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April 7, 2025

18 Rejection Sensitive Dysphoria Examples & Scenarios

Kristie Plantinga
,
MA
rejection sensitive dysphoria examples
Guides
April 7, 2025
10 min to read
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Living with Rejection Sensitive Dysphoria (RSD) means experiencing emotional pain that feels disproportionate to the situation at hand. 

It's the overwhelming wave of shame that crashes over you when you perceive even the slightest hint of disapproval. 

It's the crushing weight of emotions when you believe someone is disappointed in you. It's the voice that convinces you a minor social misstep has permanently damaged a relationship.

RSD is particularly common among individuals with ADHD. However, it can also appear alongside other neurodivergent conditions, anxiety disorders, or as a result of past trauma. 

Despite its prevalence, RSD remains underrecognized and often misunderstood, leaving many people to struggle silently with intense emotional responses they can't explain.

Understanding RSD begins with recognizing its patterns in everyday life. When we can identify concrete examples of how RSD manifests, whether in social settings, professional environments, or our digital interactions, we gain the power to shift our perspective and have more control over our responses.

This awareness becomes the foundation for developing coping strategies that can transform how we experience relationships and navigate the world.

In this guide, we'll explore real-world examples of RSD across different contexts, illustrated through scenarios that might feel all too familiar. 

By putting names to these experiences, we hope to provide both validation for those who live with RSD and insight for those who want to better support someone affected by it. 

Recognizing these patterns is the crucial first step toward managing RSD's impact on your life and relationships.

Rejection sensitive dysphoria examples categorized

Social relationship examples

  1. Example: Misinterpreting neutral facial expressions as disapproval
    • Scenario: Alex meets their friend for coffee. When the friend checks their watch, Alex immediately assumes they're bored and wants to leave, leading to intense feelings of hurt despite no actual rejection occurring.
  2. Example: Catastrophizing after being left on read
    • Scenario: Jamie texts a friend about weekend plans and doesn't receive an immediate response. Jamie spends hours convinced the friendship is over, only to learn later their friend was in a meeting.
  3. Example: Avoiding social gatherings due to fear of rejection
    • Scenario: Taylor declines a party invitation despite wanting to go, fearing they might say something awkward and be judged by others.

Workplace/academic examples

  1. Example: Intense emotional response to constructive feedback
    • Scenario: After receiving generally positive performance feedback with a few improvement suggestions, Morgan focuses only on the critiques and feels devastated for days.
  2. Example: Difficulty asking for help or clarification
    • Scenario: Jordan needs additional instructions on a project but avoids asking their supervisor, fearing it will make them look incompetent, ultimately causing delays.
  3. Example: Procrastination due to fear of imperfect results
    • Scenario: Riley delays starting an important assignment until the last minute because the anxiety about potentially disappointing their professor is overwhelming.

Digital/online examples

  1. Example: Social media anxiety and validation-seeking
    • Scenario: Casey posts a photo and checks for likes every few minutes, feeling increasingly distressed when engagement is lower than expected.
  2. Example: Overreaction to lack of engagement
    • Scenario: After sharing an important achievement online that receives few reactions, Quinn interprets this as people actively disliking their success rather than algorithm issues.
  3. Example: Dating app rejection spirals
    • Scenario: After not receiving responses from several matches, Avery deletes their profile, convinced they're fundamentally unlovable rather than recognizing normal dating app dynamics.

Internal thought pattern examples

  1. Example: Self-criticism that far exceeds the situation
    • Scenario: After making a minor error in a presentation, Sam spends weeks mentally replaying it and thinking "I'm a complete failure who shouldn't be in this field."
  2. Example: "Mind-reading" assumptions
    • Scenario: When a coworker is quieter than usual, Jesse becomes convinced they're angry about something Jesse did wrong, despite no evidence of this.
  3. Example: All-or-nothing thinking about acceptance
    • Scenario: After not being invited to one colleague's gathering, Blair assumes the entire office dislikes them, ignoring all previous positive interactions.

Physical/Physiological response examples

  1. Example: Fight/flight/freeze responses
    • Scenario: During a team meeting, when asked for input, Dakota experiences a racing heart, sweating, and mind blanking due to fear of saying something "wrong."
  2. Example: Emotional shutdown
    • Scenario: After a mild disagreement with their partner, Finley becomes emotionally numb and distant for hours as a protective response against perceived rejection.
  3. Example: Sleep disturbances
    • Scenario: Reese lies awake replaying a brief awkward interaction with a neighbor from earlier that day, unable to sleep due to anxiety about being judged.

