476- RSD Toolkit: Strategies for Managing Your Sensitivities in Real Time
Oct 24, 2023
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Sharon Saline, a psychologist specializing in ADHD and rejection sensitive dysphoria (RSD), discusses how RSD manifests and strategies for managing emotional sensitivity. Topics covered include the coexistence of ADHD, anxiety disorders, and mood disorders, managing sensitivities in real time, and strategies for having a conversation with a spouse who experiences RSD.
RSD is a core component of ADHD, causing intense emotional responses to criticism or rejection.
To manage RSD, change the relationship with worry, build resilience, and seek support from understanding individuals.
Deep dives
Understanding Rejection Sensitive Dysphoria
Rejection Sensitive Dysphoria (RSD) is increasingly recognized as a core component of ADHD. It is an intense emotional response where individuals with ADHD experience a disproportionate reaction to real or perceived criticism or rejection. The fear of losing love, support, and respect can lead to extreme mood shifts and feelings of emotional pain. RSD is often intertwined with social anxiety, perfectionism, and imposter syndrome. It is essential to acknowledge coexisting conditions, such as anxiety and mood disorders, that commonly accompany ADHD. Cognitive-behavioral therapy and medication can be helpful, but it is crucial to develop coping strategies, foster resilience, and build supportive relationships.
Managing Rejection Sensitive Dysphoria
To manage RSD, it is important to change the relationship with worry and anxiety. Recognize worry as a puzzle and challenge its power by responding with rational thoughts. Building resilience plays a key role in reducing the intensity of RSD. Focus on self-acceptance, self-compassion, and positive self-talk. Developing emotional regulation strategies, like deep breathing exercises and cognitive reframing, can be valuable tools. Seek support from understanding individuals who can provide perspective and help navigate challenging situations. Mindfulness and cognitive-behavioral therapy are effective approaches to managing RSD and related symptoms.
Broaching RSD with Teenagers and Spouses
When discussing RSD with teenagers and spouses, it is crucial to create a safe space for conversation without labeling or pathologizing. Encourage open communication about triggers, responses, and management strategies. Normalize the experience, emphasizing that RSD is not a personal flaw but a neurological response. Active listening, empathy, and understanding are vital in supporting loved ones with RSD. Respect their boundaries and offer validation, helping them build resilience and self-acceptance.
Overcoming Isolation and Building Connections
Rejection sensitive dysphoria can lead to feelings of loneliness and isolation. To combat this, seek out a support network of understanding individuals who can provide empathy and connection. Engage in activities that bring joy and connect with others who share similar experiences. Practice self-compassion and reflect on personal strengths and accomplishments. Focus on fostering satisfying connections and engaging in authentic communication, promoting a sense of belonging and reducing feelings of isolation.
Rejection sensitive dysphoria refers to unbearable feelings of pain following an actual or perceived rejection — and it is almost ubiquitous with ADHD. Sharon Saline, Psy.D., explains how RSD manifests, and strategies for managing emotional sensitivity.
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