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What is Rejection Sensitive Dysphoria?

What is Rejection Sensitive Dysphoria?

Rejection is difficult. We know from experience applying for jobs or asking someone on a date that it can hurt to get rejected. Many people find rejection as painful, if not more painful, then insults and name calling. We tend to take rejection very personally, even in situations where it is not necessarily meant to be a personal attack.

Some people, however, experience rejection in an even more painful and more intense way. This is sometimes referred to as “Rejection Sensitive Dysphoria,” where an individual’s response to rejection is so personal, painful, and pronounced, it becomes overwhelming and potentially long lasting – affecting their mental health and behaviors in the future.

What Makes Rejection a “Dysphoria?”

“Dysphoria” refers to a “state of dissatisfaction and unease with life.” Most of us hate being rejected, but we can overcome it. We can find a way to push through, or not let it define who we are.

But some people take this a step further – rejection of any kind, even minor, becomes a triggering event, something that is so intense it can alter behavior and create overwhelming feelings of shame and emotional distress.

This is “Rejection Sensitive Dysphoria.” It is more common with those that have ADHD, but can affect others as well. Symptoms may include:

  • Sensitivity to Criticism – People with RSD may have an extreme sensitivity to criticism, whether it is direct, implied, or perceived. Even well-meaning feedback can feel devastating, leading to a prolonged emotional response.
  • Fear/Phobia of Rejection – Individuals with RSD may develop a deep-seated fear of rejection in social, professional, or personal settings. This fear can cause them to avoid situations where they might be judged or rejected.
  • Emotional Outbursts as a Response to Rejection – Rejection or criticism can trigger intense emotional reactions, ranging from tearful outbursts to sudden withdrawal or emotional numbness. These reactions often occur quickly and without warning.
  • Low Self-Esteem – Because of the intense focus on perceived criticism or rejection, individuals with RSD may struggle with low self-esteem or a negative self-image. They may be highly critical of themselves and overly dependent on external validation.
  • Trouble in Relationships, Personal and Professional – RSD can make maintaining personal and professional relationships challenging. People with RSD might overreact to comments or behaviors that seem critical, leading to conflicts or withdrawal from relationships.

Individuals with RSD may avoid opportunities that could expose them to criticism, which can limit personal growth or career advancement. In addition, the intense emotional pain associated with RSD can contribute to feelings of anxiety, depression, and social isolation if left unmanaged.

Despite its challenges, it’s possible to manage RSD and reduce its impact over time with appropriate strategies and support. By addressing the emotional intensity and underlying fears associated with rejection, individuals with RSD can work towards healthier relationships and improved mental well-being.

If you need help with rejection, whether you suspect you have RSD or not, please contact Flourish Psychology, today.

Should Work Stress Be Considered a Mental Health Disorder?

Should Work Stress Be Considered a Mental Health Disorder?

As psychotherapists, our role isn’t to tell you that you do or you do not need help. Our role is to provide you with what you need to move forward in life, no matter what it is that is holding you back.

Some of our most common calls are not for anxiety, not for depression, not for couples counseling – not for any of the most common mental health disorders. One common reason that many people reach out to a therapist is because they’re struggling with an issue that so many of us struggle with: work stress.

Work stress is not a recognized mental health disorder. It is not something that is diagnosed. But it also plays a very real and serious role in our physical and mental wellbeing – so much so that it can be enough to harm our relationship sand our day to day life.

Should work stress be considered a mental health disorder?

The Nature of Work Stress

Work stress arises when the demands of a job exceed an individual’s capacity to cope with or manage those demands. Common sources of work stress include heavy workloads, tight deadlines, lack of control over job responsibilities, difficult interpersonal relationships, and concerns about job security. While these stressors can vary from person to person, the effects of work-related stress are often similar and include:

  • Physical symptoms such as fatigue, headaches, and muscle tension
  • Emotional symptoms like irritability, anxiety, and feelings of being overwhelmed
  • Cognitive issues, including difficulty concentrating or making decisions
  • Behavioral changes such as withdrawing from social interactions or neglecting self-care

While these symptoms are common to stress in general, when experienced over a long period, they can lead to more severe mental and physical health issues.

