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RSD: The Invisible Pain of Rejection Sensitive Dysphoria

Writer: Jane Green MBEJane Green MBE


Do your emotions hit like a tidal wave?

Have you ever felt an overwhelming emotional response so intense that it physically hurts? A sudden wave of shame, embarrassment, sadness or anger at others that feels unbearable? Do other people find your reactions extreme or puzzling? If so, you might be experiencing Rejection Sensitive Dysphoria (RSD), a phenomenon often associated with ADHD and Autism.


What is RSD?

RSD is an extreme emotional response to perceived or actual rejection, criticism, or failure. It can manifest as deep sadness, anxiety, or even physical pain. While not an official diagnosis, it is widely recognised by those with ADHD and Autism as a real and distressing experience.


How does RSD feel?

  • Instant & Intense: A small comment or look can trigger an emotional landslide.

  • Physical Pain: Some describe it as a gut punch, burning in the chest, or muscle tension.

  • Shame & Overwhelm: It can feel as if you are completely worthless or have failed beyond repair.

  • Fear of Rejection: Avoidance of social situations or perfectionism to prevent criticism.

  • Emotional Outbursts: Explosive reactions or shutting down completely.


Why is RSD Hard to Understand?

RSD is invisible. Others may not realise how deeply words or actions impact us. Neurotypical people might see the response as "overreacting" or "too sensitive," which can add to feelings of isolation.


RSD in ADHD & Autism

People with ADHD often struggle with emotional regulation, making RSD even more intense. Meanwhile, Autistic individuals, who already process social interactions differently, may experience a heightened sense of rejection when they struggle to understand or predict social nuances.


Strategies to Cope with RSD

  1. Recognise the Pattern – Understanding that you experience RSD can help you pause before reacting.

  2. Self-Talk & Reframing – Remind yourself that rejection isn’t always real; sometimes, it’s perception.

  3. Emotional Regulation Techniques – Deep breathing, or movement can help reset.

  4. Supportive People – Surround yourself with those who understand and validate your feelings.

  5. Reading about the issues - Understanding for yourself might help you forgive yourself and understand why it happens


You Are Not Alone

At SEDSConnective, we recognise the unique challenges faced by neurodivergent individuals. RSD may not be an official diagnosis, but for many of us, it is a very real and painful experience. By sharing our experiences, raising awareness, and supporting one another, we can create a more understanding world.

Do you experience RSD? Share your thoughts with us!

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Let's Connect

We are the leading neurodivergent and symptomatic hypermobility charity.  We support those with or without a formal diagnosis of Autism, ADHD, dyspraxia, TS, dyslexia or dyscalculia. We also support those with or without a formal Ehlers-Danlos or Hypermobillity Spectrum Disorder. Also associated conditions like dysautonomia, POTS OI, MCAS, Gastrointestinal issues, fatigue, pain  along with their families, carers, friends and allied professionals.

Address: Planet House, North Heath Lane Industrial Estate, Horsham, West Sussex, RH12 5QE

Phone: 07376 973 688

Registered Charity No: 1199724

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