Show Notes
In this episode, Ben sits down with Dr Shyamal Mashru, Consultant Psychiatrist and Medical Lead for Adult ADHD, for a clear and compassionate deep dive into Rejection Sensitive Dysphoria (RSD).
Often misunderstood or dismissed as being “too sensitive,” RSD is explored here as a real, neurological experience - one that can hijack rational thought, flood the body with emotional pain, and quietly shape relationships, work, and self-worth. Dr Shyamal explains what RSD is (and isn’t), how it shows up differently across people, and why ADHD brains may be especially vulnerable.
They unpack the science, the role of trauma and hormones, why RSD isn’t currently in the DSM, and what actually helps when rejection hits hard.
If rejection feels overwhelming, confusing, or deeply personal - this conversation offers clarity, relief, and language for what you may have been carrying alone.
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Host: Ben Branson Production Manager: Phoebe De Leiburné Video Editor: James Scriven Social Media Manager: Charlie Young Music: Jackson Greenberg Head of Marketing: Kristen Fuller
00:00 Introduction 01:00 Dr Shyamal Mashru’s ADHD Background & Clinical Work 03:15 What Surprises Clinicians About ADHD Assessments 04:41 Rejection Sensitive Dysphoria Explained: What RSD Is & Why It Hurts 09:16 RSD Coping Mechanisms: Shutdown, People-Pleasing & Avoidance 11:44 Is It RSD or Something Else? How to Tell the Difference 15:05 The Neuroscience of RSD: Why Rational Thinking Switches Off 17:27 RSD in Romantic Relationships & Attachment 21:33 How to Support a Partner With Rejection Sensitive Dysphoria 22:50 How Aware Is Society of RSD? 24:38 RSD, Hormones & ADHD: Menstrual Cycle, Perimenopause & Menopause 26:33 Is There an Upside to RSD? Emotional Depth & Sensitivity 29:56 Can Non-ADHD People Experience RSD? 31:55 RSD vs Trauma & Fear of Failure 34:46 Why RSD Is More Than “Not Handling Rejection” 36:15 Why Rejection Sensitive Dysphoria Isn’t in the DSM 40:00 How RSD Shows Up in Children 41:29 Early Signs & Patterns Clinicians Look For 42:59 How Common Is RSD in ADHD — and When It Appears 46:20 Treating RSD: Therapy, Medication & Regulation 56:18 The One Thing Dr Shyamal Would Change About RSD Awareness
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Website: www.hidden20.org Instagram / TikTok / Youtube / X: @Hidden20charity Ben Branson @seedlip_ben Dr Shymal Mashru @adhdhealthclinic www.adhdhealthclinic.co.uk
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