When Rejection Feels Like The End Of The World
Melissa Grossman
Personal and Executive Coach | Management Consultant | Strategist
Rejection Sensitive Dysphoria: An Often-Undiagnosed Challenge in Work and Relationships
Nobody likes to be rejected. Whether at work, in a romantic relationship, a friendship, or even in an interaction with a stranger, it doesn’t feel pleasant to be told “No”, either nicely or not so nicely. Rejection may produce confusion, sadness, shame, or even anger, but most people can manage their emotions and return to an equilibrium over time.
But for certain individuals, that same rejection may result in a much more pronounced reaction that produces intensely negative and lingering feelings or emotional pain that is difficult to control or rationalize away. The fear of rejection can result in these people taking fewer social or work-related risks, forming and keeping relationships, or having lower self-esteem. In these instances, they may have an undiagnosed condition called Rejection Sensitive Dysphoria (RSD).
What is Rejection Sensitive Dysphoria?
RSD is a psychological disorder not yet formally recognized as a standalone diagnosis, and studies show that it is present in up to 70% of adults with attention deficit hyperactivity disorder (ADHD). It is characterized by an exaggerated emotional response to perceived rejection, criticism, or failure. People with RSD may feel intense shame, sadness, or anger from even minor setbacks, often making daily functioning and relationships difficult.
While the symptoms of RSD have not been formally diagnosed, here are some characteristics and scenarios to look out for:
Personal Behaviors
Relationship Impacts
RSD can manifest in various ways, potentially straining the bond between partners. Individuals with RSD may exhibit hypersensitivity to perceived slights or neglect, leading to conflicts and misunderstandings. They may also engage in self-sabotaging behaviors, such as pushing people away, blaming others for their problems, or preemptively ending relationships to avoid potential rejection. The fear of rejection can cause people with RSD to become “people pleasers”, avoiding the expression or acknowledgment of their own needs and desires, leading to communication breakdowns and unmet expectations.
Work Impacts
Professionally, RSD can hinder career growth and job satisfaction. People with RSD may avoid proactively seeking opportunities for fear of rejection or failure. The intense emotional reactions associated with RSD can impair concentration and decision-making, affecting job performance and productivity. Workplace dynamics such as feedback sessions, performance evaluations, and interpersonal conflicts can exacerbate symptoms of RSD, leading to increased stress and anxiety, potentially straining relationships with colleagues and supervisors.
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Coping Strategies
While living with RSD can be challenging, there are ways to manage its impact, both medically and therapeutically. A clinical professional such as a psychiatrist can help identify potentially beneficial medication therapy. Additionally, psychotherapy or coaching can help individuals learn how to recognize, process, and manage feelings and behaviors so they feel less overwhelmed and more in control. Here are some approaches that can be addressed with a therapist or coach:
Rejection Sensitive Dysphoria can have a profound impact on peoples’ lives, including on those around them. However, it's essential to remember that while living with RSD can be difficult, it is also manageable. Like all challenges, it can be an opportunity for growth and self-discovery.
More information about RSD:
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Thank you for sharing this Melissa!
ADHD & Executive Function Coach
8 个月Thanks for bringing awareness to a comorbidity of ADHD that many people do not know about. Through my work as an ADHD/Executive Function Coach I have worked with clients who have RSD and understand how difficult it can be to manage. Thanks for sharing!
Certified Epigenetic Coach and Founder of Express Yourself DNA Consulting
8 个月Super interesting and something I had never heard of before. Thank you for shedding light on it like only you could do- both thoughtful and insightful. I am sure there is a “sliding scale” where people (like myself) can strongly identify with certain aspects of RDS and knowing it is a diagnosed condition validates what so many people feel. Keep up the fantastic work!
Storyteller / Idea Architect / Word Magician
8 个月This was very helpful. I definitely learned something new, and appreciate the open dialogue about these important topics.
Proven commercial healthcare SaaS executive
8 个月Great informative article, seems like the neurodevelopmental and behavior disorder space is an often misunderstood and nascent market where we are still learning new diagnoses and treatments. Glad you are out there shedding light on psychological branches and treatment regimens. Also happy your treatment regimen did not suggest a prescription drug.