Sleep Revenge Procrastination: Why You Stay Up Late Knowing You Shouldn’t
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By Faisal Tai MD | June 13, 2023
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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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The act of emotional suppression is often described as holding in any outward signs of inner feelings. When somebody does not exhibit to others how they really feel inside, it lowers the chances that they will receive the kind of emotional support and medical care that they need to prevent anxiety and depression and even suicide attempts.
Traditionally, in most cultures men have been the breadwinner and the protector of the family. To do this they have had to put on a hard outer shell and not show any vulnerability. As one can imagine, this act can become very limiting over time and dissuade men from seeking the kind of emotional support and medical attention that they need. This emotional suppression creates a large gap between how one appears and how one really feels.
When one suppresses their emotions they can create what are sometimes referred to as shadow emotions. These are usually considered negative emotions, such as fear, envy, insecurity, etc. Even though they are suppressed, these emotions still exist, similar to what the legendary psychiatrist Carl Jung referred to as a “shadow self” complete with “shadow emotions.”
Shadow emotions often result in self sabotage because when someone does not express their true emotions they end up living a life which does not involve doing the things they want to do. Instead, they end up doing the things they expect themselves to do. This is the ultimate self-sabotage because sufferers end up not really being themselves – and there is no way to live your real life and be happy that way.
There are numerous psychological consequences of emotional suppression, and of course they differ widely by person. However, many experts assert that suppressed emotions stay in the body, causing anxiety, depression, and other stress-related illnesses. Over longer period of time this type of emotional suppression can cause alcohol and substance abuse and even suicide.
There are a number of detrimental effects of traditional masculinity on men’s mental health and well-being. Because men don’t share their feelings, and even the pain that they’re experiencing, they’re less likely to receive the kind of support, including medical attention, that they need. Around the world, data shows that death by suicide occurred about 1.8 times more often among males than among females. Many experts believe that traditional masculinity makes men more likely to put pressure on themselves to succeed and then take their own lives when they feel they have failed.
Many experts believe that embracing vulnerability would allow men to be able to express their real emotions, and therefore live more honest, healthy and pleasurable lives.
The first step for men to take in their journey towards emotional intelligence is to acknowledge that they have a problem in the first place. It is only after such acknowledgment that they are able to go about identifying and securing solutions, such as making changes in their life, seeking the sort of emotional support they require and securing the medical care that can help them along their journey.
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