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How Can Partners Support Someone with RSD and ADHD? 

Author: Dr. Rebecca Fernandez, MBBS

Introduction Rejection Sensitive Dysphoria (RSD) is an intense emotional response to perceived rejection, often experienced by individuals with ADHD. The emotional pain of RSD can be overwhelming, impacting daily life and personal relationships. Partners of individuals with ADHD and RSD can play a crucial role in providing the emotional support needed to manage these challenges. 

Key Ways Partners Can Provide Support 

Understanding and Validation 

One of the most important ways a partner can help is by acknowledging and validating the emotional experiences of their loved one. Understanding that RSD is not simply an overreaction, but a legitimate emotional experience, helps reduce feelings of isolation and frustration. A supportive partner can help the person with RSD feel understood and less alone in their emotional struggles. Source: NHS – Rejection Sensitive Dysphoria 

Encouraging Communication 

Encouraging open and honest communication is key. Partners should create an environment where their loved one feels comfortable expressing their feelings without fear of judgment. Gentle reassurance, such as saying “I understand you’re upset, but we’ll get through this together,” can help calm heightened emotional responses and facilitate healthier dialogue. Source: Simply Psychology on RSD 

Setting Boundaries with Compassion 

While it’s essential to offer emotional support, partners must also set healthy boundaries to protect their own well-being. It’s important to address emotional outbursts without escalating the situation. Responding calmly and patiently helps de-escalate tense moments and provides a safe space for the individual with RSD to regain composure. Clear, respectful boundaries foster mutual respect and understanding in the relationship. Source: Private Psychiatry – ADHD Support 

Supporting Therapy and Self-Care 

Partners should encourage participation in therapies such as Cognitive Behavioral Therapy (CBT), which can help individuals with ADHD develop better emotional regulation skills. Mindfulness techniques and Dialectical Behavior Therapy (DBT) can also help improve distress tolerance and emotional awareness. Offering support in attending therapy sessions or exploring self-care options can significantly improve the emotional well-being of both partners. Source: Thrive ADHD Treatment – Managing ADHD 

Educating Themselves about ADHD and RSD 

Partners who take the time to learn about ADHD and RSD gain a better understanding of the challenges their loved one faces. By educating themselves, partners can become better advocates and allies in managing RSD’s effects on emotional regulation. Resources from credible organizations like NHS and NICE offer useful insights into how ADHD impacts relationships and provide evidence-based guidance on support strategies. Source: NICE ADHD Guidelines NG87 

NICE and NHS Guidance on Partner Support 

NICE guidelines (NG87, 2025) emphasize the importance of psychoeducation for both individuals with ADHD and their partners. Learning about emotional dysregulation, such as RSD, is key to fostering better understanding and reducing emotional distress in relationships. 

The NHS also highlights the significance of therapy and support networks to help individuals with ADHD manage their emotions. Partners are encouraged to seek advice from mental health professionals to better support their loved one’s emotional journey. Source: NHS ADHD Resources 

Conclusion 

Supporting someone with RSD and ADHD requires patience, understanding, and empathy. Partners can create a nurturing environment by validating their loved one’s emotional experiences, encouraging open communication, and participating in therapeutic practices. With the right support, individuals with RSD and ADHD can learn to manage their emotional sensitivity, leading to healthier and more fulfilling relationships. 

Dr. Rebecca Fernandez, MBBS
Author

Dr. Rebecca Fernandez is a UK-trained physician with an MBBS and experience in general surgery, cardiology, internal medicine, gynecology, intensive care, and emergency medicine. She has managed critically ill patients, stabilised acute trauma cases, and provided comprehensive inpatient and outpatient care. In psychiatry, Dr. Fernandez has worked with psychotic, mood, anxiety, and substance use disorders, applying evidence-based approaches such as CBT, ACT, and mindfulness-based therapies. Her skills span patient assessment, treatment planning, and the integration of digital health solutions to support mental well-being.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the author's privacy. 

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