Relationship impact examples

  1. Example: People-pleasing behaviors
    • Scenario: Harper consistently agrees to extra work and favors they don't have time for, fearing that saying "no" will make others dislike them.
  2. Example: Preemptive rejection of others
    • Scenario: When someone new shows interest in friendship, Cameron finds reasons to avoid deepening the connection, protecting themselves from potential future rejection.
  3. Example: Relationship sabotage
    • Scenario: As things get serious with a new partner, Hayden creates conflicts or pulls away emotionally when feeling most vulnerable, unconsciously testing if the partner will stay.

RSD vs. typical rejection sensitivity

Feeling hurt by rejection is a universal human experience. From evolutionary perspectives, our ancestors' survival depended on group acceptance, making sensitivity to rejection an adaptive trait. 

However, there is a significant difference between a typical response to rejection and Rejection Sensitive Dysphoria. 

Understanding this distinction helps clarify when your emotional responses cross into territory that might require additional support or intervention.

Key differences
  1. Intensity: Rejection causes manageable discomfort, while RSD brings overwhelming, sometimes debilitating emotional pain.
  2. Duration: Typical responses fade relatively quickly, while RSD reactions can persist for days, weeks, or even become formative memories that shape future behavior.
  3. Impact on functioning: Rejection rarely disrupts daily functioning in typical cases, while RSD can lead to avoidance behaviors, relationship problems, and career limitations.
  4. Physical response: While typical rejection reactions might cause momentary discomfort, RSD often triggers physical symptoms resembling panic attacks or extreme stress responses.
  5. Cognitive distortions: RSD typically involves significant catastrophizing, mind-reading, and all-or-nothing thinking that far exceeds the reality of the situation.

Understanding these differences helps individuals recognize when their emotional responses might benefit from additional support strategies or professional guidance. 

It's also important to note that RSD exists on a spectrum—many people may experience milder forms or find that their sensitivity fluctuates depending on overall stress levels, sleep quality, and other factors affecting emotional regulation.

Coping strategies based on example types

Understanding how RSD manifests in different contexts allows for targeted strategies that address specific triggers and responses. 

Below are practical approaches tailored to each category of examples we've explored, offering tools to recognize, manage, and gradually reduce the impact of Rejection Sensitive Dysphoria on your daily life.

For social relationship examples

Misinterpreting facial expressions

  • Recognition technique: Practice the "alternative explanation" exercise—when you perceive disapproval, generate at least three other possible explanations for what you're seeing.
  • Management strategy: Implement a personal "pause rule" before acting on perceived rejection. For example, when Alex thinks a friend looks bored, they can pause and ask, "How are you enjoying the coffee?" rather than assuming the worst.

Catastrophizing after being left on read

  • Recognition technique: Keep a "reality check" note in your phone listing common innocent reasons for delayed responses.
  • Management strategy: Set a timer for 3-4 hours before allowing yourself to follow up on unanswered messages, giving others reasonable response time.

Social avoidance

  • Recognition technique: Use a decision journal to track avoided events and later outcomes—notice patterns of unnecessary avoidance.
  • Management strategy: Practice graduated exposure by attending shorter events with trusted friends before building up to larger gatherings.

For Workplace/Academic examples

Intense responses to feedback

  • Recognition technique: Create a "feedback sorting sheet" with columns for positive points, growth areas, and actionable steps—this structures how you process feedback.
  • Management strategy: Develop a post-feedback routine that includes physical movement (like a brief walk) to process the physiological response before analyzing the content.

Difficulty asking for help

  • Recognition technique: Notice when task progress stalls due to information gaps—flag these as help opportunities rather than failures.
  • Management strategy: Script and practice neutral help-seeking phrases: "I'd like to check my understanding of the timeline for this project. Could you clarify the milestone dates?"

Procrastination due to perfectionism

  • Recognition technique: Use time-tracking to identify when perfect planning replaces actual progress.
  • Management strategy: Implement the "ugly first draft" approach, where the initial goal is completion rather than perfection, followed by improvement rounds.

For Digital/Online examples

Social media anxiety

  • Recognition technique: Keep a media consumption journal noting mood before and after platform use.
  • Management strategy: Set specific social media check-in times rather than constant monitoring, and use engagement hiding features when posting content that feels vulnerable.

