ADHD Chatter

The Science of Rejection Sensitive Dysphoria (+ how to hack it) | Dr Jo Perkins and Dr Mark Rackley


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How can we hack our Rejection Sensitivity and take control of our reactions? In this episode, Alex chats to two renowned psychologists, Dr Mark Rackley and Dr Jo Perkins.


In this powerful conversation, Mark and Jo explain the science behind RSD, how we can become masters of our emotional reactions, why people pleasing is the avoidance of criticism, how we can conquer our internal critic and how we can stop ruminating over past mistakes.


We also explored the fascinating topic of how RSD can dip into the realm of paranoia.


00:00 Trailer

01:01 Dedication

01:10 Tiimo advert

03:47 The item that trigger RSD in my relationship

04:33 Jo, what is RSD?

12:31 Why does the ADHD brain cause RSD?

14:54 Is RSD an official medical diagnosis?

15:10 Is there a range of emotions that come up when someone's RSD is triggered?

18:29 How to deal with RSD shame

24:40 An RSD trigger in my relationship

31:22 What common social interactions might cause RSD

35:57 How to manage RSD in relationships

39:05 Is there a noticeable difference with RSD throughout a person's lifespan

41:34 Do different sexes get triggered by different things

46:10 The physiological reason why we feel Rejection in our Gut

48:14 Is there a link between RSD and rumination of thoughts?

49:09 Can RSD cause suicidal ideation

52:28 Is there an evolutionary reason why focussing on the negatives is of benefit?

54:40 The ADHD agony aunt segment (Washing machine of woes)

01:03:42 People who don't get affected at all by rejection, are they Sociopaths?

01:04:59 Can RSD be so sensitive, that it can almost dip into the realm of paranoia?

01:06:48 How can we manage our RSD?

01:13:15 Tips for a person who wants to stop obsessively reflecting on past mistakes

01:19:15 Is there anything you would like to ask each other?

01:20:05 A letter from the previous guest


Visit Dr Jo Perkin's website 👉 https://drjoperkins.com

Visit Dr Mark Rackley's website 👉 https://drmarkrackley.com


Find Dr Jo Perkins on Instagram 👉 https://www.instagram.com/drjoperkins/


FInd Dr Mark Rackley on Instagram 👉 https://www.instagram.com/drmarkrackley/


Get 30% off an annual Tiimo subscription 👉 https://www.tiimoapp.com/adhdchatter


Producer: Timon Woodward


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.


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ADHD ChatterBy Alex Partridge

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