Rejection Sensitive Dysphoria: When Criticism Cuts to the Bone

Someone gives you feedback at work. It's constructive, even kind. But something inside you collapses. Your chest tightens. Your thoughts spiral.

This is rejection sensitive dysphoria (RSD), and it's one of the most painful aspects of ADHD. RSD isn't just being "sensitive." It's an intense, overwhelming emotional response to perceived rejection or criticism.

For women with ADHD, RSD is often compounded by decades of actual rejection and criticism. You're not just reacting to this moment — you're reacting to every moment like it that came before.

Managing RSD starts with recognition. When the wave hits, name it: "This is RSD. My brain is amplifying this." Then: breathe. Ground yourself. Wait before responding.