For individuals with Attention Deficit Hyperactivity Disorder (ADHD), emotional challenges often extend beyond the well-known symptoms of inattention or hyperactivity. One lesser-known but deeply impactful condition is Rejection Sensitive Dysphoria (RSD)—a heightened emotional response to perceived rejection or criticism.
What Is RSD?
RSD is an intense emotional reaction to real or imagined rejection, failure, or criticism. While not officially recognised as a standalone diagnosis, it is frequently reported by those with ADHD. The condition can trigger overwhelming feelings of shame, worthlessness, and despair—often disproportionate to the situation.
Symptoms of RSD
- Extreme sensitivity to criticism
- Fear of failure leading to avoidance of challenges
- Rapid mood swings in response to perceived rejection
- Persistent feelings of inadequacy
- Social withdrawal due to fear of disapproval
Why Does RSD Occur in ADHD?
Research suggests that RSD may stem from differences in brain chemistry. ADHD is associated with dysregulation in dopamine and norepinephrine pathways, which play key roles in emotional regulation. This imbalance may amplify emotional responses, making rejection feel unbearable.
Coping Strategies
- Therapy: Cognitive Behavioural Therapy (CBT) can help reframe negative thought patterns.
- Medication: Some ADHD medications may alleviate emotional dysregulation.
- Mindfulness: Techniques like meditation can improve emotional resilience.
- Support Networks: Open conversations with trusted individuals reduce isolation.
Breaking the Stigma
Despite its prevalence, RSD remains under-discussed in ADHD narratives. Raising awareness can empower individuals to seek help and foster understanding among peers, educators, and employers.
If you or someone you know struggles with RSD, remember: emotional sensitivity is not a weakness—it’s a facet of neurodiversity that deserves compassion and support.
