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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 9, 202548mWatch on YouTube ↗

CHAPTERS

  1. 0:00 – 1:32

    ADHD women, “not enough,” and the fizzy-bottle nervous system

    A cold-open reflection on why many ADHD women feel they don’t belong or measure up, especially in a culture of overachievement. Sam introduces the “shaken soda bottle” metaphor to describe nervous-system states that either vent gradually or explode, including the alternative pattern of collapse/withdrawal.

    • Feeling “not enough” as a product of belonging, feedback, and overachievement culture
    • Soda-bottle metaphor: controlled release vs sudden overflow
    • Two common responses: explosive reactivity vs shutdown/withdrawal
    • Safety and connection as core nervous-system needs
  2. 1:32 – 3:45

    Sam Bramwell’s three-part mission: leaders, organizations, and young people

    Alex welcomes Sam and asks for her mission in the ADHD space. Sam outlines her focus on helping ADHD leaders thrive, helping organizations design better support and processes, and providing younger people with role modeling and a sense of belonging.

    • Coaching ADHD leaders to survive and thrive in corporate settings
    • Helping organizations build ADHD-friendly processes and support
    • Improving access and experiences (e.g., “access to work” challenges)
    • Giving younger ADHD people hope, tools, and belonging
  3. 3:45 – 6:58

    Why ADHD can feel like constant survival mode (RSD, threat scanning, health impacts)

    They explore how ADHD-related sensitivity and RSD can keep the nervous system on high alert. Sam explains how chronic stress chemistry can harm the body and how “prediction errors” lead people to perceive rejection where it isn’t present.

    • RSD and emotional dysregulation as drivers of hypervigilance
    • Cortisol/inflammation link to longer-term health risks
    • “Dinosaurs are coming” threat response in everyday life
    • Glitchy predictions: anticipating the worst, misreading reality
  4. 6:58 – 9:07

    Relationships under pressure: misreading nuance, conflict spirals, and cutting people off

    Alex and Sam describe how perceived rejection can rapidly escalate into arguments or withdrawal. Sam connects this to cortisol knocking the prefrontal cortex offline, making conflict management harder and pushing people into all-or-nothing responses.

    • Common scenarios: “quick chat” with boss, canceled plans, terse messages
    • Emotional flash responses: shame, rage, sadness
    • Conflict difficulty when the prefrontal cortex goes offline (“chimp mode”)
    • Protective cutting-off vs confronting misunderstandings
  5. 9:07 – 12:58

    RSD at work: exploding vs collapsing (the soda bottle returns)

    They focus on how a threat-ready nervous system shows up in the workplace. Sam expands the soda-bottle analogy: stress builds invisibly until a small cue (a sigh, eye roll, silence) triggers an outsized reaction, or alternatively prompts withdrawal and disengagement.

    • Two workplace patterns: overspill/explosion vs collapse/withdrawal
    • Invisible buildup: lateness, forgetfulness, interpersonal stressors
    • Micro-cues interpreted as danger: tone shifts, sighs, eye rolls
    • Why colleagues may mislabel it as sudden mood switching
  6. 12:58 – 17:06

    Soothing the ADHD nervous system: polyvagal mapping, vagal brake, and the “voo” trick

    Sam introduces a practical framework for regulation using polyvagal theory: dorsal vagal, sympathetic, and ventral vagal states. She emphasizes “befriending” the nervous system via mapping and offers fast-acting somatic tools—especially the “voo” sound—to reduce arousal and bring the prefrontal cortex back online.

    • Autonomic ladder: dorsal (shutdown), sympathetic (fight/flight), ventral (safety/connection)
    • Mapping states with cues (“When I’m in this state, the world is…”)
    • Vagal brake techniques: breathing, vocalization, vibration
    • The “voo” practice: 5–10 rounds, 10 seconds each, for rapid calming
  7. 17:06 – 23:54

    Hidden people-pleasing: identity-performance, self-editing, and why “just stop” doesn’t work

    They unpack subtle people-pleasing behaviors, from micro-connection bids to deeper identity shaping meant to avoid rejection. Sam argues that reducing people-pleasing requires understanding root causes (schemas, safety needs, dopamine reward), then practicing small boundary steps rather than willpower alone.

