RSD: Rejection Sensitive Dysphoria


“Rejection sensitive dysphoria (RSD) appears to be the one emotional condition found only with ADHD,” Dr. Dodson says in Emotional Regulation and Rejection Sensitivity for Attention magazine. “Early research on ADHD intentionally ignored rejection sensitivity because it was not always there, it was often hidden by the person with ADHD, and because there was no way to measure rejection.”

Emotional dysregulation is when a person feels an emotion so intensely that the emotion takes over and cannot be subdued. With rejection sensitive dysphoria, Dr. Dodson says the person experiences extreme emotional sensitivity and pain triggered by the perception—real or imagined—of being:

  • rejected
  • teased
  • criticized
  • a disappointment to important people in their lives
  • disappointed in themselves when they failed to attain their own standards or goals

The emotional pain the person experiences is real and extreme, says Dr. Dodson, and not easily dismissed. (CHADD.org)

 

RSD In My Life

RSD has definitely touched my life.  A mommy blogger wrote a post on the subject for Scary Mommy or another such platform (forgive me for not saving the site, I have no recollection of the post). But I was gobsmacked when I read her post.  In discussing her experience with RSD, the author was describing my daughter to a T.  It was uncanny, surreal, validating, scary.  I felt a rush of warmth, that I was not alone and my daughter was not alone in this struggle I could never quite label.  It was enlightening to have a label.  It was wonderful to feel empowered that I may make headway in helping my daughter.  It was terrifying to connect RSD with ADHD.

 

I had my suspicions about BumbleBee, my eldest girl.  I had gut feelings that pointed me towards an ADHD-inattentive type diagnosis.  Reading this article was the straw that broke the proverbial camel’s back.  I knew it in my heart and my bones.  This RSD thing, which only really exists in the ADHD realm, was the confirmation and motivation I needed to seek help from our pediatrician.

 

I urge you to study RSD.  Its insidious path is a thief of the highest degree: it steals our ability to build a solid foundation during childhood development; it steals our ability to accept love and develop authentic self worth and healthy self esteem; it steals away the opportunities to tether to mommy, daddy, and siblings during those first precious years; it steals from parents the ability to connect in profound ways to their children; it steals parents’ ability to feel confident in their parenting.

 

I have been on both sides of this theft. As a lost, untethered girl and the parent to one. And the grief, loss, and pain are substantial.

The trauma is seemingly invisible, but it is obstinate and considerable in magnitude.

I am only now undoing a lot of the damage, the trauma, the weeds of RSD, ADHD, and ASD that have wound their way throughout my foundation. I imagine a foundation meant to be of solid concrete.  Thick, ropey, durable weeds have grown like roots throughout my concrete foundation.  Since my diagnoses, the stubborn weeds have disappeared.  They dissipated like a corny magician’s smoke.  I have been left with gaping holes and tunnels in my foundation. But I am stronger for it.  I have been able to fill the hollows with love, light, healing.  Mostly love I was not able to receive before.  Mostly love that the old me put in a queue because I was so convinced I was undeserving.  Mostly love that I rejected because I was so damn sure I was garbage.

 

I have found agency, the power I was needing all along, to help myself.  I have acquired skills, resources, and words to help myself and help my daughters.  But most importantly, I have received diagnoses that give me access to the support I need from my doctors, social services, and the community at large.

 

Sent from a very tender, and still healing Mama Tine

 

I recommend chadd.org to start your studying journey

 

This is likely the Scary Mommy post mentioned above

 

ADDitudemag.com resource

 

What You Need to Know About RSD

 

Mama Tine

Author Extraordinaire 

Mama Tine

wife, mother, sister, daughter, auntie

Mama Tine

outsider, goddess divine

What is Executive Age?


Executive function is a set of mental skills that include working memory, flexible thinking, and self-control. We use these skills every day to learn, work, and manage daily life. Trouble with executive function can make it hard to focus, follow directions, and handle emotions, among other things. (understood.org)

Let’s discuss Executive Age. It’s something I have just been introduced to in the autism/ADHD FaceBook groups that I frequent. So forgive me if I make a mistake, as I am literally just studying it right now.

Folks compare Executive Age versus Biological Age when describing the catching up that some kiddos have to do. I admit that I have looked at my daughter and said, “You’re 6! This is something that you should be able to do!” Immediately I felt regret, about my tone and for losing my temper. The shame on her face was enough to make me snap back into focus. 

It is uniquely DIFFICULT to parent our littles with ADHD. It requires infinite patience and grace, which is humanly impossible. When I am filled with remorse and guilt I never fail to take the opportunity to apologize and own my own crap. My daughters are much closer to me for it, and I feel comforted in knowing they will know how to apologize appropriately in the future. My husband is on the same page, for which I am very fortunate. 