Dating app rejection spirals

  • Recognition technique: Track rejection interpretation versus factual evidence (e.g., "They hate me" vs. "No response after one message").
  • Management strategy: Create a weekly rather than daily check-in schedule for apps, and maintain multiple connection avenues beyond dating platforms.

For internal thought pattern examples

Excessive self-criticism

  • Recognition technique: Practice the "compassionate friend" exercise—write down what you would say to a friend experiencing the same situation.
  • Management strategy: Develop a self-talk intervention phrase like "This is RSD talking, not reality" to interrupt negative thought cycles.

Mind-Reading assumptions

  • Recognition technique: Use the "evidence for/against" worksheet to evaluate the actual support for your assumptions about others' thoughts.
  • Management strategy: Practice direct, non-accusatory clarification: "I noticed you were quieter in the meeting today and wondered if everything's okay?"

For physical/physiological response examples

Fight/Flight/Freeze responses

  • Recognition technique: Develop body awareness through regular body scans to identify early physical symptoms of RSD activation.
  • Management strategy: Implement the 5-4-3-2-1 grounding technique (identify 5 things you see, 4 things you feel, etc.) when physical anxiety begins.

Emotional shutdown

  • Recognition technique: Create a personal "emotional temperature" scale from 1-10 to better identify when you're approaching shutdown.
  • Management strategy: Communicate boundaries using prepared phrases: "I need some time to process. Can we talk about this in an hour when I'm feeling more centered?"

For relationship impact examples

People-Pleasing behaviors

  • Recognition technique: Track energy levels after social commitments to identify which ones deplete rather than energize you.
  • Management strategy: Practice small "no" statements with safe people before building to more challenging boundaries.

Preemptive rejection

  • Recognition technique: Notice "what-if" thinking that leads to pulling away from promising connections.
  • Management strategy: Create a "relationship evidence log" documenting positive interactions that contradict rejection fears.

When to seek professional help

Certain patterns may benefit particularly from professional intervention:

  • When RSD consistently interferes with major life domains (work, relationships, daily functioning)
  • When physical symptoms are severe or prolonged
  • When self-harm thoughts or behaviors emerge
  • When strategies aren't providing relief after consistent implementation

Professional approaches that particularly help with RSD include:

  • Cognitive Behavioral Therapy (CBT) for restructuring rejection-related thoughts
  • Dialectical Behavior Therapy (DBT) for emotional regulation skills
  • Medication options (particularly for those with ADHD)
  • Trauma-focused therapies when RSD stems from past rejection experiences

Remember that seeking help is a sign of strength, not weakness, and that RSD responds well to the right combination of self-management strategies and professional support.

Final thoughts

Recognition is where healing begins. By identifying the specific ways Rejection Sensitive Dysphoria appears in your life, you've taken the crucial first step toward managing these overwhelming responses.

Living with RSD doesn't mean being defined by it. The examples throughout this guide show you're not alone, and the strategies offer practical paths forward. 

Progress won't always be linear, but each time you recognize an RSD response and implement a coping technique, you build resilience.

Whether through self-compassion practices, professional support, or connection with others who understand, resources exist to help you navigate this challenge. 

Your sensitivity may always be part of who you are, but with awareness and the right tools, it doesn't have to control how you experience relationships and the world around you.

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Written by
Kristie Plantinga
,
MA

Kristie Plantinga is the founder of Best Therapists. Along with being on the client-side of therapy, Kristie has had the honor of working directly with therapists in her marketing agency for therapists, TherapieSEO. While working alongside therapists, she learned about the inequities in our mental health system that therapists face on a daily basis, and she wanted to do something about it. That’s why Best Therapists is a platform designed to benefit not only therapy-seekers, but therapy providers. Kristie has a Masters degree in Written Communication and a Bachelors degree in Psychology and Music.

Reviewed by
Katelyn McMahon
,
Registered Psychotherapist, VT #097.0134200

Katelyn is a therapist-turned-writer with a passion for mental health. She has a Master's degree in Social Work from the University of England and is a Registered Psychotherapist in the state of Vermont. Katelyn has professional experience in aging care, addiction treatment, integrated health care, and private practice settings. She also has lived experience being on the client side of therapy. Currently, Katelyn is a content writer who’s passionate about spreading mental health awareness and helping other therapists and therapy-seekers Do The Work.

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