What is Rejection Sensitive Dysphoria (RSD)?

Rejection-sensitive dysphoria (RSD) is a term that has gained attention in recent years, particularly in relation to ADHD and autism. But what exactly is RSD, and how does it affect those who experience it? In this article, we’ll explore the concept of RSD, its connection to autism, and ways to manage and cope with it.

What is Rejection Sensitive Dysphoria (RSD)?

Rejection-sensitive dysphoria is a term coined by Dr. William Dodson to describe an intense emotional response to perceived rejection or criticism. It is not a formal diagnosis but rather a symptom that can occur in individuals with ADHD, autism, and other conditions.

People with RSD may experience intense feelings of shame, embarrassment, and anger in response to perceived rejection or criticism, even if it is not intended or real. These feelings can be overwhelming and may lead to avoidance of situations or relationships that could trigger them.

The Connection Between RSD, ADHD and Autism

Autism and RSD

While RSD is not exclusive to ADHD and autism, it is often seen in individuals with ADHD and on the autism spectrum. This is because people with ADHD and autism may have difficulty understanding social cues and may struggle with social interactions, making them more susceptible to feelings of rejection.

Additionally, individuals with ADHD and autism may have heightened sensitivity to sensory stimuli, which can intensify their emotional response to rejection or criticism.

RSD Test

There is currently no formal test for RSD, but there are self-assessment tools that can help individuals determine if they may be experiencing RSD. These tests typically ask questions about how you respond to criticism, rejection, and failure, as well as your emotional reactions to these situations.

While these tests can provide insight, they are not a substitute for a professional diagnosis. If you believe you may be experiencing RSD, it is best to consult with a mental health professional for an accurate assessment.

women with rsd and adhd

Managing and Coping with RSD

If you have been diagnosed with RSD or believe you may be experiencing it, there are several strategies you can use to manage and cope with it.

Seek Support

One of the most important things you can do is seek support from friends, family, or a therapist. Having a support system can provide a safe space to express your feelings and receive validation and understanding.

Additionally, joining a support group for individuals with RSD or autism can provide a sense of community and connection with others who may be experiencing similar challenges.

Practice Mindfulness

Mindfulness techniques, such as deep breathing and meditation, can help you become more aware of your thoughts and emotions and learn to manage them in a healthy way. These practices can also help you become more present at the moment and reduce the intensity of your emotional response to rejection or criticism.

Challenge Negative Thoughts

Individuals with RSD may tend to catastrophize or jump to negative conclusions in response to perceived rejection or criticism. It can be helpful to challenge these thoughts and replace them with more realistic and positive ones.

For example, if you receive constructive criticism at work, instead of thinking, “I’m a failure, and everyone hates me,” try reframing it as “I made a mistake, but I can learn from it and improve.”

Set Boundaries

It is essential to set boundaries and communicate your needs to others. If you know that certain situations or interactions trigger your RSD, you can say no or limit your exposure to them. This can help prevent overwhelming emotional responses and protect your mental health.

Seek Professional Help

If your RSD is significantly impacting your daily life and relationships, it may be beneficial to seek professional help. A therapist can help you develop coping strategies and address any underlying issues that may be contributing to your RSD.

Conclusion

Rejection-sensitive dysphoria can be a challenging and overwhelming experience, but it is important to remember that you are not alone. By seeking support, practicing mindfulness, challenging negative thoughts, setting boundaries, and seeking professional help, you can learn to manage and cope with RSD in a healthy way.

If you believe you may be experiencing RSD, it is important to consult with a mental health professional for an accurate diagnosis and personalized treatment plan. With the right support and strategies, you can learn to navigate and overcome the challenges of RSD and live a fulfilling life.