Dodson's Rejection Sensitive Dysphoria -- What do you think?
In this summer’s issue of ADDitude, Dr. William Dodson is making a huge claim: that ADHD has two basic characteristics, the “Interest-based nervous system” and “Rejection sensitivity dysphoria.”
The articles I’m referring to are “Secrets of the ADHD Brain” and “Devastated by Disapproval.” Dr. Dodson will soon be coming out with a book that will expand upon these points.
I know that for myself, as an ADD therapist and coach and as a man with ADHD-PI, I was absolutely blown away by hearing the term “Rejection sensitivity dysphoria.” I have observed this time and again in my clients and I have deeply suffered from it myself, but it never had a name before, and suddenly here it was, not only named but given a central position in the syndrome of ADHD, the central component in the emotional dysregulation of adult ADHD, with the implication that it is a neurological condition that could be addressed by the proper medications.
I’m writing to ask what other ADHD professionals think about this. And more specifically, Dodson suggests that it can be successfully addressed with the alpha agonists, either Intuniv or Kapvay (Clonidine). But I have done a quick Google search of this idea and have not turned up any evidence, anecdotal or otherwise, for a transformative synergistic effect occurring from the combination of a stimulant and one of these drugs.
Anyone have any experience with this, who can weigh in on this matter?
Larry Letich, LCSW
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