Rejection sensitive dysphoria
Many people with ADHD experience rejection sensitive dysphoria (RSD).
RSD refers to intense emotional pain triggered by perceived rejection, criticism or failure.
Children experiencing RSD may:
- react strongly to small criticisms or advice
- feel deep shame after mistakes
- avoid tasks where they might fail
- become angry or withdrawn
- develop perfectionistic tendencies
These reactions are often linked to low self-esteem and repeated experiences of misunderstanding or criticism.
Supportive environments that emphasise encouragement, strengths and emotional safety can significantly reduce the impact of RSD.