

Rejection Sensitive Dysphoria (RSD) and Autism
Jan 20, 2025
Dive into the complex world of rejection sensitive dysphoria (RSD) and its effects on those with ADHD and autism. Discover how intense emotional responses can shape relationships and self-esteem. Learn about therapeutic methods like EMDR and DBT that may mitigate these feelings. The discussion includes insights on various triggers and the nuances between sensitivity and dysphoria. Whether you experience RSD or wish to support someone who does, this conversation sheds light on a critical aspect of emotional health.
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RSD Patient Stories
- Patient 1, a male with ADHD, suffered intense shame and social isolation due to fear of rejection and failure.
- Patient 4, a married female, reacted to her husband's criticism with rage or tears, showing how RSD impacts relationships.
Core Nature of RSD
- RSD involves extreme emotional responses to real or perceived rejection or failure.
- Episodes are sudden, intense, and drastically impact life, differentiating RSD from normal rejection sensitivity.
How RSD Episodes Manifest
- RSD episodes can be internalized with self-loathing or externalized with anger, leading to social withdrawal or outbursts.
- The intensity often disrupts functioning, mimicking mood disorders but distinguished by sudden mood shifts.