Rejection Sensitive Dysphoria (RSD): Symptoms & Treatment

How is rejection sensitive dysphoria treated, and is there a cure?

While there’s much that experts don’t know about RSD, there are still ways that experts can treat it. The treatment approaches can also take different forms, and it’s common to use multiple treatment approaches at the same time.

Medications

Medications are the main way to treat RSD. The drugs in question typically treat ADHD and related conditions. That’s because treating these conditions affects the same brain areas responsible for RSD symptoms, so treating one condition affects both. Other conditions have very similar effects on the same brain areas as RSD, and treatments for those conditions can often help.

Because RSD isn’t an officially recognized medical condition, there aren’t any medications specifically approved to treat it. Instead, healthcare providers use a practice known as “off-label prescribing.”

Off-label prescribing means a healthcare provider prescribes a medication for conditions other than the ones they’re specifically approved to treat. This kind of prescribing is legal, medically acceptable and justified when evidence shows a medication has a low risk of causing harmful side effects and is effective for off-label use.

The following medication types can treat RSD:

Psychotherapy

Psychotherapy (also known as mental health therapy) can help people with RSD. Therapy doesn’t stop RSD from happening or affect the symptoms. Instead, therapy can help a person learn how to process and manage feelings so they’re less overwhelming. That can help a person with RSD feel more in control of their emotions.

What are the possible side effects or complications of treatment?

The possible side effects and complications of the various treatments depend on various factors, especially the treatments themselves. Because of that, your healthcare provider is the best person to tell you what side effects or complications are possible or likely, and what you can do to limit how they affect you.

How do I take care of myself or manage the symptoms on my own?

If you think you have RSD, it’s important to see a healthcare provider to get a diagnosis of a related condition like ADHD and then to follow up with a mental health provider. Some people can learn to manage RSD on their own, but it’s difficult to do so. That’s because RSD happens based on how your brain functions.

People with RSD also commonly have other mental health conditions, including anxiety and depression. In most cases, it takes a combination of medication and mental health therapy to learn to live with this condition. Your provider can recommend treatment options and guide you on what you can do to help yourself as you learn to manage RSD.

How soon after treatment will I feel better?

The time it takes to notice a difference from treatment depends on the treatments you receive. Medications can help with the symptoms, but mental health therapy offers the best chance of learning to live with RSD.

Because no two people’s brains are alike, and conditions like ADHD and RSD affect people differently, the time it takes to notice changes and improvements can also vary. Your healthcare provider is the best person to tell you more about when you should expect to notice changes and what else you can do to help yourself manage this condition.

https://my.clevelandclinic.org/health/diseases/24099-rejection-sensitive-dysphoria-rsd