Why Does Rejection Feel So Intense? (with ADHD Expert Dr. Sasha Hamdani)

Why Does Rejection Feel So Intense? (with ADHD Expert Dr. Sasha Hamdani)

August 27, 2026 · 42 min · Episode 110

About this episode

Dr. Sasha Hamdani discusses rejection sensitivity dysphoria and its impact on individuals with ADHD, particularly women, while offering insights and tools for managing emotional responses to rejection and criticism.

Why do some of us experience rejection, criticism, and disappointment so intensely—and what we can we actually do about it? Dr. Sasha Hamdani is a board-certified psychiatrist, ADHD specialist, and author of Too Sensitive: Rejection, Resilience, and the Science of Feeling Deeply. In this episode, she explains rejection sensitivity dysphoria (RSD)—the intense emotional pain triggered by perceived rejection or criticism that affects the majority of people with ADHD, especially women. Dr. Hamdani breaks down why dropping estrogen during perimenopause makes emotional sensitivity worse, what's actually happening in your brain when one comment sends you into a spiral, and the three tools she uses herself to stop it. She also explains why women who've been on antidepressants for years with no relief may have been misdiagnosed—and what high-achieving women look like from the outside vs. what's really going on inside. In this episode, you'll learn: -What rejection sensitivity dysphoria (RSD) is and why it's so common in ADHD -How RSD shows up in friendships, relationships, and the workplace -Why perimenopause can make emotions and ADHD symptoms feel harder to manage -Why high-achieving…

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