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By The PsychPlus Team | February 12, 2025
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Reviewed by John Doe, MD
Staff Psychiatrist at PsychPlus
May 22, 2025
Do you find yourself constantly saying yes, even when you’re overwhelmed? Do you avoid conflict at all costs, or feel crushed by even the slightest hint of disapproval? If so, you’re not alone—and it might be more than just a “nice” personality trait.
Many people struggle with people-pleasing, but for individuals with ADHD, it often runs deeper. It’s not just about being agreeable—it’s about avoiding the emotional pain of feeling rejected, criticized, or like a burden.
This emotional intensity is commonly tied to something called Rejection Sensitivity Dysphoria (RSD). While it’s not a formal diagnosis, RSD is a widely recognized experience among people with ADHD. It refers to the overwhelming fear of rejection or failure, and the intense emotional response that follows—even when the threat is imagined.
In this blog, we’ll explore how ADHD can make people more prone to approval-seeking behavior, why emotional sensitivity plays such a big role, and how healing involves building self-worth from within—not just from praise.
Rejection Sensitivity Dysphoria, or RSD, is a term used to describe the intense emotional pain that comes from perceived or actual rejection, criticism, or failure. For people with ADHD, these emotional reactions can feel overwhelming—far beyond what most would consider a typical response.
Though RSD isn’t formally recognized in the DSM (Diagnostic and Statistical Manual of Mental Disorders), it’s a widely reported and relatable experience, especially among adults with ADHD. Many describe it as a sudden wave of shame, anxiety, or guilt—even in situations where no real harm was done.
It can look like:
– Over-apologizing for minor mistakes
– Avoiding any situation where failure is possible
– Replaying conversations and obsessing over how others might perceive them
– Feeling devastated by constructive feedback or neutral expressions
To avoid this emotional discomfort, many people with RSD begin to people-please—saying yes to everything, avoiding conflict, and trying to manage how others feel in order to feel safe themselves.
But this coping strategy, while understandable, often leads to burnout, resentment, and disconnection from one’s own needs. And that’s where deeper healing begins.
People with ADHD often experience the world more intensely—emotionally, mentally, and socially. One key reason for this is the way ADHD affects emotional regulation. The brain struggles to manage reactions proportionally, making rejection, criticism, or failure feel sharper and more personal.
This heightened sensitivity is made even more difficult by impulsivity, which can lead to quick emotional responses and overcorrection, like apologizing excessively or overcompensating to please others.
Then there’s the lived experience of growing up with ADHD. Many children and teens with ADHD are constantly told they’re too loud, too forgetful, too scattered—or simply “not trying hard enough.” Over time, this kind of chronic invalidation shapes how a person sees themselves.
To avoid further criticism or rejection, many adults with ADHD develop people-pleasing behaviors as a form of self-protection. Saying yes, avoiding confrontation, or trying to keep everyone happy becomes a survival strategy—not just a personality trait.
But understanding where these behaviors come from is the first step toward change. If you’ve ever felt like you’re “too much” or “not enough” all at once, you’re not alone.
You can learn more about the lasting impact of ADHD beyond childhood in our blog Understanding Adult ADHD: Beyond Childhood Symptoms.
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ou know that feeling, the one where something about your friend’s partner just doesn’t sit right. Maybe it’s the way they talk over your friend in conversations or how they subtly put them down, disguised as a joke. You tell yourself, Maybe I’m overthinking it. But the nagging feeling lingers.
Why is it that we often spot red flags in someone else’s relationship before they do? It’s frustrating to watch, especially when your friend seems blissfully unaware, or worse, defensive. Are we just being overprotective? Or is there something deeper at play?
Psychologically, it makes sense. When we’re not emotionally involved, we see things more clearly. Love (or even just infatuation) can act like blinders, making people overlook warning signs they’d normally recognize. On the other hand, as an outsider, you’re not emotionally invested in the relationship, so your judgment isn’t clouded by attachment, hope, or history.
But here’s the tricky part: if you see something concerning, what do you do? How do you bring it up without pushing your friend away? And when is it best to step back and let them figure things out on their own?
