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The RSD Expert: This New Trick Will Stop RSD In 10 Seconds

Sam Bramwell is an RSD expert and the founder of The ADHD Leader. Sam’s mission is simple: to help ADHD adults to flourish. Sam is also an author of the best selling book, Enough is Enough, a groundbreaking manifesto for modern women navigating the impossible standards of career, leadership, motherhood, and societal expectations. RSD hurts like hell. If you don’t tell someone with ADHD that you explicitly like them, they will assume that you tolerate them. If you don’t explicitly invite an ADHD person to a social event, they will assume you don’t actually want them there, if you say, ‘come if you want’, they will think that their presence at that social event is a nuisance to you, and they probably think that you hate them as well. If you ask an ADHD person for a quick chat, they will assume you want a quick chat so you can fire them or break up with them. People with ADHD experience something called Rejection Sensitive Dysphoria, it causes intense pain and is triggered by real or perceived rejection, and it happens because ADHD people were criticised 20,000 more times than your average child. “Why are you being weird, it’s not that loud in here” “You’re embarrassing yourself” “Why are you being lazy?”  “Stop biting your nails!” “Why are you crying?! “You’ve let me down!” “You’re really rude” “Stop being weird!” “Stop fidgeting” “Calm down” “Be normal!” “Stop it!” And it means that as as adult, they read positive comments as neutral, in fact they don’t believe positivity, it bounces off them, they read neural comments like ‘come to the party if you like’, as negative and when they experience actual negative comments, well, let’s just say you don’t want to be around for that. Instant rage, sadness and crippling shame. It’s brutal. 00:00 Trailer 02:14 What is your mission within the ADHD space 03:45 The ADHD nervous system explained 09:14 RSD at work 13:06 How to sooth the ADHD nervous system 17:50 Subtle ways you’re people pleasing without knowing it 23:54 Tiimo advert 25:47 How to escape emotional exhaustion 27:08 How to regulate your emotions 29:23 ADHD in women 33:17 Tips for ADHD women in the workplace 35:04 Why ADHD women feel ‘not enough’ 39:31 How to set boundaries 43:52 The ADHD agony aunt 46:17 The ADHD Item Find Sam on Linkedin 👉https://www.linkedin.com/in/sam-bramwell-3287642/ Find Sam on Instagram 👉 https://www.instagram.com/samjbramwell/?hl=en Buy Sam’s book 👉 https://www.amazon.co.uk/Enough-shattering-myth-that-women/dp/1068404507 Get 30% off an annual Tiimo subscription 👉 https://www.tiimoapp.com/adhdchatter Buy Alex's book entitled 'Now It All Makes Sense' 👉 https://www.amazon.co.uk/Now-All-Makes-Sense-Diagnosis/dp/1399817817 Producer: Timon Woodward Recorded by: Hamlin Studios Trailer Editor: Ryan Faber DISCLAIMER: The content in the podcast and on this webpage is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your doctor or qualified healthcare provider. Never disregard professional medical advice or delay in seeking it because of something you have heard on the podcast or on my website.

Sam BramwellguestAlex Partridgehost
Jun 8, 202548mWatch on YouTube ↗

At a glance

WHAT IT’S REALLY ABOUT

Polyvagal tools and boundaries for ADHD women facing RSD pain

  1. ADHD-related rejection sensitivity is framed as a nervous-system survival response that can misread social cues, predict worst-case outcomes, and damage health and relationships over time.
  2. Workplace stress often shows up as either emotional “overspill” (sudden blow-ups after invisible buildup) or collapse/withdrawal, both linked to belonging and safety needs.
  3. Regulation starts with self-awareness of nervous-system states (dorsal/sympathetic/ventral), then using quick somatic interventions to slow reactivity and bring the prefrontal cortex back online.
  4. People-pleasing is treated as a spectrum from connection-seeking to identity-performance, and lasting change comes from addressing root beliefs (shame, not-belonging schemas) rather than simply “saying no.”
  5. For ADHD women, societal expectations and workplace double standards intensify perfectionism, imposter syndrome, and the feeling of being “not enough,” making community, self-compassion, and values-based boundaries essential.

IDEAS WORTH REMEMBERING

5 ideas

RSD often reflects a body-level threat response, not just “overthinking.”

They describe ADHD nervous systems as scanning for danger (criticism/rejection) and then reacting as if the threat is real, which can create shame spirals and social rupture even when the evidence is ambiguous.

Chronic high alert can have real physical costs.

Sustained cortisol spikes and inflammatory responses are discussed as potential pathways to migraines and longer-term health risks, meaning the biggest harm may be internal even before relationship fallout appears.

At work, ADHD distress commonly presents as overspill or collapse.

The soda-bottle metaphor captures how stress accumulates invisibly until a small cue (a sigh, silence, eye roll) triggers a blow-up, while others may instead withdraw, disengage, and “turn up but no one’s there.”

Regulation improves when you can name your nervous-system state with nuance.

Mapping states (e.g., giving them colors and prompts like “When I’m in this state, the world is/people are/I am…”) reduces black-and-white thinking and helps distinguish threat from factors like hunger or fatigue.

A fast “brake” can be somatic—try the 10-second ‘voo’ vibration.

Bramwell suggests sounding “voo” with a hand on the chest for 5–10 rounds to calm arousal, aiming to reduce “fizz,” restore equilibrium, and bring the prefrontal cortex back online before responding.

WORDS WORTH SAVING

5 quotes

If you listen to some of the specialists and experts in sort of nervous system, they talk about something called neuroception, which is all about our nervous system is effectively a surveillance scanning, um, but that with ADHD, we may end up being oversensitive to certain things.

Sam Bramwell

I always say that, um, having ADHD is a bit like being a bobblehead.

Sam Bramwell

If you did the voo sound, like voo, that has a really calming impact on your nervous system.

Sam Bramwell

Don't, don't beat yourself up if it's, if it's fizzed over because otherwise we just get into a, again, into a shame spiral that we don't deserve to be in.

Sam Bramwell

Love yourself. Just love yourself. Honor and love yourself.

Sam Bramwell

RSD as threat-scanning and neuroceptionPolyvagal theory: dorsal/sympathetic/ventral statesThe “shaken soda bottle” nervous system analogyMicro-cues, prediction errors, and conflict ‘chimp mode’Somatic regulation tools (breathwork, “voo,” havening)People-pleasing, masking, and emotional exhaustionADHD women at work: perfectionism, politics, imposter syndrome, boundaries, community

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