Softening the Sting of Rejection Sensitivity Dysphoria
- Mary Rawson Foreman, PhD

- Nov 19
- 3 min read
Rejection Sensitivity Dysphoria can feel like emotional whiplash. One moment you feel steady, and the next a small comment lands with the force of a judgment on your worth.

Why It Hurts So Much
For people with ADHD, early shame often sets the stage. Years of being told you are too much or not enough teach the nervous system to watch for rejection. When something triggers that fear, whether it is real or imagined, the body reacts as if danger has arrived.
This experience is not drama. It is biology. RSD shows up in the body’s fear and separation-distress systems. Healing begins when the care, safe, and connection systems are invited back into the conversation.
Recognizing RSD in the Moment
Start with the body. Notice what is happening inside you. It might be a tightening in your chest, warmth rising in your cheeks, or a small internal collapse when someone’s tone shifts. These sensations are early warning bells. Slowing yourself down enough to notice them is essential, and naming them helps you catch the emotional wave before it pulls you under.
I often tell clients to expect a little extra intensity in certain situations. Moments of relationship conflict, feedback from a boss, or a conversation with someone they admire can stir things up. Anticipating this is not pessimism. It is preparation. You can step into these moments carrying a bit more care for yourself and maybe a touch of tenderness too.
How to Build the Connection System
In CIMBS (you can learn more about this paradigm), awareness strengthens the neural networks that support safety and belonging. Simple practices can make a real difference:
Place a hand over your heart and notice the warmth beneath your palm.
Slow your breathing until your body begins to register the change.
Start by offering care to yourself. You might say, “I am here caring for myself by slowing down and staying with what I feel.” You can also recall a moment when someone cared for you or when you cared for someone else.
These small acts help awaken the body’s natural calming systems. The goal is not to push emotion away. It is to let it move through you in a safe and steady way.
Learning to Wear It Lightly
Healing RSD is not about growing thicker skin. It is about learning to trust the skin you already have. You can feel things fully without being swept away by them.
Some people find that humor helps. When that familiar “I have ruined everything” thought appears, imagine it wearing a silly hat and say, “Thank you for your contribution.” Humor softens shame in a way logic rarely can.
With practice, you may start to notice a shift. Moments that once left you flattened begin to feel manageable. You find yourself responding with curiosity instead of collapse.
Try This at Home
1. Name the Pattern.
When rejection hits, say quietly, “This is that old sound again.” Naming it keeps you anchored.
2. Ground in the Body.
Take one slow breath and feel your feet on the ground.
3. Offer Care.
Place a hand where it hurts and remind yourself, “I am still safe.”
4. Seek Connection.
Reach out to someone who can help you settle. This could be a friend, partner, therapist, or even a pet.
5. Rest.
After strong emotion, give your nervous system time to unwind.
Healing from RSD is not about silence. It is about resonance. You learn to stay with the vibration until it softens, trusting that you can return to yourself again.
Want More?
If you are curious about treatment or testing for adult ADHD, you can book a free consultation above. You can also use the contact form below to reach me securely with any questions. I would be glad to connect.



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