Relationships and mental health are deeply intertwined. Being in a toxic relationship can take a toll on someone’s well-being, while supportive relationships can help people thrive. That’s why understanding the psychology behind this dynamic is important, not just for your friend’s sake, but for your own peace of mind, too.
Want to learn more about relationships and mental health? Check out our blog page!
Ever noticed how it’s easier to spot red flags in someone else’s relationship than in your own? It’s like watching a horror movie, you see the main character walking toward danger and want to scream, Don’t go in there! But when it’s your own story, the signs aren’t always so obvious. Why is that?
When you’re not emotionally invested in a relationship, your judgment isn’t clouded by love, history, or hope. You see things as they are, not as you want them to be. Imagine your friend is dating someone who always subtly puts them down. To you, it’s glaringly obvious. But to them? It might just feel like playful teasing. Or worse, they’ve convinced themselves that it’s normal.
It’s the same reason why giving advice is easier than taking it. When we’re on the outside looking in, we have distance, perspective, and objectivity. But when we’re in it, emotions complicate everything.
Have you ever bought a car and suddenly started noticing that same model everywhere? That’s confirmation bias at work; our brains seek out information that supports what we already believe. The same happens in relationships.
If your friend is in love, their brain will highlight all the good things and downplay the bad. Their partner forgets their birthday? “They were just busy.” Dismisses their feelings? “They didn’t mean it that way.” But as an outsider, you’re not filtering the relationship through a lens of attachment. You see the patterns for what they are.
Our own relationship history also plays a big role in what we perceive as a red flag. If you’ve been in a toxic relationship before, you might be hyper-aware of warning signs in others. You might pick up on subtle behaviors, gaslighting, control, emotional manipulation because you’ve seen them firsthand.
But this works both ways. If someone has never experienced an unhealthy relationship, they might not recognize the warning signs at all. To them, their partner’s jealousy might seem like love, and their controlling behavior might feel like protectiveness.
For those who have experienced trauma, whether in past relationships or childhood, patterns of behavior can be even more triggering. Someone who has dealt with emotional abuse may instantly recognize manipulative tactics, while another person may dismiss them completely. Gender and sex also play a role in how trauma is experienced and processed.
Click here to read our blog on how trauma affects men and women differently.
At the end of the day, seeing red flags in a friend’s relationship is a mix of perspective, experience, and psychology. The question is, what do you do about it? That’s where things get complicated.
It’s strange how, as a friend, you can pick up on little things that don’t sit right, the eye rolls, the offhand remarks, the way your friend’s partner subtly controls the conversation. These things might seem minor on their own, but when they start adding up, you can’t shake the feeling that something is off.
Here are some of the biggest red flags we tend to notice in a friend’s partner, often before they do.
Ever had a friend whose partner gets annoyed when they spend too much time with you? Maybe they make snide comments about how you’re a “bad influence” or guilt-trip your friend into canceling plans. Isolation is a classic tactic of control.
Jealousy can also be a warning sign. While a little jealousy might seem normal, it crosses the line when it turns into possessiveness, constantly checking their location, questioning who they’re texting, or making them feel guilty for spending time with others.
You bring up a concern, and their partner laughs it off. Your friend expresses a feeling, and their partner brushes it aside. Over time, these little dismissals can wear someone down, making them feel like their opinions and emotions don’t matter.
A healthy relationship should be built on mutual respect. If you notice that your friend’s partner consistently belittles them, makes condescending jokes, or dismisses their concerns, it’s a red flag worth paying attention to.
One day, they say they love working out. The next, they claim they hate the gym. They insist they’d never do something, but then you hear they did just that last week. These little inconsistencies might not seem like a big deal at first, but when someone keeps contradicting themselves, it raises a question: Are they lying?
Untrustworthy behavior can manifest in small ways—like exaggerated stories, or in bigger ways, like dishonesty about where they’ve been or what they’re doing. If something doesn’t add up, it’s probably not just your imagination.
Gaslighting is when someone makes another person question their own reality. Have you ever heard your friend’s partner say things like:
🗣 “That never happened, you’re imagining things.”
🗣 “You’re overreacting, stop being so sensitive.”
🗣 “You always make me the bad guy.”
