14/02/2026
Have you heard of RSD?
It’s something I’m asked about regularly in mentoring sessions and parent conversations, they are not sure what it is, but I then go on to explain and it’s like a light bulb moment, yes it’s the fear and pain of the rejection.
But what actually is it?
Rejection Sensitivity (sometimes called Rejection Sensitive Dysphoria) isn’t a formal diagnosis, even though it sounds like one. Different professionals describe it in different ways. It was originally talked about in connection with ADHD, but increasingly many young people with and without ADHD describe experiencing it.
At its heart, rejection sensitivity is about the intensity of the emotional response.
It’s not just “feeling left out.”
It’s not just “being a bit sensitive.”
It can feel overwhelming. Physical. All-consuming.
I see it show up in subtle but powerful ways:
A young person watches a phone ring and believes the person chose not to answer them.
A text/whatsapp isn’t replied to straight away, and the story in their head becomes, “I don’t matter.”
A meet-up is mentioned, and they assume they were the last to be invited or not really wanted, so they decide not to go at all.
They feel at the bottom of the pecking order, even when there’s no evidence that’s true.
The pain feels real. Immediate. Personal.
And because it feels so intense, they start avoiding situations where rejection might happen. They don’t try the new club. They don’t text first. They don’t put themselves forward. Not because they don’t care but because they care so deeply that the risk feels unbearable.
Over time, avoidance can make it stronger.
The more we protect ourselves from the feeling, the more powerful it becomes when it does show up. Life can start to revolve around preventing rejection even though none of us can completely avoid it.
In my work, I like to gently explore the story behind the feeling:-
What might be another explanation?
What else could be true?
What assumptions are we filling in?
Where did this belief about “not being wanted” begin?
Using social stories, reflection, and mindset work, we can begin to untangle the automatic narrative and offer alternative possibilities without dismissing the emotion itself.