ADHD Experts Podcast 563- Big Kids, Big Emotions: Helping Teens with ADHD and Rejection Sensitivity Improve Emotional Regulation
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Jul 8, 2025 
Sharon Saline, a clinical psychologist and award-winning author, shares insights on helping teens cope with rejection sensitivity dysphoria (RSD) often linked to ADHD. She explains how RSD can amplify emotional outbursts and the importance of proactive family communication. The discussion highlights the role of perfectionism and social media in fostering feelings of inadequacy and anxiety. Saline offers practical strategies for parents to support their teens, emphasizing self-acceptance and emotional resilience.
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Delayed Prefrontal Cortex Development in ADHD
- The teen brain develops last in the prefrontal cortex, responsible for judgment and emotional regulation.
- This development is delayed by about three years in ADHD adolescents, impacting self-awareness and impulse control.
High Anxiety Levels in ADHD Teens
- Anxiety is significantly more prevalent in children and teens with ADHD, often more than double neurotypical peers.
- Social anxiety in ADHD youths often includes peer problems and difficulties with cooperation and anger control.
RSD as Severe Social Anxiety Form
- Social anxiety includes fear of embarrassment and distorted negative self-perception.
- RSD is a severe form of social anxiety linked to ADHD with intense emotional pain from perceived rejection.