

Episode 74 - Emotional Dysregulation, RSD, and ADHD’s Unique Nervous System ft. Dr William Dodson
Jan 16, 2025
Dr. William Dodson, an adult psychiatrist with over 25 years of experience in ADHD, shares insights into emotional dysregulation and Rejection Sensitive Dysphoria (RSD). He discusses the unique interest-based nervous system that affects those with ADHD and critiques traditional treatment approaches. Dr. Dodson reflects on the emotional journey of late ADHD diagnosis and advocates for a compassionate understanding of the condition. His upcoming book aims to fill knowledge gaps and provide a patient-centered approach to ADHD management.
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Emotional Dysregulation in ADHD
- Emotional dysregulation in ADHD means difficulty controlling emotions, not anxiety.
- People with ADHD experience intense emotions, get overwhelmed easily, and often mislabel their feelings.
Situational Impairments vs. Executive Dysfunction
- Executive function deficits may not fully explain ADHD.
- People with ADHD can perform any task when engaged, suggesting situational impairments, not executive dysfunction.
Combined Treatment Approach
- Use medication and therapy for emotional dysregulation.
- While talk therapy helps, medication addresses the underlying neurological aspect.