17/09/2026
Rejection sensitivity can present as anger, aggression and blame, but it can also look like withdrawal, perfectionism, people-pleasing or crushing shame. The reaction may seem disproportionate to us, but the emotional pain is real to the child experiencing it. In the peak of that distress, connection and safety come before reasoning. That doesn’t mean removing boundaries or excusing harmful behaviour. It means helping their nervous system settle so they can reflect, repair and learn afterwards. RSD is not currently a formal diagnosis, and more research is needed into it as a distinct condition, but emotional dysregulation and heightened sensitivity to rejection are recognised difficulties for some children with ADHD. Background on RSD and its diagnostic status