What are common misconceptions about RSD in ADHD?
Rejection Sensitive Dysphoria (RSD) describes the intense emotional pain or anxiety that some people with ADHD experience when they feel criticised, excluded, or rejected. Although RSD is not a formal diagnosis, NICE ADHD guidance (NG87) recognises emotional dysregulation as a key component of ADHD that can affect confidence, relationships, and wellbeing.
Despite growing awareness, misconceptions about RSD are still common. Understanding what it really is, and what it is not, helps create more compassionate conversations around ADHD.
Misconception 1: “RSD is just being too sensitive.”
This is one of the most frequent misunderstandings. According to research in PLOS ONE (2023), emotional dysregulation in ADHD involves measurable differences in brain activity, particularly in regions that control emotion and threat response. RSD reactions are not a matter of choice or personality; they are linked to how the ADHD brain processes feedback and rejection.
Misconception 2: “Only children experience RSD.”
RSD affects people of all ages. Studies published in Frontiers in Psychology (2025) show that adults with ADHD also experience high rejection sensitivity that can impact work, relationships, and self-esteem. NICE guidance confirms that emotional regulation support is relevant for both children and adults across care pathways.
Misconception 3: “Medication alone can fix RSD.”
While medication can help improve focus and reduce impulsivity, it does not directly address the emotional pain of rejection. According to NHS and ADHD Foundation advice, effective management of RSD usually combines psychoeducation, CBT or DBT-based therapy, mindfulness, and lifestyle strategies that build emotional resilience.
Misconception 4: “There’s no real help for RSD.”
In reality, there are multiple evidence-based resources and community supports available. UK charities like ADHD UK, Mind, and ADHD Foundation offer emotional regulation guides, online groups, and workplace or education toolkits. Structured emotional coaching from programmes such as Theara Change complements NHS and therapy-based approaches. For diagnostic and medication review support, ADHD Certify provides assessment pathways aligned with NICE standards.
Takeaway
RSD is not over-sensitivity or weakness, it is a recognised part of how ADHD affects emotional regulation. With accurate understanding, evidence-based treatment, and community awareness, people with ADHD can learn to manage rejection sensitivity and feel supported rather than misunderstood.
