This resonates so much.
I wish I could find ways to manage my Rejection Sensitive Dysphoria. It is painful.
#RejectionSensitiveDysphoria #ADHD

https://www.theguardian.com/society/2026/feb/25/rise-of-rejection-sensitive-dysphoria

We've been on a split dose of lisdexamfetamine (Elvanse) daily for a while now. This has involved 2 x 30 mg doses, typically between 90 to 120 mins apart.

As of today, at our request, we're trialling a split dose where we start with 40 mg, then follow that with 20 mg within the same approximate time window.

The hope is that this will help give us a little bit more of a quicker boost to focus in the morning, whilst giving us a bit more of a drop-off in the evening.

We're also still on guanfacine prolonged release (Intuniv) nightly alongside the lisdexamfetamine, which has honestly been fantastic for us as an AuDHD entity with intense anxiety and RSD. We're currently on 4 mg of this night, but hoping to increase it to 5 mg soon.

Based on our own research and experience, somewhere between 4 and 6 mg should be ideal. 5 or 6 mg will likely be the sweet spot.

Per previous posts we've done, it took a lot of persuasion and self-advocation to convince our UK ADHD healthcare provider to even let us have a split dose of lisdexamfetamine, let alone convincing them to prescribe a combo of complementary meds, since both are unlicensed (aka off-label).

If you want to do the same, we recommend preparing links to articles or resources showing:

• The benefits of a split dose.
• The benefits of a combo of meds.
• The known interactions between such meds, such as via a drugs interaction checker.

You should be prepared to:

• Be advised that they may need to discuss this further, rather than agreeing immediately.
• Be told that they can only make one change to your medication at a time.
• Advise them in detail why you are making this request, from a neurodivergent and mental health / wellbeing point of view.

If you're asking for a combination with guanfacine, you may need to traumadump / mental-health-dump (after asking for consent) in order to persuade them to trial the meds.

It's not easy, and you'll need to be as kind as possible at all times to get them on your side, but it is possible to get what you need if you get an empathetic and caring clinician.

The above might sound manipulative, but this is what self-advocation can look like sometimes. It's a mixture of letting the mask slip a bit to be emotionally honest, employing rhetorical techniques, and being kind and polite at all times.

It's not easy, even if you're good at all of those things.

You can always request permission for an advocate on any calls or appointments with you to help.

#ADHD #AuDHD #lisdexamfetamine #guanfacine #Elvanse #Intuniv #neurodivergent #neurospicy #neurodivergence #neurospiciness #SplitDose #ComboMeds #MentalHealth #anxiety #RSD #RejectionSensitiveDysphoria

I can deal with: "I don't like you."

I abso-fucking-lutely cannot handle: "I don't believe you / I think you're factually incorrect†."

†I usually don't SAY SOMETHING unless I'm CONFIDENT in my facts, so it's not like I can't be corrected, but when people argue with me when I'm 100% certain… (or about my personal experience)… I want to scream.

Does your brain’s default setting tell you that everyone secretly hates you? That was my reality for years before I understood Rejection Sensitive Dysphoria (RSD). It’s not about being ‘too sensitive’; it's a genuine neurological response common in neurodivergent brains.

#NeurodivergentWomen, #ADHDCommunity, #AutisticAdults, #RejectionSensitiveDysphoria, #RSD, #EmotionalRegulation, #NeurodivergentStruggles, #MentalHealthAwareness, #SelfAcceptance

New prescription arrived this morning 🥰

We'll be starting the guanfacine Monday night, as Monday is the beginning of a week in the UK and -- for highly-neurospicy reasons -- we need to start any regular medications on a Monday (the start of the week).

We're aware that the order of the days of the week don't make any logical sense, but we live in a country that follows the ISO 8601 weekday order, which means weeks starts with the moon and end with the sun.

Also, yes: we're aware we're likely OCD too, but we can't really do anything about that right now 😅

Someone should really redo the weekday, as well as the entire Gregorian calendar, to make them make actual sense.

#ADHD #AuDHD #guanfacine #lisdexamfetamine #RejectionSensitiveDysphoria #RSD #anxiety #EmotionalDysregulation #ExecutiveDysfunction #neurodivergent #neurospicy #ProbablyOCDTooTBPH

Please, no unsolicited advice on my page. It makes me spiral.

#ActuallyAutistic #ActuallyOwltistic #AutismAcceptance #Autistic #Autism #Neurodivergent #InvisibleDisability #webcomics #UnsolicitedAdvice #RSD #ADHD #AuDHD #RejectionSensitiveDysphoria

So, I was contemplating posting about my feelings of rejection and failure as a kid to the @actuallyautistic . I was going to ask if anyone else had those feelings as well. I remember moments when I cried by myself, wishing I could fit in with everyone else. But a little voice inside me said, "If you did that, you wouldn't be yourself anymore." I tried to stick to what my inner voice said, but can remember countless times I crumbled under criticism (like not washing the dishes properly), or did things I didn't really want to do (or knew was wrong).

A bit of synchronicity today -- an article just appeared in my newsfeed about #RejectionSensitiveDysphoria. And this condition is not only felt by folks with #ADHD, #Autistic folks feel it too.

Who else had had that? (I suspect quite a few of you...)

https://www.webmd.com/add-adhd/rejection-sensitive-dysphoria

New TV series ‘Adolescence’, they are about Rejection Sensitive Dysphoria.

#rsd #rejectionsensitivedysphoria #adolescence

I don’t liked the latest episode of Tying the Knot with an Amagami Sister…
It was a great wholesome romcom without any confrontational drama, but now a character becomes confrontational and is destroying all the wholesome relationships between the main characters
I feel bad because I hate confrontational behaviors, it’s making me feel very uncomfortable, sad and rejected…
So if you’re experiencing it the same way as me, maybe wait for the right moment to watch this episode
I wish I had been warned :(

#TyingTheKnotWithAnAmagamiSister #anime #RejectionSensitiveDysphoria #RSD #ActuallyAutistic #autism