RSD, Guanfacine, and the Internet Diagnosis: Why It Matters for ADHD Treatment
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RSD, Guanfacine, and the Internet Diagnosis: Why It Matters for ADHD Treatment
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Rejection sensitive dysphoria (RSD) has become one of the most viral labels attached to ADHD online. Psychiatric nurse practitioner Jonathan Murphy, PMHNP-BC, explains why RSD is not a psychiatric diagnosis, why it matters for anyone trying to get effective ADHD treatment, and what happens when internet labels follow patients into the exam room.
This episode argues that rejection sensitivity is a human experience, not an ADHD symptom, and looks at how a viral label can steer treatment toward guanfacine and away from first-line extended-release stimulants. It covers media literacy, the silent majority, and why your goal is your own life, not a tribe.
This episode covers:
▸ Why mental health is being politicized, and why that matters
▸ RSD as a viral label, not a DSM diagnosis
▸ Russell Barkley on rejection sensitivity and ADHD
▸ Correlation isn't causation: why the most universal experiences go the most viral
▸ Why psychiatric diagnoses should never be decided by popularity
▸ The diagnostic soup: labels as tools, not identities
▸ Guanfacine, alpha-2 agonists, and RSD
▸ Why extended-release stimulants remain first-line ADHD treatment
▸ How RSD can create friction with your treatment provider
▸ The pseudo-environment versus the real world
▸ Rejection as a stress response, and learning emotional self-regulation
▸ ADHD, technology dependence, and the algorithm
▸ No sponsors, no supplements, no tip jar: why that matters
▸ Media literacy: setting and defining your own terms
Find Jonathan on X @ADHDAuthority, or on YouTube at Focus Path Systems.
📕 The Process: An Adult's Guide to ADHD Medication: https://www.amazon.com/dp/B0H2Z6PM4T
📗 Cheat Codes: https://www.amazon.com/dp/B0FMJLQKBW
⚠️ Educational purposes only. Not medical advice, and no clinical relationship is established by listening. Never start, stop, or change a medication without your prescriber. If you are in crisis, call or text 988.
Jonathan Murphy, PMHNP-BC | Focus Path
Licensed in MA, NH, WA, OR | NPI 1821441965
Board Certified | ANCC 2017007119
CHADD Professional Member | ADDitude Professional Directory
🎥 https://www.youtube.com/@focuspathsystems
𝕏 @ADHDAuthority
🔗 https://myfocuspath.com
🔗 https://www.myfocuspath.blog
📧 https://mailchi.mp/myfocuspath/focus-path-pmhnp