Work Stress vs. Mental Health Disorders

Work stress itself is not classified as a mental health disorder. It is generally viewed as a temporary response to challenging situations in the workplace. However, chronic or unresolved work stress can be a significant contributing factor to the development of mental health conditions, including:

  • Anxiety Disorders – Long-term exposure to work stress can lead to generalized anxiety disorder (GAD) or panic attacks, especially when stressors persist without resolution.
  • Depression – Feelings of helplessness, inadequacy, or burnout from unrelenting work pressure can contribute to depressive symptoms. Prolonged stress, especially when coupled with job dissatisfaction, can make individuals more susceptible to developing depression.
  • Burnout – Although not a formal mental health disorder, burnout is a condition recognized by the World Health Organization (WHO) as an occupational phenomenon. Burnout results from prolonged exposure to chronic workplace stress and is characterized by emotional exhaustion, reduced job performance, and a sense of detachment from the job. Burnout can significantly impact mental health and lead to more serious conditions if not addressed.
  • Post-Traumatic Stress Disorder (PTSD) – In high-stress or high-risk professions, such as first responders, healthcare workers, or military personnel, individuals may experience traumatic events that can lead to PTSD. While the trauma may occur in the context of work, the disorder itself is recognized as a mental health condition.

Work stress itself may not currently be a mental health disorder. But it does appear it can CAUSE them, and that alone may be enough to warrant concern.

While work stress itself is not a disorder, it can become a mental health concern when the stress becomes overwhelming, unmanageable, or persistent. If work-related stress leads to ongoing feelings of anxiety, sadness, or anger that do not subside when away from the job, it may indicate that the stress is contributing to a deeper mental health condition.

When work stress begins to spill over into personal relationships or activities, causing withdrawal, irritability, or neglect of responsibilities at home, it can be a sign of a more serious issue. Chronic stress is linked to physical conditions such as heart disease, high blood pressure, and gastrointestinal problems. If work stress is manifesting in physical health issues, it may signal the need for intervention.

If stress is affecting job performance – such as reduced productivity, absenteeism, or difficulty meeting job expectations – it may indicate that the individual is experiencing burnout or another mental health issue.

Why Work Stress Should Be Taken Seriously

While work stress may not be classified as a mental health disorder, its effects on an individual’s well-being should not be underestimated. Unaddressed, chronic work stress can:

  • Lower job satisfaction and increase the risk of burnout
  • Negatively affect mental health, leading to conditions like anxiety and depression
  • Contribute to physical health problems
  • Diminish quality of life and overall happiness

Recognizing work stress as a legitimate concern is important for both employers and healthcare providers, as early intervention can prevent the escalation of stress into more serious mental health conditions. Employers should prioritize mental health support by fostering a healthy work environment, offering resources such as counseling services, and encouraging work-life balance.

Work stress is significant and important. It may not be considered a mental health disorder, but the mental health world as a whole is moving away from disorders and diagnoses anyway, as it starts to prioritize the needs of the individual. As therapists, our role is to help patients learn more about themselves and get the support they need to thrive in their personal and professional lives, diagnosis or not.

If you are struggling with work stress, or you’d like to learn more about our therapy and mental health services, please feel free and reach out to Flourish Psychology today for help managing work stress and the pressures of high profile work lives.

Could Being Alone in Silence for a Few Hours Help Relieve Stress?

Could Being Alone in Silence for a Few Hours Help Relieve Stress?

Many of us use the term “overwhelmed” to discuss how we’re feeling in today’s fast paced, increasingly connected, loud world. It’s a word that we are also using correctly. We ARE overwhelmed. We are frequently finding that there is almost no moment in the day where we are not being stimulated, asked to do things, or surrounded by noise and movement.

Being overwhelmed means that we are stressed, overstimulated, and unable to find opportunities to refresh and replenish our reserves. So it might not come as a surprise to learn that an effective way to help address being overwhelmed is finding yourself in quiet, disconnected, solitude.

Evidence increasingly shows that there are times when what we need to be less overwhelmed is to spend even just a few hours in completely quiet solitude – no noise, no phones, no distractions, no stresses. Sometimes, to address feeling overwhelmed, what need more than anything is silence.

