“Always respond with THIS when someone calls you ‘too sensitive’” - Harley Street psychiatrist shares RSD management secrets | Dr James Kustow

Are you sensitive to rejection? Does a tiny criticism cause an internalised sadness or externalised rage? Is it causing havoc in your life and relationships? Don’t worry, you're not alone, and there is a solution.

Dr James Kustow is a leading Harley Street psychiatrist and an adult ADHD expert. James also wrote the best selling book entitled How To Thrive With Adult ADHD.

00:00 Trailer 

01:04 Dedication 

01:12 How RSD feels in our body 

04:18 RSD visual analogies

07:05 How RSD shows in your patients 

18:52 Tiimo advert 

21:44 How to manage RSD when your family triggers you

26:50 How alcohol affects emotional regulation 

29:54 Some common family events that trigger RSD, and how to manage them 

35:01 Can loneliness be a trigger for RSD

37:21 Will RSD ever be a medical diagnosis 

40:59 What common social interactions might cause RSD that a Neurotypical person might be able to ignore?

44:39 Are RSD and "people pleasing" connected? 

45:44 Can RSD manifest in subtle ways that we don’t notice 

51:14 The RSD item (an orb)

52:52 The ADHD agony aunt (How to manage family disagreements)

56:29 How to find your passion 

58:09 How RSD shows up at work (and how to manage it)

01:00:11 Managing RSD in romantic relationships

01:03:47 Does RSD present differently in different sexes?

01:05:07 Can RSD get that bad that someone might want to end their life?

01:06:26 Can RSD dip into the realm of paranoia?

01:07:43 Why some people are never affected by rejection

01:08:49 Should we believe everything our super sharp ADHD intuition tells us?

01:11:43 3 tips on how we can we manage our RSD

01:15:17 Is there a reframing of RSD to be a positive thing? 

01:18:04 A letter from the previous guest (3 rules to live by)

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Note: Before the interview begun, Dr James Kustow made it clear that the concept of RSD in ADHD is only anecdotal and that there are currently no studies to support what is discussed in this conversation.

Producer: Timon Woodward 

DISCLAIMER: The content in the podcast and on this webpage is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your doctor or qualified healthcare provider. Never disregard professional medical advice or delay in seeking it because of something you have heard on the podcast or on my website.

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