Let’s talk about something important today which is Rejection Sensitive Dysphoria (RSD) in Pathological Demand Avoidance (PDA, a profile in Autism Spectrum Disorder).

Let’s understand PDA!

PDA is a neurodevelopmental disorder that affects how individuals perceive and respond to demands or expectations from others. It’s like having a super-sensitive radar for demands, which can lead to anxiety, stress, and avoidance behaviors.

What is Rejection Sensitive Dysphoria (RSD)?

RSD is a key feature of PDA. It’s an intense fear of rejection, criticism, or disappointment. Imagine having a constant fear of not being good enough or fear of being rejected by others. It’s like living with a constant sense of dread.

How does RSD affect individuals with PDA?
RSD is a fundamental aspect of PDA, deeply affecting an individual’s emotional and behavioral responses to demands, criticism, or rejection. It’s like having a hyper-sensitive radar for potential rejection, which can lead to:
– Excessive anxiety and stress
– Fear of criticism or feedback
– Avoidance of challenges or new experiences
– Difficulty with relationships and friendships
– Feeling like you’re walking on eggshells to avoid rejection

The RSD Cycle:

1. Perceived demand or criticism: A request or feedback is made, triggering a sense of demand or criticism.
2. Fear of rejection: The individual fears rejection, criticism, or disappointment, leading to anxiety and stress.
3. Avoidance or escape: They avoid the situation or try to escape the perceived demand.
4. Relief: Temporary relief from avoiding the situation, but reinforcement of the RSD cycle.

Breaking the RSD Cycle: What can we do to help?

1. Recognize and validate feelings: Acknowledge and accept the individual’s emotions.
2. Offer support and encouragement: Provide a safe and supportive environment.
3. Develop coping strategies: Teach techniques like deep breathing, visualization, or problem-solving.
4. Gradual exposure: Encourage small steps towards facing fears and challenges.
5. Foster a growth mindset: Emphasize learning from mistakes and developing resilience.

Let’s break it down: Tips and strategies

1.Validation: “I get it, you’re feeling really scared right now.”
2. Support: “I’m here for you, we’ll face this together.”
3. Coping strategies: “Let’s take some deep breaths and find a calm spot.”
4. Small steps: “Let’s start small, like sharing a small idea in a group.”
5. Growth mindset: “Mistakes are okay, we learn from them!”

Additional  Supporting Strategies:

●Social stories: Share stories about coping with rejection and criticism.
●Role-playing: Practice social situations and feedback scenarios.
●Emotional regulation: Teach techniques to manage anxiety and stress.
●Self-compassion: Encourage kindness and understanding towards oneself.

Rejection Sensitive Dysphoria is a complex, real and challenging experience for individuals with Pathological Demand Avoidance. By understanding and supporting them, we can help them build resilience and confidence. Let’s create a safe and encouraging environment for everyone to thrive!

Resources:
•National Autistic Society (NAS)
•PDA Society
•RSD support groups

Share your thoughts
How have you experienced or supported someone with RSD and PDA? Share your stories and tips in the comments below or mail me at shilpi@specialsaathi.com


Author Shilpi Mayank Awasthi Founder SpecialSaathi