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3 Secrets To Manage Rejection Sensitivity Dysphoria (RSD) - Matt Gupwell

Alex sits down with Neurodiversity Consultant, Matt Gupwell, to discuss Rejection Sensitive Dysphoria (RSD)

Matt GupwellguestAlex Partridgehost
Jun 3, 20241h 14mWatch on YouTube

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At a glance

WHAT IT’S REALLY ABOUT

Understanding RSD: why it hits fast, and how to de-escalate

  1. Matt Gupwell defines rejection sensitivity dysphoria as an immediate, intense, visceral feeling of rejection that is not deliberate and can overwhelm someone before they can compute what’s happening.
  2. He distinguishes RSD from broader emotional dysregulation by describing RSD as a more pervasive, destructive subset that is harder to recognize in the moment and more common in neurodivergent and anxiety-rooted experiences.
  3. He shares personal examples of RSD creating narratives of being judged or excluded, contributing to workplace conflict and relationship flare-ups that contradict rational evidence.
  4. He describes short- and long-term management approaches centered on pausing and processing (including his STOP acronym), separating feelings from facts afterward, and maintaining frequent open conversations to build psychological safety.
  5. He critiques how RSD is often portrayed on social media as generic or inaccurate without practical “so what” guidance, while acknowledging that increased discussion can still open doors to deeper learning.

IDEAS WORTH REMEMBERING

5 ideas

RSD is an immediate, visceral sense of rejection that hijacks context and control.

He describes it as a rapid-onset, overwhelming reaction to perceived rejection that can feel completely real even when the evidence doesn’t support it, and he emphasizes it isn’t deliberate or chosen.

RSD differs from general emotional dysregulation by how fast and unrecognizable it is in the moment.

He says emotional dysregulation can be recognized and “caught” more readily, while RSD is presented as a more pervasive, destructive subset where the key issue is not realizing it’s happening until it’s already overwhelming.

In the moment, facts are inaccessible; the learning happens afterward by reviewing evidence.

He repeatedly contrasts “feelings vs facts,” saying that during an RSD flare the ability to access facts is largely gone, but afterward reviewing evidence can help identify triggers and reduce future escalation.

A simple interrupt-and-process routine (STOP) can de-escalate RSD episodes.

He outlines his STOP approach: Stop (say/do nothing), take time to pay attention to what’s around, observe what happened just before and during, then process and ask whether the reaction was appropriate or based on missing context.

The most reliable long-term strategy he names is sustained dialogue and psychological safety.

He says long-term improvement comes from frequent, open conversations with partners (and in workplaces via psychological safety), focusing on explaining what happens, separating intent from impact, and learning each other’s needs.

WORDS WORTH SAVING

5 quotes

RSD is, for most people, an immediate, intense, visceral feeling of, of rejection, of hurt, of challenge based on something somebody says, something we perceive has or hasn't been said, that is instantly overwhelming.

— Matt Gupwell

But I think the biggest thing I'd, I'd say to somebody who doesn't know what it is or has never experienced it is it isn't deliberate. It isn't chosen.

— Matt Gupwell

In that moment, with no context, I was rejected. It was all personal.

— Matt Gupwell

From the age of 17 to the age of 36, I had 35 full-time salaried jobs, was sacked from 30 and quit the other five in a storm of foul language and, you know, bad feeling.

— Matt Gupwell

With me, I, I can range everywhere from rage, pure rage, to s- sadness, all the way through to suicidal ideation because I feel so rejected, uh, and have done many, many times.

— Matt Gupwell

Read the available transcript
Definition and felt experience of RSDRSD vs emotional dysregulationTriggers, narratives, and ‘feelings vs facts’Workplace feedback and psychological safetyRelationship communication, shame, and repairSTOP acronym and other CBT/DBT-informed ideasAlexithymia and communicating with facts

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SPEAKERS

  • Matt Gupwell

    guest

    Neurodiversity awareness consultant and educator focused on ADHD/RSD and practical coping strategies.

  • Alex Partridge

    host

    Host of the ADHD Chatter podcast, interviewing guests about ADHD and related experiences/tools.

High quality AI-generated summary created from speaker-labeled transcript.

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