Over time, these phrases can make your friend second-guess themselves and believe that they are the problem when, in reality, they’re just being manipulated.
Guilt-tripping is another common tactic. If their partner constantly makes them feel bad for setting boundaries or standing up for themselves, that’s not love, it’s control.
For neurodivergent individuals, red flags in relationships can look a little different. Some may struggle with emotional regulation, communication barriers, or sensory sensitivities that are misinterpreted as red flags when they’re actually traits of conditions like ADHD or autism. At the same time, neurodivergent people can also be more vulnerable to manipulation if they struggle with recognizing social cues.
If you or someone you know is neurodivergent and navigating relationships, check this out: Best Tools for Neurodivergence.
The more you understand these red flags, the more equipped you’ll be to support your friend. But that leads to the biggest challenge, what do you do when you do notice these warning signs?
You’ve spotted the red flags. You’re practically waving them in front of your friend’s face. But instead of concern, they brush it off with excuses:
🗣 “You don’t know them like I do.”
🗣 “They’re just stressed lately.”
🗣 “Every relationship has ups and downs.”
So, why do they refuse to see what seems so obvious to you? The answer lies in human psychology, emotional attachment, and societal expectations.
Love has a way of putting blinders on us. When someone is emotionally invested in a relationship, their brain literally works against them, flooding them with chemicals like dopamine and oxytocin, making them feel connected, attached, and hopeful.
That’s why, even when a partner’s behavior raises concerns, your friend might not want to see it. Acknowledging a red flag means admitting that something might be wrong. And if they’re deeply in love, that’s a reality they’re not ready to face.
Cognitive dissonance happens when someone holds two conflicting beliefs at the same time. In this case:
🧠 “I love my partner, and they’re a good person.”
🧠 “My partner did something that doesn’t seem right.”
Instead of accepting that their partner’s behavior is problematic, your friend might twist reality to reduce the discomfort:
➡ “They didn’t mean it that way.”
➡ “They’re just going through a rough patch.”
➡ “I’m probably overreacting.”
This internal battle can make people ignore even the most obvious red flags because facing the truth feels too painful.
For some people, the fear of being alone outweighs any concerns about an unhealthy relationship. If your friend has an anxious attachment style, they may cling to relationships, even toxic ones, because the idea of being single is terrifying.
Their logic? “At least I have someone.” They may justify bad behavior just to keep the relationship intact, fearing that speaking up will drive their partner away.
Even people with a more secure attachment style can struggle with this. The longer they’ve been with someone, the harder it is to walk away, especially if they’ve built a life together.
In the age of Instagram-perfect relationships, no one wants to admit that their love life isn’t as great as it seems. The pressure to appear happy can make it even harder to acknowledge problems.
Maybe they’ve invested years into the relationship. Maybe they’ve introduced their partner to their family and don’t want to deal with the embarrassment of a breakup. Maybe they feel like they’ve already put in too much effort to walk away now.
Society often tells us that relationships take work. And while that’s true, it shouldn’t mean ignoring toxic behavior. But for someone caught up in their own love story, admitting a red flag could feel like admitting failure.
At the end of the day, we can’t force our friends to see what they’re not ready to acknowledge. But we can support them, be patient, and remind them that they deserve a healthy, respectful relationship.
If you or a loved one are struggling with relationship concerns, mental health support can help. Book an appointment with a qualified provider today.
Bringing up concerns about your friend’s partner is tricky. You don’t want to come across as judgmental, but you also can’t ignore what you’ve noticed. Here’s what you do: approach the conversation with care, patience, and an open heart.
Timing is everything. A casual coffee catch-up? Good idea. A heated moment when they’re already upset? Not so much.
Find a comfortable, private setting where your friend won’t feel ambushed. Avoid bringing it up when their partner is around or during stressful situations.
🗣 “Hey, I’ve been meaning to talk to you about something that’s been on my mind. Can we chat?”
This opens the door without making them feel cornered.
No one wants to feel attacked. Instead of saying “Your partner is toxic” (which will likely make them defensive), try:
💬 Use “I” statements:
❌ “You need to leave them.”
