Oxford Psychiatrist: The Fastest Way To Cure RSD! (New Research)
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What is the main topic discussed in this episode?
In ADHD, emotion dysregulation is a really massive feature, but it's just not in the diagnostic criteria. They are impulsivity, hyperactivity, inattention, but the things that adults complain about or say, I really wish could be changed, is the emotion regulation problem.
What groundbreaking research is shared about RSD?
Dr. Jessica Eccles, Ph.D., is an ADHD expert specializing in RSD.
Oxford and Cambridge graduate in medicine.
She's here to share groundbreaking research shedding light on RSD. A lot of neurodivergent people find tolerating uncertainty absolutely painful, possibly being threatened or judged. They are often more likely to use substances or be addicted.
Could someone disassociate with themselves because who they are has been criticized so many more times than a neurotypical person?
I think that is...
Huge announcement just before we start. Tickets to the ADHD Chatter podcast live theatre show are selling fast. I'll be joined on stage by three leading psychiatrists and we'll be unpacking all things ADHD, how to process a late diagnosis or DHD and of course the dreaded rejection sensitivity dysphoria. I really hope you can join me for a night full of validation, laughs and insights and one that will remind you that you're not broken, just different and that you have always been enough. It's on the 19th of May in London. You can find a link to the tickets in the description.
How is RSD linked to masking in neurodivergent individuals?
I can't wait to meet you in person. Jessica Eccles, welcome.
Hello, Alex. It's lovely to be back.
You are at the cutting edge of RSD research. Is there anything about RSD that you've learned that we don't already know?
Well, Alex, there's quite a few things. One is actually that we really don't know a lot about RSD. I mean, you would think that we do because people talk about it. And it's obviously something that patients and neurodivergent people really identify with. But the actual amount of research on it is... is really, really small.
What personal experiences highlight the impact of RSD?
So we just published this year a paper on the experience of rejection sensitivity. And that was really interesting in that we showed Three things that rejection sensitivity was associated with withdrawal, that it was associated with masking, but that it was an embodied feeling. So my whole sort of work ethos is about how Neurodivergence is an embodied phenomena. It's a whole body thing.
How does RSD vulnerability manifest in individuals?
Rejection sensitivity, the research that we did suggests that it is a whole body thing.
What effective coping strategies exist for managing RSD?
So the people in the research described the threat of rejection or actual rejection as feeling like a punch in the chest, as though, I can't remember the exact words, but something like the rug being pulled out from underneath them or the ground falling out from beneath their feet, that this experience of rejection or perceived or the threat of rejection kind of changed their actual body behavior temperature so what we know is that um there is actually very little research on on rejection sensitivity that research that we just did shows that it is um it is an embodied
What triggers RSD and how can they be identified?
But the other important thing I think to bear in mind is that the research about RSD shows it's not necessarily particular to ADHD. So there are some papers, very interesting papers about RSD. social pain and vicarious social pain in autism and rejection sensitivity. And it's also in the trauma literature and in the esteem literature. I think it comes back to the idea of possible rejection as a fundamentally painful experience. And I do research about neurodivergence and physical pain. So we've shown that, you know, neurodivergent people, as your paper just published last month, are more likely to experience chronic pain and fatigue because of having flexible joints. What we know is that if you experience...
So if you experience physical pain, that lights up bits of your brain and bits of the brain involved in fear and emotion. If you experience social pain, that lights up the same parts of the brain as physical pain. And even more interestingly, if you observe someone in pain, that may light up the same parts of your brain in pain.
How can RSD be measured in clinical settings?
So there is this really kind of fundamental thing about the experience of pain.
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Chapters
8 chapters
1
What is the main topic discussed in this episode?
0:00–0:15
2
What groundbreaking research is shared about RSD?
0:15–1:24
3
How is RSD linked to masking in neurodivergent individuals?
1:24–2:12
4
What personal experiences highlight the impact of RSD?
2:12–2:55
5
How does RSD vulnerability manifest in individuals?
2:55–3:04
6
What effective coping strategies exist for managing RSD?
3:04–3:55
7
What triggers RSD and how can they be identified?
3:55–5:40
8
How can RSD be measured in clinical settings?
5:40–1:08:41
Speakers
2 identifiedMore from ADHD Chatter
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