RSD: When Rejection Feels Unbearable

Rejection sensitivity dysphoria (RSD) causes individuals to experience criticism, teasing, or rejection as intensely painful, often leading to severe emotional and physical reactions. This condition, though not officially recognized in diagnostic manuals, is frequently associated with ADHD, autism, and generalized anxiety disorder. Its prevalence is highlighted by online support groups, with one Facebook group alone boasting 67,000 members.

Experts like Dr. William Dodson emphasize that the 'dysphoria' in RSD signifies an unbearable level of pain, disproportionate to the triggering event. Sufferers may experience panic attacks, physical discomfort like chest tightening or stomach pains, and debilitating shame. The condition can significantly impair daily life, leading some individuals to adopt people-pleasing behaviors, perfectionism, or social isolation to avoid triggers.

While the exact causes of RSD are still under investigation, theories suggest neurological factors involving the amygdala and prefrontal cortex. Nurture and early life experiences of criticism also play a role. Therapies, including cognitive approaches and certain medications, are showing promise in helping individuals manage RSD symptoms and improve their quality of life.