✅ “I’ve noticed some things that worry me, and I just want to check in on how you’re feeling.”
This way, they won’t feel like you’re dictating their relationship decisions.
Vague warnings like “I just don’t like them” won’t help. Instead, share specific moments that raised concerns.
🔹 “I noticed they dismissed your feelings when you said you were upset.”
🔹 “They seem to get really jealous when you spend time with others, does that bother you?”
🔹 “The way they talked to you the other night didn’t sit right with me. How did that make you feel?”
When you highlight real moments, it helps them connect the dots instead of brushing off your concerns.
Even if the red flags are obvious to you, your friend might not be ready to act on them. Instead of pressuring them to leave, let them process things at their own pace.
🗣 “No matter what, I’m here for you. You deserve to be happy and feel safe in your relationship.”
Reassure them that they can always talk to you, without fear of judgment.
If your friend is in an unhealthy or potentially abusive relationship, they might need more support than just a heart-to-heart talk. Gently encourage them to seek professional guidance.
🔹 “If you ever want to talk to someone about this, there are professionals who can help.”
🔹 “You don’t have to go through this alone. Support is available when you’re ready.”
If they seem open to it, suggest reaching out to a mental health professional. Booking an appointment with a therapist can provide them with a safe space to process their feelings and make informed decisions.
It’s hard to watch someone you care about stay in a relationship that raises red flags. You want to shake them and say, “Can’t you see what’s happening?” But the truth is, people often have to come to realizations on their own.
At some point, you may need to step back and accept that your friend’s choices are theirs to make even if you don’t agree with them. Here’s how to know when it’s time to let go.
You’ve shared your concerns. You’ve offered support. But if your friend isn’t ready to acknowledge the issues, there’s only so much you can do.
Sometimes, people need to experience the consequences of a relationship before they’re willing to face the truth. As frustrating as it is, trying to force them to see what you see can push them further away.
🔹 Instead of: “You’re making a mistake.”
🔹 Try: “No matter what happens, I’m here for you.”
Leaving the door open ensures they’ll feel safe coming to you if and when they’re ready.
There’s a difference between a relationship with unhealthy dynamics and one that’s truly dangerous. If your friend is in an emotionally manipulative or toxic relationship, they might need time to recognize it. But if there are signs of abuse, control, or harm, intervention may be necessary.
🚩 Warning signs of danger:
If you’re concerned for their safety, gently encourage them to seek help. You can provide resources or help them find a therapist. Our qualified providers offer guidance on navigating difficult situations safely.
Caring for someone in a toxic relationship can be exhausting. It’s painful to see them get hurt, excuse bad behavior, and stay stuck in the cycle.
If their choices start negatively impacting your well-being, it’s okay to set boundaries.
🗣 “I love you and I’ll always be here for you, but I can’t keep having the same conversation if you’re not ready to take action.”
Protecting your own mental health doesn’t mean you don’t care, it just means you recognize that you can’t pour from an empty cup.
At the end of the day, your friend’s relationship is their decision, but that doesn’t mean they have to go through it alone. Whether they need help navigating an unhealthy dynamic or finding the courage to leave, support is available.
Encourage them to seek professional guidance from a therapist who specializes in relationship concerns. They can explore their emotions, attachment styles, and patterns that may be keeping them in unhealthy relationships.
💙 Finding support through PsychPlus.
It’s frustrating to see the red flags your friend hasn’t seen yet, but relationships are deeply personal, and emotions can make it hard to recognize warning signs. As outsiders, we have the advantage of distance. We’re not emotionally invested the way they are, making it easier to see patterns and behaviors that don’t sit right.
Change doesn’t happen overnight. Instead of pushing them to see things your way, the best thing you can do is be patient, supportive, and understanding. They need to come to their own realizations in their own time.
Raising awareness about mental health and relationship dynamics is key to helping people recognize toxic patterns before they become harmful. By understanding attachment styles, trauma, cognitive biases, and emotional influences, we can all get better at identifying unhealthy behaviors, both in others and in ourselves.
If you or someone you care about is struggling in a relationship, seeking professional guidance can help. Click here to explore our Couples and Family Therapy page for more resources. 💙
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