Therapy for
Therapy for rejection sensitive dysphoria (RSD) and ADHD
Therapy for adults who experience intense, overwhelming emotional pain in response to perceived rejection or criticism, often alongside ADHD.
Or call (646) 493-4007
Choose a time and book. It takes about 30 seconds. Opens our secure client portal.
4.95from 113 reviews
In-network with
- UnitedHealthcare
- Aetna
- Medicare
- Oscar Health
- Meritain Health
- Oxford Health Plans
- Cigna
- Optum
- Highmark BCBS WNY
- Univera Healthcare
- MagnaCare
- Anthem Blue Cross and Blue Shield
Industry-leading, structured care
Progress measured monthly, not guessed at
We respond within one business day
Every clinician state-licensed
Why MindView
Most therapy for Rejection Sensitive Dysphoria has no structure. Ours has four stages and a scoreboard.
Most practices deliver therapy for Rejection Sensitive Dysphoria however the therapist you happened to get was trained. We run one format for every client, and we measure it.
- 01
Intake
What is actually going on, rated 0 to 10 as your baseline.
- 02
Your history
Why it is happening. History, relationships, work, health.
- 03
Treatment plan
Written and collaborative, built against those causes.
- 04
Monthly review
Standardized measures, reviewed with you. You see the trend.
A license is where our training starts, not where it ends.
Every clinician is state-licensed before they see a single client. Then they train with us across every modality, and how to match one to the problem in front of them.
What clients say
4.95 averagefrom 113 reviews
- 5 out of 5 stars
Great service.
Alfie N.
Verified review
- 5 out of 5 stars
MindView Therapy has great customer service and is very flexible, with good therapist availability and clear communication of any changes. Genuinely a great place for therapy with zero judgement.
Kailani M.
Verified review
- 5 out of 5 stars
The support staff was very helpful in assisting me to find the right provider. And the provider they found me is personable, a good listener, has good advice, and appears to be quite knowledgeable. I'm very happy with my decision to go with MindView.
Kevin R.
Verified review
- 5 out of 5 stars
I truly felt seen, heard and understood by my therapist. Goals and next step expectations were clearly explained for processing.
Diane S.
Verified review
- 5 out of 5 stars
I had a great onboarding experience with MindView. My therapist took the time to do a really thorough intake, which I appreciated, and the staff keeps communication clear and consistent. Plus, they handled my insurance verification hassle free.
Jennifer P.
Verified review
- 5 out of 5 stars
I'm new to this therapy place, however the couples therapist we are seeing is amazing so far. She's a great listener and I can't wait to see how much further we can get with her guidance.
Maritza M.
Verified review
- 5 out of 5 stars
Great therapists, excellent customer service.
Meta
Verified review
- 5 out of 5 stars
My therapist has been incredibly supportive and compassionate. She creates a safe, welcoming space, and I truly feel heard and understood. I'm very grateful for her guidance. Highly recommend.
Laura S.
Verified review
- 5 out of 5 stars
The clinician is helpful. I would recommend this to my friends. I can communicate better with my family members. Thanks for your cooperation.
Sharmin S.
Verified review
- 5 out of 5 stars
The process to find a therapist was very smooth and quick. The intake did take some time, but it was a very thorough process. Overall a great service and very helpful.
Jorge Z.
Verified review
- 5 out of 5 stars
Helpful, and they let you know everything in advance.
Naphtali S.
Verified review
- 5 out of 5 stars
MindView Therapy has been wonderful to work with. The team is kind, responsive, and made the entire process feel easy from the start. I always felt heard and supported, and I really appreciate the compassionate care I've received. Highly recommend.
Angela D.
Verified review
- 5 out of 5 stars
I've had a great experience with MindView. They are easy to communicate with and handle my needs quickly. I've had some great sessions with my therapist and would highly recommend checking them out.
Kylah B.
Verified review
- 5 out of 5 stars
My therapist has done a great job of teaching me how to translate my thoughts into personal feelings, as well as helpful techniques to deal with my anxiety.
Ladale N.
Verified review
- 5 out of 5 stars
I cannot say enough good things about my counselor. From the very start she made me feel heard, respected, and supported without judgement. She is a great listener and challenges me to grow in healthy ways.
Barbara D.
Verified review
- 5 out of 5 stars
She is such a great therapist. She really listens to what you are saying and helps you figure out situations.
Leah D.
Verified review
- 5 out of 5 stars
The process from start to finish is made so easy. You get assigned to someone quickly and can choose from various time slots to work around your schedule. No sitting on a phone waiting, just quick and to the point with every step.