The Psychological Impact of Silence

Silence can have a profound effect on the brain, particularly when it comes to stress reduction. In our daily lives, we are often bombarded with noise – whether it’s the constant hum of urban environments, the chatter of social interactions, or the endless stream of digital notifications. These stimuli can keep our minds in a heightened state of alertness, which can contribute to stress and anxiety over time.

Being alone in silence gives the brain a chance to:

  • Reset and Recharge – Quiet time allows the brain to enter a more restful state, which can help reduce mental fatigue. When freed from the need to process constant input, the brain can focus on recovery and repair.
  • Foster Mindfulness – Silence creates the perfect environment for mindfulness, where individuals can focus on the present moment without distractions. This shift in attention can reduce feelings of overwhelm and promote a sense of calm.
  • Improve Emotional Regulation – Without external noise and distractions, silence allows individuals to become more aware of their emotions and thoughts. This increased self-awareness can lead to better emotional regulation, helping individuals manage stress more effectively.

Silence gives our brain a chance to process the day, free of digital overload and the people and things demanding our attention. Our brains are always processing information, and need a bit of time to do that without distraction.

Physiological Benefits of Silence

Spending time in silence can also have a positive effect on the body. Stress often triggers the “fight or flight” response, which raises cortisol levels and increases heart rate and blood pressure. Silence, on the other hand, can activate the body’s “rest and digest” system, allowing for physical relaxation.

Some of the physiological benefits of silence include:

  • Lowered Heart Rate and Blood Pressure – When the brain isn’t processing external stimuli, the body naturally shifts into a more relaxed state. Studies have shown that quiet environments can lead to decreases in heart rate and blood pressure, which are key indicators of reduced stress.
  • Decreased Cortisol Levels – Cortisol is a hormone associated with stress. Spending time in silence can help lower cortisol levels, reducing the physical effects of stress on the body, such as tension, headaches, and fatigue.
  • Improved Sleep – Silence promotes relaxation, which can help individuals unwind and prepare for better sleep. Since stress is one of the primary causes of sleep disturbances, incorporating periods of quiet into your day can improve overall sleep quality.

In addition to its calming effects, silence can also lead to greater mental clarity and focus. When our minds are free from distractions, we are better able to process information, reflect on important decisions, and think creatively.

How to Incorporate Silence Into Daily Life

As hard as it is to schedule silence when you need it most, there are situations in which it is a good idea to see if, when you’re feeling overwhelmed, you can find a quiet place outside or inside, leave your phone behind, and sit in total silence for awhile if you can. All it may take is a few hours of silence to find that you’re able to take on the stresses of the day.

When it’s not possible to carve out large chunks of quiet time in a busy schedule, there are simple ways to incorporate moments of silence into daily life to help manage stress:

  • Morning Silence – Start the day by setting aside 10 to 15 minutes for quiet reflection, meditation, or deep breathing. This practice can set a calm tone for the day ahead and reduce stress levels.
  • Scheduled Breaks – Throughout the day, take short breaks in a quiet environment, whether it’s stepping outside, sitting in a calm room, or simply turning off digital devices. Even just a few minutes of silence can help reset your focus and reduce stress.
  • Unplug from Technology – Silence isn’t just about the absence of sound – it’s also about disconnecting from digital distractions. Set aside time each day to unplug from phones, emails, and social media to create a more peaceful environment.

Spending time alone in silence, even for a few hours, can be a powerful tool for stress relief. By allowing the mind and body to disengage from constant noise and stimuli, silence fosters relaxation, reduces physical signs of stress, and promotes mental clarity.

Whether through mindful practices or simply taking a break from the daily hustle, incorporating periods of quiet into your routine can significantly enhance your ability to manage stress and improve overall well-being. For more help controlling stress and feeling overwhelmed, please reach out to our team at Flourish Psychology, today.

Specialty Services We Offer Here at Flourish Psychology

Specialty Services We Offer Here at Flourish Psychology

Flourish Psychology is a private practice in NYC that works with patients from diverse backgrounds and a wide range of personal and mental health struggles. We have an incredible team of therapists that are kind, caring, educated, and create a safe space for you to be seen.