The most important part of Executive Age that I want to emphasize in this blog is that it is not a reflection of intellect. Kids who are of a biological age may certainly have the intellectual capacity of their typical peers. However they are just a few levels behind in terms of their ability to learn, work, and manage daily life. 

I see this in my daughter. But most significantly, I see this in myself. Introspective introvert that I am, I have always felt just a few steps behind my peers. “Why don’t I get this? Why didn’t I get this when everyone else did? Why am I just getting this now?” These thoughts permeated my mind and contributed to my low self-esteem, low self worth, and self-shaming.

Most noteworthy, I felt this way during undergrad and grad school. I felt intellectually worthy to have my place at the table. But I also felt like a fraud. And then looking back, I always felt “I would have been so much more prepared for undergrad/grad school now. I am just getting this now. Why am I just mastering this now?”

It is important to discuss Executive Functioning and Executive Age, if you feel your child is receptive to these abstract concepts. And if they are not, it is vital as parents and caregivers to know this. To give kids a break, cut them some slack, meet them where they’re at. The anxiety and shame are debilitating. I can speak from experience that I carried the weight and have the scars to prove it. I am only learning and undoing the pain now.

I will not stand for any child or adult to feel the same pain. ADHD is an invisible illness. There is no broken leg to point to. Instead we are met with judgement and shame.

I encourage you to study Executive Functioning. To discuss it with the ADHD folks in your lives. And to use this tool as a resource for healing and not for additional pain.

Mama Tine 

 

Resources I recommend and used in this blog:

understood.org

honestlyadhd.com

 

The above image is an illustration that describes Executive Age versus Biological Age. 

 

What is ABA?


Applied Behavior Analysis (ABA) is the practice of applying the psychological principles of learning theory in a systematic way to alter behavior in humans or animals. The practice is used extensively in education, healthcare, animal training, and business management. It is particularly prominent in the treatment of Autism Spectrum Disorder (ASD), for which it is one of the only scientifically valid therapies available. https://www.appliedbehavioranalysisedu.org/what-is-aba/

ABA is currently the most used, evidence-based method of therapy for kiddos with autism. It has a bad rep among a small group of folks who believe it causes PTSD and is inherently cruel to its subjects. I won’t elaborate here because, while I believe there are certainly cases of abuse, it is unappealing to me to throw out ABA altogether. 

If you can find the right provider and therapists, ABA can be very healing.  I get that ABA is not perfect but it should not be thrown out completely.  

I don’t believe anyone has to change.  I am all for allowing children and adults to be exactly who they are and advocating for acceptance of neurodiversity.  But if your child has a desire to “mask” or “pass” or just have the option to float along with NT folks in a way that reflects the social majority, it is cruel to deny them the tools for success.  I plan to gently give my daughters those tools so they can choose how they want to live.

ABA and My Family


While I was lightly educated on what ABA is, it was my daughter’s pediatrician who introduced ABA to me in a more meaningful way. When I was describing my girl’s anxiety, Doctor said that the hardest part of living with ADHD and autism was the debilitating anxiety they produce. And ABA therapy would be the best way for her to manage it.

Since I have two daughters with ASD and a professional background as a School Counselor, Doctor suggested I take the courses to become an ABA therapist. It was the most wonderful suggestion, and made me feel like I had power and agency over ASD in my family’s life.

So then what?


Any ABA bashing will not be tolerated on this forum. It is my place to share my thoughts and I will follow my moral compass to only promote what I believe to be right and truly therapeutic for children and adults. I will go out on a limb and say what I really think: Folks completely against ABA are also probably anti-vaxx and refuse to wear masks during the global pandemic that is COVID-19. It is anti-science at its core. Discussions on vaccines, ABA bashing, and even mask wearing will not be tolerated on mamatineautism.com. Take your ignorance to your own forum.

I believe there are very exceptional cases where folks can’t have vaccines. In the way there are some who can’t wear masks. In the same way that ABA is not a good fit for every person. But those folks are the exception and not the rule. 

Henceforth, these discussions and comments are not welcome here. Please feel free to have a private conversation with me if you want to discuss your exceptionality. But know that it will be met with very little patience and even less willingness to find you credible.

I hope you study and consider ABA for you or your family. It is the evidence-based science that we have right now to offer our folks with autism. Do not give in to the scare tactics that extremists are vomiting all over the autism space. And consult a medical or behavioral health professional regarding your needs.

Cordially, but firmly,

your Mama Tine