Book excerpt: Rejection Sensitive Dysphoria (RSD) is a complex emotional condition often associated with Attention Deficit Hyperactivity Disorder (ADHD). It refers to an extreme emotional response to perceived rejection or criticism, which can lead to intense feelings of shame, worthlessness, and anxiety. RSD is not classified as a mental disorder but rather as an emotional experience that many individuals with ADHD report. Understanding RSD is crucial for those managing ADHD, as it adds a significant layer to the already challenging emotional landscape they navigate. The psychological underpinnings of RSD are still being explored, but research suggests a strong connection to the emotional regulation challenges commonly associated with ADHD. Many individuals with ADHD struggle to manage their emotions effectively, leading to heightened sensitivity toward social dynamics. This heightened sensitivity can result in a cycle of avoidance, where individuals may withdraw from social situations or avoid potential rejection altogether, further exacerbating feelings of isolation and loneliness. This book explores the emotional triggers and how to survive them.