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By Faisal Tai MD | March 21, 2024
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Reviewed by John Doe, MD
Staff Psychiatrist at PsychPlus
May 22, 2025
Do you find yourself constantly saying yes, even when you’re overwhelmed? Do you avoid conflict at all costs, or feel crushed by even the slightest hint of disapproval? If so, you’re not alone—and it might be more than just a “nice” personality trait.
Many people struggle with people-pleasing, but for individuals with ADHD, it often runs deeper. It’s not just about being agreeable—it’s about avoiding the emotional pain of feeling rejected, criticized, or like a burden.
This emotional intensity is commonly tied to something called Rejection Sensitivity Dysphoria (RSD). While it’s not a formal diagnosis, RSD is a widely recognized experience among people with ADHD. It refers to the overwhelming fear of rejection or failure, and the intense emotional response that follows—even when the threat is imagined.
In this blog, we’ll explore how ADHD can make people more prone to approval-seeking behavior, why emotional sensitivity plays such a big role, and how healing involves building self-worth from within—not just from praise.
Rejection Sensitivity Dysphoria, or RSD, is a term used to describe the intense emotional pain that comes from perceived or actual rejection, criticism, or failure. For people with ADHD, these emotional reactions can feel overwhelming—far beyond what most would consider a typical response.
Though RSD isn’t formally recognized in the DSM (Diagnostic and Statistical Manual of Mental Disorders), it’s a widely reported and relatable experience, especially among adults with ADHD. Many describe it as a sudden wave of shame, anxiety, or guilt—even in situations where no real harm was done.
It can look like:
– Over-apologizing for minor mistakes
– Avoiding any situation where failure is possible
– Replaying conversations and obsessing over how others might perceive them
– Feeling devastated by constructive feedback or neutral expressions
To avoid this emotional discomfort, many people with RSD begin to people-please—saying yes to everything, avoiding conflict, and trying to manage how others feel in order to feel safe themselves.
But this coping strategy, while understandable, often leads to burnout, resentment, and disconnection from one’s own needs. And that’s where deeper healing begins.
People with ADHD often experience the world more intensely—emotionally, mentally, and socially. One key reason for this is the way ADHD affects emotional regulation. The brain struggles to manage reactions proportionally, making rejection, criticism, or failure feel sharper and more personal.
This heightened sensitivity is made even more difficult by impulsivity, which can lead to quick emotional responses and overcorrection, like apologizing excessively or overcompensating to please others.
Then there’s the lived experience of growing up with ADHD. Many children and teens with ADHD are constantly told they’re too loud, too forgetful, too scattered—or simply “not trying hard enough.” Over time, this kind of chronic invalidation shapes how a person sees themselves.
To avoid further criticism or rejection, many adults with ADHD develop people-pleasing behaviors as a form of self-protection. Saying yes, avoiding confrontation, or trying to keep everyone happy becomes a survival strategy—not just a personality trait.
But understanding where these behaviors come from is the first step toward change. If you’ve ever felt like you’re “too much” or “not enough” all at once, you’re not alone.
You can learn more about the lasting impact of ADHD beyond childhood in our blog Understanding Adult ADHD: Beyond Childhood Symptoms.
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Depression isn’t just feeling down or blue; it’s a complex mental health condition that affects millions of people worldwide. In College Station, depression is no stranger to the community. It can manifest in various ways, from persistent sadness to changes in appetite, sleep patterns, and energy levels. Seeking support from a depression psychiatrist College Station is crucial for those grappling with this condition. Understanding the nuances of depression and accessing professional help can pave the way towards effective treatment and healing.
Psychiatrists play a pivotal role in diagnosing and treating depression. As medical doctors specializing in mental health, they possess the expertise to navigate the complexities of depression and tailor treatment plans to individual needs. At PsychPlus College Station Psychiatrist, our team of skilled psychiatrists offers compassionate care and evidence-based interventions to help individuals overcome depression’s grip.
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Conveniently situated in College Station, PsychPlus College Station Psychiatrist serves as a beacon of hope for those grappling with depression. Located near prominent neighborhoods like Webhollow, Bush Lane Acres, and Canyon Creek West, accessing quality mental health care has never been easier. Landmarks such as Timber Ridge RV Park, Brazos River, and the RELLIS Academic Complex serve as familiar points of reference, guiding individuals to our facility with ease.
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At PsychPlus College Station Psychiatrist, we embrace a holistic approach to depression care, acknowledging the interconnectedness of mind, body, and spirit. Our treatment plans encompass medication management, therapy sessions, lifestyle modifications, and ongoing support, empowering individuals to reclaim their lives from the clutches of depression.
Recovery from depression is a journey fraught with challenges and triumphs. With PsychPlus College Station Psychiatrist by your side, you’re never alone in navigating this path. Our dedicated team stands ready to support you in every step of your journey toward healing and resilience.
If you or someone you know is battling depression in College Station, don’t hesitate to reach out for help. Contact PsychPlus College Station Psychiatrist today to schedule a consultation with one of our compassionate psychiatrists. Together, we can chart a course towards brighter days ahead.
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