Episode 29

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Published on:

24th Nov 2023

Episode 29: Unmasking Rejection: Answering Questions About RSD

Rejection sensitive dysphoria (RSD) impacts many aspects of your life and can be a driving force in how you manage relationships and internally process the world around you, so there are many nuances for it.

In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, answer some of the questions from listeners about RSD, including everything from self-shaming to the connection with other diagnoses.

Top 3 reasons to listen to the entire episode:

  1. Understand what masked RSD looks like and the impact it has on shame and finding connection.
  2. Identify what connections and impact RSD might have on conditions like PMDD, as well as how the experience of rejection can be viewed differently between ADHD and Autistic individuals.
  3. Learn some strategies to help deal with the experience of RSD to create a better environment around you and pay attention to your core needs.


When it comes to RSD, everything goes back to connection. It’s both the thing that humans need and also something that can seem so difficult to attain and maintain. If you are struggling with complex and shifting intrusive narratives or internalized emotions that can last for years, try to focus on your core needs at the moment and check in with yourself so that you can offer yourself the opportunity to think more objectively and take action that is more likely to benefit you.

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A Thanks to Our Sponsor, Tula Consulting!

Tula Consulting:

We would love to thank Tula Consulting for sponsoring this episode.

Workplace communication can be messy. Considering the lens of neurodiversity can be helpful for understanding this. Maybe you found yourself frustratedly typing "per my last email" in an office communication, perplexed about how a colleague or client doesn't seem to understand your very clearly written email.

Consider this. Visual information processing isn't everyone's strength. Perhaps a quick call could make a world of difference. Or how about including a video or voice message with your email? And this technology exists! Simple steps like these can make your work environment more accessible and bring out the best in everyone.

Tula Consulting is on a mission to help organizations build more neuro-inclusive products and work environments. Tula does this by bringing curious minds to solve curious problems. Find out more by visiting tulaneurodiversity.org.

Mentioned in this episode:

Hurricane Relief for WNC communities

This money will go to nonprofits who are boots on the ground. It will go to struggling individuals who do not have enough money for gas to get out, or who do not have enough money to provide their basic needs right now. Donate to Patrick's GoFundMe to help provide urgent aid for WNC communities affected by Hurricane Helene. Visit: atppod.com/wnc

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About the Podcast

Divergent Conversations
Reflections of Two Neurodivergent Clinicians
Dr. Megan Neff and Patrick Casale are two Neurodivergent therapists in a neurotypical world. During this podcast, they’ll talk about their own personal experiences as Autistic-ADHDers. They will reflect on their lived experience as AuDHD mental health professionals, and entrepreneurs, as well as offer clinical guidance, and support. Episodes will be conversational in nature, and they’ll interview other ND Folx to amplify the voices of other neurodivergent advocates and individuals as they share their authentic stories. New episodes will come out weekly, on all major platforms. Megan told Patrick, ”I’ll bring the chaos, You organize it.” This perfectly sums up their working relationship and friendship. Reflections of two neurodivergent clinicians. Raw, Vulnerable, Affirmative As Hell. Follow on instagram.com/divergentconversations
Topics include Autism, ADHD, Sleep struggles, Chronic Illness, RSD, Alexithymia, Autistic burnout, Intersectionality, Neuroqueer, Creativity, OCD, Neurodivergence, Affirming Language, Small business ownership, Unpacking Internalized Ableism, and so much more.
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Legal Disclaimer: The content provided in this podcast is for informational purposes only and should not be considered medical advice. Always consult a qualified healthcare provider or medical professional for personalized advice regarding any medical condition or treatment.