Like many therapists in New York, we treat conditions like depression, anxiety, relationship issues, work stress, and other issues and challenges that affect so many of us. But we also have specialty services that are available to those that need extra or specific help that may not be addressed through traditional therapy.

Examples of Our Specialty Services

Flourish Psychology works with many high profile clients, as well as those with higher level needs. As such, we’ve begun providing additional services and support for specific situations – each one designed to provide a different and often higher level of care to those that are the right fit. These include:

  • Exclusive Therapy – Exclusive therapy is a popular option for high profile clients that may require more ongoing, personal care. Exclusive therapy is a service where patients are given more significant, customizable access to a therapist to help them with ongoing needs, such as executives struggling with work stress or celebrities consumed by perfectionism.
  • Eating Disorder Intensives – Our eating disorder intensives are, as the name implies, services that provide a more intensive level of care. Patients that are stepping down from high level care or are looking at alternative options may find that these intensives provide them with the support and resources they need to thrive.
  • Career Counseling – Although we are not here to specifically help you find a new career, we are here to help those that are feeling stuck in their current professional world discover who they are and what would be most fulfilling. We can also help those in high stress jobs work through those issues to make better decisions for their future.
  • Art Therapy – Art therapy is not necessarily a “specialty service” as it is a highly regarded form of therapy that offers an alternative to cognitive behavioral therapy, among other treatments, but it is a form of therapy not many people are aware of. Through art, patients are able to learn more about themselves and how they see the world,

We are also, both within our practice and in the mental health world, moving away from diagnoses as much as possible, in favor of understanding that you are uniquely you and so too are the struggles and needs that you have. That means if you need something a bit more customized to help you thrive, we can be there with options and ideas.

Learn More About Our Specialty Services

At Flourish Psychology, our belief is that it is truly important to provide our patients not with cookie cutter mental health, but with personalized approaches that meet them where they are. If you’d like to learn more about our specialty therapy services, we encourage you to review the links above or contact us at any time with your questions.

Therapy for Unresolved Trauma as an Alternative to Couples Counseling

Therapy for Unresolved Trauma as an Alternative to Couples Counseling

Couples counseling is one of the best tools available to heal a struggling relationship. Couples therapy is real therapy – researched, effective, and a great way to address marriage and relationship difficulties.

But it’s also important to remember that a relationship is made up of two individuals. You are one entity, but you are also two people with two different backgrounds, needs, and more. As such, it’s important to remember that sometimes, the best approach to healing a relationship is not healing the relationship, but healing yourself.

Trauma and Relationships

Anxiety, depression, stress – there are many things that affect our ability to be present in relationships, to handle stress, and more.

Past traumas can be especially problematic. There are many situations where a person’s unresolved traumas affect how they feel and how they act in their relationship. For example:

  • Past infidelity in an past relationship can cause people to struggle to trust their current partners, even if their partners are not giving them any indications of infidelity.
  • Parental issues can cause people to have stress about abandonment, or about how relationships should work. Divorced parents that fought often may lead to children that grow up struggling with affection or stress.
  • Assault can lead partners to have trouble with intimacy, which in turn can hurt a relationship over time.

These are all examples of ways that a person’s past traumas can influence how they give and receive love, how they handle stress, and much more. When these situations occur, it is possible to heal them in a couples counseling setting. But it may also be valuable to look at these as an individual issue.

Perhaps, instead of seeking treatment as a couple, you may benefit from receiving your own personal treatment for these past traumas.

How We Address Unresolved Trauma in Therapy

We can use individual counseling, rather than couples counseling, to address these unresolved traumas. We can try to help you process things that maybe you were not able to process in the past, or confront emotions that you haven’t been able to address. There are therapeutic modalities that are very effective for dealing with childhood trauma, post traumatic stress disorder, and more, all to help you address these issues in the short and long term.

We can also help you learn coping skills that can help you in your relationships, so that you are able to still address the challenges of your marriage.

Couples Counseling vs Trauma Therapy

Couples counseling remains a highly effective way to address issues in a relationship. But sometimes, what you need most to help your marriage is support for you as an individual. If you would like to learn more about either couples counseling or individual therapy, please reach out to Flourish Psychology, today.

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