Full-Tilt Parenting: Dr. Sharon Saline on Understanding Rejection Sensitive Dysphoria (RSD) in Tweens and Teens

ADHDADHD - Children & TeensNeurodiversity
Written By Dr. Sharon Saline's Team

Today we’re talking about Rejection Sensitive Dysphoria (RSD), a deeply emotional experience that affects many individuals with ADHD and other forms of neurodivergence. My guest is Dr. Sharon Saline, a clinical psychologist who has spent over 30 years working with neurodivergent children, teens, adults, and families. In our conversation, Sharon breaks down what RSD is, how it shows up in daily life, and why understanding it can be such a game changer, for both kids and parents. We talk about the emotional and psychological impact of RSD, practical tools for managing it, and how to cultivate self-compassion and resilience in the face of painful rejection or criticism. Sharon also shares strategies for helping kids navigate social situations with more confidence and less overwhelm, and for supporting ourselves as parents along the way.

Things you’ll learn from this episode

  • How rejection sensitive dysphoria (RSD) shows up as an intense emotional response to perceived rejection or criticism

  • Why many people with ADHD also experience RSD and how it can affect social interactions and relationships

  • How RSD can trigger deep shame and emotional pain, often overlapping with social anxiety

  • Why self-compassion, resilience, and reframing negative thoughts are key coping strategies

  • How parents can support their children by validating their feelings rather than minimizing them

  • Why understanding RSD is empowering and helps individuals navigate relationships with greater self-awareness

Dr. Sharon Saline's Team
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Dear Dr. Sharon: “As soon as the holidays get close, our household feels like it goes off the rails. How can I help my son with ADHD stay regulated at home and school?”