William W Dodson, Edward J Modestino, Handan Titiz Ceritoğlu and Basel Zayed

Brain & Behavior Laboratory, Department of Psychology, Curry College, Milton, MA, USA

*Corresponding Author: Edward Justin Modestino, Brain & Behavior Laboratory, Department of Psychology, Curry College, Milton, USA.

Received: June 05, 2024; Published: July 15, 2024

Abstract

The authors of this publication describe herein a cluster of symptoms and behaviors in patients with ADHD. The authors have called this Rejection Sensitivity Dysphoria (RSD), as episodes begin with the experience of perceived rejection, demonstrating rejection sensitivity, that progresses into a nearly instantaneous dysphoric mood, which causes significant distress and impairment. We present a case series of four case studies from the first author’s private practice in great detail. At present, the authors have seen hundreds of patients and clients with this same clinical profile (ADHD with RSD), which the authors have not been able to attribute to any other known comorbid psychopathology with ADHD (i.e., mood disorders, anxiety disorders, personality disorders, or other developmental disorders). Notably, clinicians worldwide have contacted the first author, confirming that they have seen ADHD patients and clients who have presented with this in their professional experience. Individuals with RSD have tended to respond favorably to alpha-2 agonists. We provide the details of RSD based on the larger group of individuals from our clinical experience. Research needs to be conducted to elucidate the underlying nature of RSD in ADHD. We are currently doing such research.

 Keywords: ADHD; Emotional Dysregulation; Rejection Sensitivity Dysphoria

References

1. London B., et al. “Social causes and consequences of rejection sensitivity”. Journal of Research on Adolescence3 (2007): 481-506.
2. American Psychiatric Association (APA). “Diagnostic and statistical manual of mental disorders (5^th, text rev.).
3. Singh T and Williams K. “Atypical Depression”. Psychiatry4 (2006): 33-39.
4. Kooij JJS., et al. “Updated European consensus statement on diagnosis and treatment of adult ADHD”. European Psychiatry1 (2019):14-34.
5. Dodson WW. “Emotional regulation and rejection sensitivity”. Attention Magazine (2016): 8-11.
6. Wong CL. “A case review of a young adult with low-functioning autistic disorder transitioning from school to work”. Asian Journal of Interdisciplinary Research1 (2020): 1-31.
7. Spitzer RL., et al. “Generalized Anxiety Disorder 7 (GAD-7) [Database record]”. APA PsycTests (2006).
8. Kroenke K., et al. “Patient Health Questionnaire-9 (PHQ-9)[Database record]”. APA PsycTests (1999).
9. Hirschfeld RM. “The mood disorder questionnaire”. The Primary Care Companion for CNS Disorders1 (2002).
10. Baron-Cohen S., et al. “Journal of Autism and Developmental Disorders1 (2001): 5-17.
11. Conybeare D., et al. “The PTSD Checklist-Civilian Version: Reliability, validity, and factor structure in a nonclinical sample”. Journal of Clinical Psychology 68.6 (2012): 699-713.
12. Galbraith R. “The Ink Black Heart. Sphere (2022).
13. Castagna PJ., et al. “Adult ADHD self-report scale--Modified version. PsycTESTS Dataset (2019).
14. American Psychiatric Association (APA). (2013). Diagnostic and statistical manual of mental disorders (5^th). Arlington, VA: Author (2013).
15. Reimherr FW., et al. “Types of adult attention-deficit hyperactivity disorder (ADHD): A replication analysis. SSRN Electronic Journal (2019).
16. Neuchat EE., et al. “The Role of Alpha-2 Agonists for Attention Deficit Hyperactivity Disorder in Children: A Review”. Neurology International2 (2023): 697-707.
17. Wender PH. “The hyperactive child, adolescent, and adult: Attention deficit disorder through the lifespan”. Oxford University Press (1987).

Citation

Citation: Edward J Modestino., et al. “Rejection Sensitivity Dysphoria in Attention-Deficit/Hyperactivity Disorder: A Case Series”. Acta Scientific Neurology 7.8 (2024): 23-30.

Copyright

Copyright: © 2024 Edward J Modestino., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.