Rejection Sensitivity Dysphoria with Dr. Bill Dodson (Part 1)

In part one of a two-part conversation, Emily Kircher-Morris and Dr. William Dodson discuss the complexities of ADHD, emotional dysregulation and its subset, and Rejection Sensitivity Dysphoria (RSD). He explains how RSD can manifest in ADHDers, the impact of childhood experiences, and the importance of understanding and treating these conditions. There is a need for updated diagnostic criteria and effective treatment strategies, including medication and supportive environments. They dig into the complexities of ADHD, including management strategies, and the importance of understanding the overlap between social anxiety and mood disorders.

TAKEAWAYS

• Emotional dysregulation is often overlooked in ADHD diagnoses.

• RSD is a specific condition affecting many with ADHD.

• The emotional pain from RSD can be both emotional and physical, and can lead to significant life impairments.

• Childhood experiences can exacerbate RSD but are not the sole cause.

• Medication can be effective in managing emotional dysregulation.

• Understanding RSD is essential for clinicians working with ADHD patients.

• Preventative strategies are key in managing RSD episodes.

• Sleep, nutrition, structure, and routine play vital roles in emotional regulation.

• Social anxiety and rejection sensitivity can coexist but are distinct.

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Dr. Bill Dodson is a board-certified adult psychiatrist who has specialized in adults with Attention Deficit/Hyperactivity Disorder for the last 27 years.

In recognition of his clinical contributions to the field of ADHD he was named a Life Fellow of the APA in 2012. He was the 2006 recipient of the national Maxwell J. Schleifer Award for Distinguished Service to Persons with Disabilities.

His contributions to the field of ADHD include:

• The only currently available methodology for the fine-tuning of ADHD medications.

• The concept of Rejection Sensitivity Dysphoria and its treatment with medications.

• The first non-behavioral theory of what ADHD is and how it can be treated successfully with an emphasis on what goes right rather than what goes wrong.

Dr. Dodson has a book for clinicians, patients, and parents on the practice of ADHD medicine coming out at the end of 2025.

BACKGROUND READING

Bill Dodson’s website

Dr Dodson’s contributions to ADDitude magazine