Imagine living in a world where rejection, criticism, or even perceived criticism feels like a constant threat, triggering intense emotional pain and distress. For people with Rejection Sensitive Dysphoria (RSD), this is their reality. RSD is a mental health condition characterized by an intense emotional response to perceived rejection, criticism, or social disapproval.
Individuals with RSD often experience an overwhelming sense of anxiety, fear, and self-doubt in response to even mild forms of criticism or rejection. This hypersensitivity to rejection can lead to feelings of shame, inadequacy, and low self-esteem. In severe cases, RSD can even trigger panic attacks, depression, and suicidal thoughts.
One of the most challenging aspects of RSD is its impact on relationships. People with RSD may become overly dependent on others for validation, constantly seeking reassurance and approval to alleviate their anxiety. This can lead to clingy or needy behaviour, which can inadvertently push loved ones away, further exacerbating feelings of rejection.
What causes RSD?
Research suggests that it may be linked to early childhood experiences of rejection, abuse, or emotional neglect. According to Dr. Marsha Linehan, a leading expert on borderline personality disorder, which is often associated with RSD, “rejection sensitivity is a consequence of early childhood experiences of rejection and abandonment” (Linehan, 1993).
Counselling and therapy can be an effective way to manage RSD. Cognitive-behavioural therapy (CBT), in particular, can help individuals identify and challenge negative thought patterns and behaviours associated with RSD. Additionally, dialectical behaviour therapy (DBT), developed by Dr. Linehan, has been shown to be effective in reducing symptoms of RSD by teaching individuals skills such as mindfulness, emotional regulation, and distress tolerance.
In addition to therapy, there are several self-help strategies that can help individuals with RSD cope with their symptoms. These include practicing self-compassion, building self-esteem through positive affirmations, and developing emotional resilience through mindfulness and relaxation techniques.
In conclusion, Rejection Sensitive Dysphoria (RSD) is a complex and debilitating condition that affects many people worldwide. By understanding the causes and symptoms of RSD, we can work towards creating a more supportive and compassionate environment for those affected. With the right treatment and support, individuals with RSD can learn to manage their symptoms and lead fulfilling, meaningful lives.
Are you struggling with Rejection Sensitive Dysphoria (RSD)?
If you’re struggling with RSD, know that you’re not alone, and it’s essential to seek support and understanding from loved ones and professionals. As a certified DBT practitioner, I offer a safe and non-judgmental space to help you manage your symptoms and develop the skills you need to thrive. With compassion and understanding, I’ll work with you to create a personalized plan that addresses your unique needs and goals. Take the first step towards healing and growth – contact me today to schedule your appointment.
Author: Nenad Bakaj, MHumServ (RehabCouns), BSocWk, DipAppSci (Comm&HumServ), AMHSW, MAAC, MAASW, JP (Qld)
Nenad Bakaj is a Brisbane based Clinical Counsellor, Accredited Mental Health Social Worker, Life Coach and Bigger Bite Out Of Life Trainer with a keen interest in positive psychology, mental health and wellbeing, and is continually developing his professional skills and knowledge. Nenad enjoys working with adolescents and young adults, as well as older clients, and feels it is a privilege to be able to support them.
References
Ayduk, O., & Gyurak, A. (2008). Recovering from rejection: The role of rejection sensitivity in emotional recovery. Journal of Research in Personality, 42(5), 1154-1173.
Downey, G., & Feldman, S. I. (1996). Implications of rejection sensitivity for intimate relationships. Journal of Personality and Social Psychology, 70(6), 1327-1343.
Kirkpatrick, M., Ellis, A., & Rentfrow, P. J. (2017). The rejective-reactive dimension of rejection sensitivity. Journal of Research in Personality, 66, 35-44.
Linehan, M. M. (1993). Cognitive-behavioural treatment of borderline personality disorder. Guilford Press.
Pfanner, C., & Karli, U. (2019). Rejection sensitivity and social anxiety: A systematic review. Journal of Behavior Therapy and Experimental Psychiatry, 62, 71-82.
Santanello, A. G., & Dimaggio, G. (2015). Rejection sensitivity and borderline personality disorder. Journal of Clinical Psychology, 71(1), 35-45.