6 Ways to Manage Rejection Sensitive Dysphoria in Relationships

A fear of rejection is something that drives more people than you might realize. Such rejection can arrive in many forms, but none of them feel good. In certain situations, being rejected can result in long-term fallout. Rejection-sensitive dysphoria (RSD), while not an official diagnosis, is very much a real and widespread concept. People with RSD often fear rejection to the point at which they struggle with related perceptions and emotions.

Constructive criticism can feel like a personal attack. Someone not replying to a text might feel like you’ve been abandoned at the altar. With or without an accurate assessment of what happened, people with RSD can struggle so much with their emotions that they choose to withdraw from many or most social interactions. Obviously, this can be very detrimental to your relationship.

Why Do People Have RSD?

There’s no clear cause. However, since changes in brain structure can appear like those in people with ADHD, there might be an association. What we do know is that anxiety can cause anyone to live in a state of self-consciousness — especially in the age of social media. Here’s an example of how RSD can escalate:

You may endure a genuine rejection. At work, while dating, and elsewhere, there are opportunities for others to turn you down. If this experience upsets you, it can make you feel vulnerable and judged. From there, anything that even resembles a rejection leads you to display a disproportionate reaction. Your emotions feel overwhelming and out of control. When left unchecked, these tendencies can worsen and cause negative impacts on your life — especially your relationships.

What Does Rejection Sensitive Dysphoria Look and Feel Like?

Someone who might have RSD will likely present any or all of these signs:

  • People-pleasing

  • Sudden outbursts of emotions (anger, fear, sadness, etc.)

  • Perfectionism

  • All-or-nothing thought patterns

  • Negative self-talk

  • In relationships, someone with RSD may crave intimacy while fearing they will be rejected

The Impact of RSD on Your Relationships

Everyone can have moments of doubt and anxiety when in a relationship. A partner with RSD can sabotage a romantic connection by chronically worrying whether or not they are truly loved. They fear an eventual rejection and display high levels of jealousy. Behaviors like this can translate into:

  • Not sharing your feelings and thoughts because they might cause “trouble”

  • A dearth of intimacy since it may involve a higher risk of rejection

  • Conflict, disagreements, and growing incompatibility

  • Both partners feeling dissatisfied, which, ironically, makes a rejection more likely to happen

On its own, RSD does not automatically mean a relationship is doomed. With patience, honesty, and support, couples can manage this variable. However, it begins with an acceptance that a problem exists and a willingness to talk openly about it without shame or blame. Both partners are urged to practice patience when it comes to how they respond to one another. When emotional dysregulation is present, taking a pause can be a game-changer.

Also, the partner with RSD is advised to commit to a self-care regimen that includes elements like self-compassion and stress management. Take breaks from your devices. Get your sleeping, eating, and exercise habits locked into a healthy routine.

Therapy is an Ideal Choice for RSD

Anyone who vehemently fears rejection is probably experiencing some shame along with it. In the privacy of a therapy room, you can feel more free to talk about patterns that are hampering your life. Alongside an experienced relationship therapist, you can find root causes and new solutions. There’s nothing wrong with being sensitive and feeling deeply, but balance is crucial. I’d love to talk more with you about this and help guide you onto a new, more self-loving path.

About Kathryn Bowen MS, LCPC: Kathryn (Kittie) Bowen MS, LCPC, is a licensed therapist and founder and director of Bozeman Counseling Center. She is passionate about helping people get unstuck so that they can start thriving in all important areas of life. Counseling and Coaching is a second career for her. She started out in the corporate world, worked crazy hours, and had zero work-life balance. Eighteen years ago she made the decision to leave her executive position and pursue her love of human potential and personal development. After attending graduate school in Mental Health Counseling, at Montana State University, she established a private practice providing therapy to individuals and couples.
Kathryn Bowen

Kathryn (Kittie) Bowen, MS, LCPC, is the the founder and director of Bozeman Counseling Center. She is passionate about helping people get unstuck so that they can start thriving in all important areas of life. Eighteen years ago Kittie made the decision to leave her executive position and pursue her love of human potential and personal development. After attending graduate school in Mental Health Counseling, she established a private practice providing therapy to individuals and couples.

Education:
  • Undergraduate - BS in Business, Accounting, Western Washington University

  • Graduate - MS in Mental Health Counseling, Monana State University

License:
  • Montana BBH-LCPC-LIC-1579

https://www.bozemancounselingcenter.com/kathryn-bowen
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