear it. Maybe I was more ready to listen than some, but if this guy is like the ADHD people I know, they already know something isn't right and know they need honest, non-threatening feedback if anything is going to change.
I may not know what the hell I'm talking about, but my suggestion is to be as kind as you can while still being completely straight with him. I would also encourage him to look into meds and a coach.
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