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How can schools educate students about RSD in ADHD? 

Author: Dr. Rebecca Fernandez, MBBS

Rejection Sensitive Dysphoria (RSD) can significantly affect how students with ADHD experience school life. It describes the intense emotional pain or anxiety that comes from real or perceived criticism or rejection. Although RSD is not a separate diagnosis, NICE ADHD guidance (NG87) recognises emotional dysregulation as a common feature of ADHD that can influence relationships, behaviour, and learning. 

Why RSD education matters in schools 

According to NHS and ADHD Foundation guidance, emotional regulation difficulties often lead to frustration, avoidance, or self-blame in children and teenagers with ADHD. When teachers and peers understand that emotional sensitivity is part of ADHD, not deliberate misbehaviour, it reduces stigma and improves classroom relationships. 

Schools that provide education about ADHD and emotional regulation foster greater empathy, help students develop self-awareness, and encourage inclusive peer environments. The North Cumbria NHS ADHD information booklet recommends using emotional literacy lessons and teacher awareness training to normalise these experiences. 

Practical ways schools can teach about RSD 

Evidence from NICE and UK charities highlights that psychoeducation should be an early part of ADHD support. Schools can integrate this into wellbeing and personal development programmes through: 

Classroom discussions  

Age-appropriate lessons about neurodiversity, emotions, and resilience. 

Pastoral support

 Helping students recognise emotional triggers and learn grounding techniques. 

Teacher training 

Equipping staff to respond calmly to rejection-related distress and reinforce positive communication. 

Peer awareness activities  

Encouraging kindness, inclusion, and understanding of different emotional responses. 

Parental engagement 

Sharing educational resources and signposting support from ADHD charities and NHS services. 

These approaches help create safer, more compassionate learning environments where students can express emotions without shame. 

Support and further learning 

Charities such as ADHD UK and Mind offer educational materials for schools on emotional regulation and ADHD. Coaching and behavioural programmes like Theara Change provide structured approaches to building self-regulation skills that complement classroom wellbeing lessons. 

For families seeking clinical guidance, diagnostic services such as ADHD Certify can provide assessments and post-diagnosis psychoeducation aligned with NICE standards. 

Takeaway 

Schools play a vital role in increasing understanding of RSD within ADHD. Through emotional literacy teaching, staff training, and open conversations, they can help students recognise that emotional sensitivity is not a weakness but something that can be managed with support, empathy, and education. 

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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