13. RSD

Many adults with ADHD describe rejection or criticism as physically painful. It might be a short text reply, a friend cancelling plans or a look in a meeting. The feeling can last for hours, and it is hard to talk yourself out of it. RSD is a commonly used community term, not a formal diagnosis in diagnostic manuals. Having a name for it can make it easier to explain to people close to you.

1/4 The physical hit

Your stomach drops and you feel hot. For the next couple of hours you can't focus, and you replay the moment and write and delete messages.

2/4 The 90-second rule

Set a timer for 90 seconds. Notice the feeling. Name it out loud, "this is RSD, this is a feeling, not a fact". Do not respond, do not reply, do not draft. After 90 seconds you can think again. Reply tomorrow.

3/4 Treatment may help

Some people find that treating ADHD or co-occurring conditions reduces the intensity. Discuss what you are experiencing with a clinician.

4/4 If you have been called too sensitive

ADHD can make rejection feel more intense. It helps to remember that the feeling is a symptom. It does not mean the rejection is real.

RSD is a commonly used community term, rather than a formal diagnosis. If intense reactions to rejection or criticism are affecting your life, it is worth discussing them with a clinician. It is one of the most consistent things ADHDers describe, and one of the least talked about by clinicians.

Source: Dodson, Brown & Hallowell, peer-reviewed work on emotional dysregulation in ADHD

This page provides general information and is not medical advice. Speak to a qualified clinician or prescriber about diagnosis, treatment or medication changes. Last checked September 2026.

Written by Rich, who has ADHD. This guide is information, not medical advice. How this guide is written · Need help now?