07/06/2026
Rejection sensitivity.
You're sitting in the doctor's office waiting room. You're about to be called back to have your vitals checked. Blood pressure included.
And your phone buzzes.
An email from your boss. Short. Neutral. "When you have a free moment, give me a call."
That's it. Nothing else.
And within seconds, not minutes, seconds, your brain is already running.
What did I do? Did I miss something? Is this about last week? Am I getting fired? Why would they phrase it like that, "when you have a free moment," why not just say what it's about? What aren't they telling me?
The thoughts aren't arriving one at a time. They're piling on top of each other, each one feeding the next, every interpretation darker than the last.
You try to put the phone down. You try to breathe. You tell yourself it's probably nothing. You know you need to be calm, you're about to have your blood pressure checked, and you can already feel it climbing. You try everything you can think of to settle down, and none of it works, because the feeling didn't come from your thoughts. It arrived before your thoughts did. It's already physical. Already real.
And then something else starts to build. Anger, resentment.
Why couldn't they just wait until they saw you in person? Why send something like that and leave you sitting with it? Now you're going to walk into that exam room with your pressure elevated, the doctor is going to notice, there's going to be a conversation about your medication, and all of it traces back to six words in an email that may turn out to mean absolutely nothing.
The call happens later. It's routine. A quick question. Nothing at all.
The relief is real. But it doesn't give back what the last hour cost you.
This is one example of rejection sensitivity in ADHD. Not thin skin. Not overreacting. A nervous system that receives emotional signals faster than conscious thought, at full intensity, with no pause between the trigger and the flood.
Three things that actually help, that I've used for years in such situations:
First, add a question mark. When the reaction hits, ask yourself what else could be true. You don't have to believe the alternative. You just need it present enough to slow things down slightly. That small pause is where everything changes.
Second, calm the physical reaction. Begin with controlled breathing, slow, deep, deliberate inhale, slow exhale. Then starting at the top of your head, consciously blank out every thought (this takes some practice, but once you've mastered it, it will make a huge difference in your ADHD life) and work your way down. Scalp. Forehead. Jaw. Shoulders. Chest. All the way to your feet, actively releasing the tension in each area as you go. By the time you reach the floor, the flood will have receded enough to function.
The honest part: the moment you stop, it comes back. That's the ADHD reality. But even a few minutes of relief is enough to get through a blood pressure check without your doctor reconsidering your medication.
Third, delay before responding. Don't make the call from a flooded state. Wait if you can. The feeling won't disappear, but it will lose enough intensity that your response can come from you rather than from the reaction.
The feeling is real. The interpretation may not be.
π Full series link in the first comment below.