My ADHD: Rejection Sensitivity Dysphoria

Hello my Zebras and Spoonies! Thanks for coming and visiting with me today. I’m glad that you are here. Today is my second installment for the “My Diagnosis” series and the second part that is talking about My ADHD.

I want to start by talking about the fact that Rejection Sensitivity Dysphoria (RSD) is not a symptom listed in the DSM5. This has caused many people to tell me that it isn’t really a part of ADHD. The thing to keep in mind is the actual role and purpose of the DSM5. It is a diagnostic manual. This means that the purpose of the book is not to cover each diagnosis in it’s fullness. The purpose of the book is to cover the criteria that are needed to be diagnosed with the diagnosis. This means that every diagnosis in the DSM5 is not represented in it’s full capacity. It is only presented in the manner that will allow a provider to know if someone has met (or not met) the diagnostic criteria for a disorder. There are many aspects to all of these diagnoses that are not talked about in the DSM5 because they are not diagnostic features of the diagnosis.

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Stupid Little Imp

Rejection Sensivity Dysphoria (RSD) is an evil nagging imp that rides on your shoulder and lies to you about everything. It tells you that everyone around you is judging you poorly. It tells you that you are not good enough. It tells you that you don’t measure up when compared to others. It tells you that you need to be perfect in order to acheieve any kind of success. It tells you that you are impossible to love because you are not worthy of being loved.

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REJECTION SENSITIVE DYSPHORIA

There is a truth that comes with having chronic illness that isn’t often talked about: we get rejected. This rejection comes in many ways. We are told that we are not good enough, not trying hard enough or we are compared to other people. We hear phrases like “Why can’t you be like your sister?” We loose friends because they don’t understand our daily struggles and we don’t always know how to talk about them. 

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