The Hidden Pain of Rejection: Understanding Rejection Sensitivity Dysphoria and Its Link to ADHD

A Little Help For Our Friends

A Little Help For Our Friends
The Hidden Pain of Rejection: Understanding Rejection Sensitivity Dysphoria and Its Link to ADHD
Jul 16, 2025 Season 5 Episode 150
Jacqueline Trumbull and Kibby McMahon

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What happens when criticism feels like a physical blow? For some of you, rejection and criticism trigger an emotional response so intense it has its own name: Rejection Sensitivity Dysphoria (RSD).

In this episode, we deep into the painful world of RSD – that overwhelming feeling of shame and worthlessness that can follow even minor criticism for or rejection. Jacqueline shares a raw, personal story about crying in a supervisor's office following critical feedback, highlighting how even successful people can feel ambushed by the pain of rejection.

What's surprising is that the research shows that RSD is common with neurodivergent people with symptoms of attention deficit hyperactivity disorder (ADHD). We question whether RSD is truly unique to ADHD or if it's simply an intense manifestation of shame that's been given a clinical name. The neurobiological explanation involves differences in how the ADHD brain processes rejection, but we wonder if the real difference lies in how frequently people with ADHD face criticism throughout their lives for behaviors that are difficult to control.

We also cover practical coping strategies, exploring cognitive behavioral therapy techniques, leaning into and even celebrating the traits that often invite criticism. Perhaps most valuable is reframing ADHD traits as having both strengths and challenges, recognizing that spontaneity, creativity, and hyperfocus can be tremendous assets in the right context.

**We're excited to announce that our KulaMind community is finally open!! You'll get step-by-step tactics for how to overcome rejection sensitivity or other emotionally challenging relationships.

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