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What Impact Does RSD Have on Parenting for Those with ADHD? 

Author: Dr. Rebecca Fernandez, MBBS

Introduction Rejection Sensitive Dysphoria (RSD) is a significant emotional challenge often experienced by individuals with ADHD. It involves extreme reactions to perceived or actual rejection, which can lead to feelings of distress, anger, or sadness. For parents with ADHD, RSD can complicate the parenting process, making interactions with their children emotionally charged. Understanding and managing RSD is crucial for fostering healthy relationships within the family. 

Challenges RSD Poses in Parenting 

Heightened Emotional Responses 

Parents with RSD may have intense emotional reactions to their children’s behaviour, especially when feeling criticised or rejected. A child’s mistake or defiant behaviour can be interpreted as a personal failure, leading to overreactions. These emotional outbursts can affect the parent-child relationship and create an environment of tension. Source: NHS – RSD Resources 

Strain on Parenting Decisions 

The emotional intensity of RSD can cloud a parent’s ability to make objective decisions. Criticism or a child’s unmet expectations may lead to feelings of inadequacy or failure, making it harder for the parent to remain calm and consistent in their approach. This inconsistency can lead to frustration for both the parent and the child. Source: Simply Psychology on RSD 

Difficulty Handling Conflict 

RSD can make conflict resolution more challenging for parents with ADHD. When emotions are heightened, parents may find it difficult to respond thoughtfully to their children’s behaviour, leading to escalated arguments. This can affect the parent’s ability to guide their child in a constructive way. Source: Private Psychiatry – ADHD Support 

Strategies to Manage RSD and Parenting 

Self-Awareness and Emotional Regulation 

Parents with ADHD and RSD can benefit from recognising their emotional triggers. Techniques from Cognitive Behavioural Therapy (CBT) and Dialectical Behaviour Therapy (DBT), such as mindfulness, can help parents pause before reacting, allowing them to respond more calmly in emotionally charged situations. Source: NICE Guidelines NG87 

Seeking Support 

Psychoeducation and therapy can provide parents with the tools to manage their emotional responses. Encouraging therapy or seeking family counselling can improve communication and reduce the emotional strain of parenting. Source: Thrive ADHD Treatment – Managing ADHD 

Building a Support System 

Having a reliable support system of family, friends, or professionals can help parents cope with the stresses of parenting while managing RSD. Encouraging open communication and offering emotional validation can significantly improve family dynamics. 

Conclusion 

RSD can present significant challenges for parents with ADHD, especially in managing emotional responses and conflicts. However, with the right strategies, such as emotional regulation, therapy, and support networks, parents can improve their ability to manage RSD symptoms and build healthier relationships with their children. 

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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