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  • become angry or withdrawn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.