Shannon G.
Verified review
- 5 out of 5 stars
I've had such a positive experience with MindView Therapy. The sessions have given me so much clarity and practical tools to handle life's ups and downs. I feel more equipped and confident moving forward. If you are looking for a supportive and insightful therapy experience, I highly recommend them.
Lucie L.
Verified review
- 5 out of 5 stars
She is an amazing therapist. She understands me and where I am coming from without hesitation. It is a complete judgement-free zone.
Barbie Z.
Verified review
- 5 out of 5 stars
I've had a really wonderful experience at MindView. My therapist is a great listener and always made me feel heard and understood. I've seen meaningful progress. Would recommend.
Manana D.
Verified review
- 5 out of 5 stars
Great experience at this practice.
Honey Y.
Verified review
- 5 out of 5 stars
Kind, helpful, and good at what they do! My therapist is truly one-of-a-kind, and has helped me so much.
Nick B.
Verified review
- 5 out of 5 stars
Ok, hard to complete documents.
Karol L.
Verified review
Rejection sensitive dysphoria (RSD) is an intense, sometimes overwhelming emotional reaction to perceived rejection, criticism, or failure, out of proportion to the trigger and often arriving suddenly. It is widely recognized as a feature of ADHD, though it is not a formal diagnosis on its own. Therapy helps you understand the reaction, build skills to manage the emotional intensity, and reduce the avoidance and people-pleasing it can drive.
Does this sound like you?
- A small piece of criticism can flatten you for hours.
- You read neutral responses as rejection and spiral fast.
- The emotional hit comes on suddenly and feels physical.
- You avoid risks, or overwork to please, to prevent any chance of rejection.
- You have ADHD, or suspect you do, and the emotional intensity is the hardest part.
You do not have to be in crisis to start. If several of these sound familiar, therapy can help.
If several of these sound familiar, that is worth talking about.
Choose a time and book. It takes about 30 seconds. Opens our secure client portal.
If a small criticism can level you for the rest of the day, or a neutral text can send you spiraling into certainty that someone is done with you, you may recognize rejection sensitive dysphoria. For many people, especially those with ADHD, it is the hardest part to live with.
First, what the term is and is not
RSD is not a DSM diagnosis. It does not appear in the diagnostic manual, no clinician can formally diagnose you with it, and it is not a recognized standalone condition. The phrase came out of clinical writing on ADHD and spread widely because it named something a lot of people recognized immediately, which is a good reason for a term to catch on and not the same thing as diagnostic status.
That distinction is worth holding, because it cuts both ways. The label being informal does not make the experience invented. What it describes, sudden and disproportionate emotional pain in response to perceived rejection, is a form of emotional dysregulation, and emotional dysregulation is a well-established feature of ADHD with real treatment behind it. So a clinician will usually treat RSD as a description of your presenting problem rather than as an answer, and then assess what is generating it.
What the surge is actually like
The speed is the part outsiders miss. This is not a mood that builds over an afternoon. A manager says the deck needs another pass, and before the sentence is finished something has already dropped through your chest. It is physical, closer to being winded than to being sad, and it arrives in under a second.
Then it takes the day. You have gone from a note about a deck to a conclusion about your position, your competence, and whether anyone here actually wants you. You reread the message eleven times looking for tone. You draft a reply, delete it, draft a shorter one. By evening the original event has been almost entirely replaced by the story built on top of it.
The word perceived is doing heavy work here. The trigger is frequently ambiguous rather than negative: a short reply, a plan that got moved, a friend who took six hours to respond, someone who did not say much when you shared good news. Neutral input goes into the system and comes out as evidence you are being discarded.
Why it shapes so much of a life
Anything that painful gets avoided, and the avoidance is where the real cost sits.
You do not apply for the role. You do not send the message asking where you stand. You leave the ambiguous relationship rather than risk being left. You agree to things you do not want to do, because a small resentment is cheaper than the possibility of someone being displeased with you. You over-apologize. You end a friendship preemptively at the first sign of cooling, so that at least you were the one who did it.
Each of these works in the short run, and each one teaches the system that the threat was real and only avoidance kept you safe. The world gets smaller, and the sensitivity gets stronger.
What it gets confused with
Two distinctions matter for treatment.
The first is social anxiety. Social anxiety is largely anticipatory: dread before and during an interaction, focused on being evaluated. RSD is reactive. The interaction happens, seems fine, and the collapse comes after. The timing usually tells you which is running.
The second is atypical depression, where long-standing rejection sensitivity appears alongside oversleeping, increased appetite, and heavy limbs as part of a mood syndrome. If those features are present, atypical depression is the more useful frame.
