Global Validation Initiative

The first standardised instrument for rejection sensitivity in ADHD

RSD-RS provides dimensional assessment of rejection-related emotional dysregulation across six clinically-derived domains. A systematic approach to measuring what has long been observed but never quantified.

Addressing a Critical Gap in ADHD Assessment

Rejection sensitivity dysphoria represents one of the most impairing yet under-measured aspects of ADHD. Clinical observation has consistently documented intense emotional responses to perceived rejection, criticism, or failure—yet no standardised instrument has existed to assess this construct.

The RSD-RS addresses this gap with a structured, dimensional framework spanning six empirically-derived domains. This enables systematic baseline assessment, treatment response monitoring, and cross-setting comparison.

  • Dimensional severity quantification
  • Six-domain clinical profile
  • Reliable change detection
  • Multi-informant triangulation
Quick Assessment Options
Choose the right instrument for your needs
RSD-RS-30Full Assessment

30 items across 6 domains. Comprehensive baseline and diagnostic use.

RSD-RS-10Screening

10-item screener for quick identification. Ideal for busy clinics.

RSD-RS-10-MMonitoring

Brief monitoring version for tracking change over time.

Six Domains of Rejection Sensitivity

The RSD-RS captures the full spectrum of rejection-related experiences, from initial triggers through to functional impact.

A
Trigger Sensitivity

Heightened reactivity to perceived criticism, disappointment, or social uncertainty

B
Dysphoric Pain & Shame

Intense emotional pain, shame, and feelings of worthlessness following rejection

C
Anticipatory Hypervigilance

Constant scanning for signs of disapproval and predicting rejection

D
Acute Reactivity

Sudden emotional flooding, shutdown, rage, or urge to escape

E
Recovery & Aftermath

Prolonged rumination, reassurance-seeking, and avoidance following episodes

F
Functional Impact

Effects on relationships, work, help-seeking, and daily participation

Designed for Clinical Integration

Developed in consultation with ADHD specialists. Optimised for routine clinical workflow.

Empirically Derived

Item pool developed from systematic clinical observation and existing literature on rejection sensitivity

Treatment Monitoring

Reliable Change Index enables meaningful comparison between baseline and follow-up assessments

Ethics by Design

No PII stored. System-generated identifiers only. GDPR-compliant architecture.

Multi-Informant Assessment

Parallel forms for self-report, parent/caregiver, clinician, and teacher perspectives

International Validation

Cross-cultural data collection to establish robust normative benchmarks

Founding Contributor Access

Early adopter clinics receive permanent free access and publication acknowledgement

Contribute to the Global Normative Dataset

Clinicians worldwide are contributing anonymised data to establish population norms and validate the RSD-RS across diverse settings. Founding contributors receive lifetime platform access and recognition in future publications.