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In this episode, Ben Branson sits down with Dr Shyamal Mashru, Consultant Psychiatrist and Medical Lead for Adult ADHD, for a clear and compassionate deep dive into Rejection Sensitive Dysphoria (RSD). Often misunderstood or dismissed as being “too sensitive,” RSD is explored here as a real, neurological experience - one that can hijack rational thought, flood the body with emotional pain, and quietly shape relationships, work, and self-worth. Dr Shyamal explains what RSD is (and isn’t), how it shows up differently across people, and why ADHD brains may be especially vulnerable. They unpack the science, the role of trauma and hormones, why RSD isn’t currently in the DSM, and what actually helps when rejection hits hard. If rejection feels overwhelming, confusing, or deeply personal - this conversation offers clarity, relief, and language for what you may have been carrying alone. Find out more about Dr Shyamal Mashru's ADHD Health Clinic: https://adhdhealthclinic.co.uk/ #adhd #rsd #rejection Join us at https://www.hidden20.org/donate Become a monthly donor. Be part of our community where great minds think differently. 00:00 Introduction 01:00 Dr Shyamal Mashru’s ADHD Background & Clinical Work 03:15 What Surprises Clinicians About ADHD Assessments 04:41 Rejection Sensitive Dysphoria Explained: What RSD Is & Why It Hurts 09:16 RSD Coping Mechanisms: Shutdown, People-Pleasing & Avoidance 11:44 Is It RSD or Something Else? How to Tell the Difference 15:05 The Neuroscience of RSD: Why Rational Thinking Switches Off 17:27 RSD in Romantic Relationships & Attachment 21:33 How to Support a Partner With Rejection Sensitive Dysphoria 22:50 How Aware Is Society of RSD? 24:38 RSD, Hormones & ADHD: Menstrual Cycle, Perimenopause & Menopause 26:33 Is There an Upside to RSD? Emotional Depth & Sensitivity 29:56 Can Non-ADHD People Experience RSD? 31:55 RSD vs Trauma & Fear of Failure 34:46 Why RSD Is More Than “Not Handling Rejection” 36:15 Why Rejection Sensitive Dysphoria Isn’t in the DSM 40:00 How RSD Shows Up in Children 41:29 Early Signs & Patterns Clinicians Look For 42:59 How Common Is RSD in ADHD — and When It Appears 46:20 Treating RSD: Therapy, Medication & Regulation 56:18 The One Thing Dr Shyamal Would Change About RSD Awareness The Hidden 20% is a charity founded by ADHD & autistic entrepreneur Ben Branson. Our mission is simple: To change how the world sees neurodivergence. No more stigma. No more shame. No more silence. 1 in 5 people are neurodivergent. That’s 1.6 billion of us - yet too many are still excluded, misunderstood, or left without support. To break the cycle, we amplify voices, challenge myths, and keep showing up. Spotlighting stories, stats and hard truths. Smashing stereotypes through honest voices, creative campaigns and research that can’t be ignored. Every month, over 50,000 people turn to The Hidden 20% to feel safe, seen and to learn about brilliant brains. With your support, we can reach further, grow louder, and keep fighting for the 1 in 5 who deserve more. Join us at https://www.hidden20.org/donate Become a monthly donor. Be part of our community where great minds think differently. Buy books by our guests, and support The Hidden 20% at the same time: https://uk.bookshop.org/lists/hidden-... Host: Ben Branson Production Manager: Phoebe De Leiburné Video Editor: James Scriven Social Media Manager: Charlie Young Head of Marketing: Kristen Fuller Music: Jackson Greenberg Brought to you by charity THE HIDDEN 20% 1203348 Spotify: https://open.spotify.com/show/2g80pw5... Apple Podcasts: https://podcasts.apple.com/us/podcast... Website: www.hidden20.org Instagram: / hidden20charity TikTok: / hidden20charity Ben Branson: / seedlip_ben