What treatment works on
Two lines of work, and they run in parallel because the surge is too fast for insight alone.
The first is skill during the surge. Since the emotional intensity arrives before any thinking is available, the first target is not to argue with it but to stop acting on it. That means specific distress tolerance skills drawn from dialectical behavior therapy, practiced when calm so they are usable when not, plus a working rule about the window in which you do not send anything, do not quit anything, and do not end anything. The wave passes on its own timeline. What causes lasting damage is usually what got done during it.
The second is the interpretation, once the intensity is down enough to think. Here you take a specific incident and separate what was observed from what was concluded, in writing. The observation is that a text went unanswered for five hours. The conclusion is that she is done with you. Doing this repeatedly with real examples builds a record of how often the conclusion did not hold, which is more convincing than being told the conclusion is unlikely.
Where ADHD is present it gets addressed alongside rather than after, since the executive-function load and the emotional intensity feed each other. Some people also work with a prescriber for the ADHD; we coordinate with medical providers where that is part of the plan.
Getting started
If the emotional intensity is the part of your life that is hardest to manage, that is enough to book. You do not need an ADHD diagnosis first, and you do not need the label to fit perfectly.
We see adults 18 and over in Queens and Buffalo, with telehealth across New York. Benefits are verified before your first session. If ADHD is part of the picture, our ADHD page is a good next read.
Book online at choose your therapist or call (646) 493-4007. If the emotional pain ever reaches the point of thoughts of suicide, call or text 988.
What does it look like?
- •Sudden, intense emotional pain after perceived rejection or criticism
- •Reactions that feel out of proportion to the trigger
- •Reading neutral or ambiguous responses as rejection
- •Avoiding risks, or people-pleasing, to prevent rejection
- •Often occurring alongside ADHD
Who is this for?
- •Adults with intense emotional reactions to rejection or criticism
- •People with ADHD whose emotional intensity is a core struggle
- •Anyone whose fear of rejection is shaping their choices
What does therapy here actually look like?
The first three sessions follow a clear structure, so you always know what is coming next.
- First meeting
Your therapist asks what brought you in and how the rejection sensitivity shows up. You rate the intensity and its impact on a 0 to 10 scale and set a recurring weekly time before you leave.
- Mapping what is behind it
Your therapist maps your history, including ADHD if relevant, and how the rejection reactions developed and are maintained. You can decline any question and keep answers short.
- Writing the plan together
You build the plan together. Goals target managing the emotional surges, challenging the rejection interpretation, and reducing avoidance and people-pleasing, with concrete objectives. You also set one personal goal that matters to you.
- Ongoing
Weekly sessions work the plan. You build skills to ride the emotional wave, test the rejection story, and act from choice rather than fear. Once a month your therapist reviews standardized measures and adjusts the plan.
Therapy here is measured, not guessed
Once a month you have a measurement-based care review. You complete standardized measures, and your therapist reviews the trend with you. If something is not working, the plan changes. Regular therapy is the work. The review is the navigation system that keeps it pointed at the right target.
Sessions are weekly for the first two months to build a foundation, then frequency is reassessed with you. You set the pace, and you share only what you are comfortable sharing.
You do not have to figure this out alone.
Choose a time and book. It takes about 30 seconds. Opens our secure client portal.
Common questions
Do you accept insurance?
We are in-network with most major plans. In New York: UnitedHealthcare, Aetna, Medicare, Oscar Health, Meritain Health, Oxford Health Plans, Cigna, Optum, Highmark BCBS WNY, Univera Healthcare and MagnaCare. We confirm your benefits before your first session.
Is RSD a real diagnosis?
RSD is not a formal standalone diagnosis, but it is a widely recognized feature of ADHD describing intense sensitivity to rejection and criticism. The emotional dysregulation it names is real, and therapy helps with it.
Is RSD always connected to ADHD?
It is most associated with ADHD, but intense rejection sensitivity can also relate to anxiety, trauma, or other patterns. A clinician can help sort out what is driving it and treat accordingly.
Can therapy help RSD without medication?
Yes. Therapy builds concrete skills for managing the emotional surges and challenging the rejection interpretation. Where ADHD is present, some people also work with a prescriber; we coordinate with medical providers as needed.
How do I get started?
- 1
Check your insurance
Most major plans are accepted, and checking takes under a minute.
See if we take your insurance - 2
- 3
Meet your therapist
Your first session is an intake. Your therapist asks what brought you in, and you set a weekly time together.
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Take the first step
You do not have to figure this out alone. Booking takes about 30 seconds.