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Struggle Care

61: Is Rejection Sensitivity Dysphoria Real? with Dr. Lesley Cook

Nov 6, 2023
Dr. Lesley Cook, a psychologist who works with those with ADHD and other neurodivergences, discusses rejection sensitivity dysphoria (RSD). They cover topics such as KC's personal experience with RSD, the differences between RSD and sensory sensitivity/autism, finding regulatory strategies for RSD, and the challenges of communicating the nuances of interpersonal difficulties.
35:55

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Podcast summary created with Snipd AI

Quick takeaways

  • Rejection Sensitivity Dysphoria (RSD) is a symptom commonly experienced by individuals with ADHD, characterized by an intense sensitivity to rejection or criticism.
  • Accurately categorizing and discussing RSD can be challenging due to its complex manifestation, intersection with other conditions, and the individual nature of its symptoms and experiences.

Deep dives

Rejection Sensitivity Dysphoria and its Controversies

Rejection Sensitivity Dysphoria (RSD) is a commonly described but not formally diagnosed symptom, often experienced by individuals with ADHD. It refers to an intense sensitivity to and emotional response towards real or perceived rejection or criticism. While it is seen more frequently in people with ADHD, the exact cause and nature of RSD are still under-researched. Some debate exists regarding whether RSD is an environmental response resulting from a combination of ADHD symptoms and life experiences, or an innate nervous system difference. This controversy arises from the challenge of isolating RSD as an independent phenomenon in the presence of comorbidity and individual differences. The debate surrounding RSD involves considerations of cognitive restructuring, distinguishing it from emotional dysregulation, the potential for pathologizing natural reactions, and how to support individuals with RSD while acknowledging its impact on interpersonal dynamics.

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