    • People-pleasing spectrum: connection-seeking vs performance/identity creation
    • Subtle signs: withholding opinions, self-editing, chameleon behavior
    • Root causes: childhood schemas (e.g., “I don’t belong”), safety seeking
    • Practical step: replace reflexive “yes” with “I’ll get back to you”
  8. 23:54 – 25:54

    Sponsor break: Tiimo app for planning and decision paralysis

    Alex reads an ad for Tiimo, positioning it as a neurodiverse-designed planning tool and “AI co-planner.” The pitch focuses on reducing overwhelm and making it easier to capture tasks before distraction hits.

    • Tiimo as a neurodiverse-friendly planner and co-planner
    • AI assistant: voice prompt to structured task list
    • Emphasis on flexibility and reducing decision paralysis
    • Discount note: code valid on web browser only
  9. 25:54 – 27:08

    Emotional exhaustion from masking: after-work meltdowns and coping traps

    Back in conversation, they connect chronic masking and emotional labor to depletion and explosions at home. Sam describes how pent-up energy can spill into conflict, meltdowns, or unhealthy coping mechanisms when regulation capacity runs out.

    • Masking + executive-function management as constant labor
    • End-of-day “spillover” into arguments and dysregulation
    • RSD accelerating escalation in close relationships
    • Risk of coping behaviors (alcohol, drugs) when overwhelmed
  10. 27:08 – 29:23

    Emotion regulation skills: triggers, preparation, allies, and self-compassion

    Sam outlines what effective regulation looks like in practice: knowing your baseline nervous-system state, identifying triggers and prediction errors, and using pauses before reacting. She also highlights the value of workplace allies and the importance of self-compassion to prevent shame spirals after setbacks.

    • Baseline awareness: “normal” nervous-system state differs per person
    • Prediction errors before difficult meetings (story vs evidence)
    • Pre-emptive strategies: pause, breathing, co-regulation support
    • Self-compassion as protection against shame spirals
  11. 29:23 – 35:04

    ADHD in women at work: perfectionism, inconsistency, politics, and imposter/RSD loops

    They discuss how ADHD traits intersect with gendered workplace expectations, often amplifying people-pleasing, overwork, and burnout. Sam explains how imposter syndrome and RSD can reinforce each other, making praise hard to absorb and fueling chronic fear of being “found out.”

    • Common patterns: people-pleasing perfectionism, overwhelm, burnout
    • Peaks and troughs: rockstar periods vs slumps
    • Workplace politics and “BS detector” challenges at senior levels
    • Imposter syndrome + RSD: difficulty accepting praise, fear of being fired
  12. 35:04 – 42:52

    “Not enough,” sisterhood, and the path to boundaries rooted in values

    Sam explores why many women—especially ADHD women—internalize “not enough,” citing societal standards, early feedback, and social media reinforcement. She advocates community/sisterhood for unmasking and safety, then moves into boundary-setting: defining values, starting small, and tolerating discomfort without interpreting boundaries as rejection.

    • Layers behind “not enough”: societal messaging + belonging wounds
    • Domino effect on relationships, risk-taking, and goals
    • Sisterhood/community as safety and authentic unmasking space
    • Boundaries 101: clarify values, notice value compromises, raise boundaries by 10%
  13. 42:52 – 48:58

    Closing segments: hope message, the ADHD agony aunt, kaleidoscope item, and rules to live by

    Sam closes with a direct message—love and honor yourself—then joins the “washing machine of woes” Q&A about fitting in at work. The episode ends with her ADHD item (a kaleidoscope symbolizing infinite possibilities and beauty in chaos) and three rules to live by emphasizing movement, belief, and self-kindness.

    • Final advice: self-love, self-belief, and honoring your worth
    • Agony aunt: redefine “fitting in,” plan support, consider neurodivergent groups
    • ADHD item: kaleidoscope as creativity, chaos, and infinite possibilities
    • Rules: move daily, believe in potential, practice compassion/kindness

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