
The Ouch Moment – Navigating the RSD Wave
Why negative feedback hits differently when you’re neurodivergent,
and how to survive the first 24 hours.
We need to talk about the visceral, physical sensation of clicking ‘open’ on an email and realising it contains negative feedback.
For many of us with neurodivergent minds - specifically those of us who experience Rejection Sensitive Dysphoria (RSD) - it isn’t just ‘feedback.’
It feels like a physical blow.
The heart rate spikes, the face flushes, and the brain instantly catapults from "I made a mistake" to "I am unsafe, I am incompetent, and everyone hates me."
I recently received feedback that a workshop I delivered left a participant feeling ‘shaken.’
Even though I have presented double-figures of workshops at this specific organisation this year alone, and to over 4,000 people widely in multiple countries, my brain latched onto this one negative comment.
It threatened to erase a year’s worth of success in a single heartbeat.
The Emotional Cycle of the Response
When RSD hits, we lose access to our prefrontal cortex (the logical, planning part of the brain) and get stuck in our amygdala (the fight, flight, or freeze response).
It usually looks like this:
Phase 1 - The Drop: The immediate physiological shock. You might feel sick to your stomach or dizzy.
Phase 2 - The Shame Spiral: You review every interaction you’ve ever had. You replay the workshop in your head, distorting neutral faces into angry ones. You decide you are an imposter who should quit immediately.
Phase 3 - The Defense: The urgent, burning desire to fire back a reply immediately to explain, justify, or apologise profusely. “I need them to know I’m not a bad person right now!”
The Contextual Factor: When Life Happens
RSD loves to strike when our executive function is already depleted. In this specific case, the feedback highlighted that I hadn't managed the agenda or break times well.
The truth? I did drop the ball.
I was heading directly to a funeral after the meeting. My brain was already in grief mode, and the logistics slipped.
At that moment, when an ND leader approached me to ask for the break time, I didn't get defensive. We had a laugh, I apologised, and I immediately wrote ‘10:30 am’ on the board.
But when the email came later, I forgot that moment of repair and only felt the failure.
The Power of Pause
The most important tool in my toolkit is the Pause.
In my recent response to the client, I didn't reply immediately.
I acknowledged receipt, but I set a boundary. I explicitly stated: > "I need this time to allow my autistic mind to process the feedback thoroughly."
This is a radical act of self-advocacy. It tells the other person that you are taking them seriously, but you are also respecting your own neurology.
Strategies for the First 24 Hours
Since we can't control the outcome perfectly in a complex system, we must focus on the inputs we can control:
Do not hit Send: Draft your response in a separate document. Let the rage, the tears, and the over-explanation pour out there. Do not put it in the email client.
Acknowledge the context: Be honest with yourself. Was your executive function low? Were you masking heavily? I own my mistake regarding the breaks, but I also know that external stress (like a funeral) impacts my performance. That is human, not a character flaw.
Separate intent from impact: I know my intent was to educate and empower. The impact was negative for one person. Both of these things can be true at the same time without making me a villain.
Takeaway
It is okay to feel ‘shaken’ by the feedback yourself.
Give your nervous system permission to regulate before you try to fix the problem.
You cannot think your way out of an emotional hijack; you have to feel your way through it first.
For more information, contact Brooke on [email protected].