Rejection Sensitivity: Reality-Check Worksheet
A CBT and emotion regulation worksheet separating facts from interpretations of rejection, weighing alternative explanations, choosing coping strategies and a values-based response.
1-page fillable PDF · US Letter (prints on A4) · CBT · Emotion regulation
- Approach / concern
- ADHD & Neurodiversity
- Technique
- CBT · Emotion regulation
- Format
- Fillable PDF, 1 page (US Letter / A4)
- Access
- Pro and Advanced plans (3-day free trial)
- For
- Licensed clinicians to use with clients
- Updated
- October 2026
Key facts
What is the Rejection Sensitivity: Reality-Check Worksheet?
Rejection sensitivity is a tendency to anxiously expect, readily perceive and intensely react to rejection. Many adults with ADHD describe intense emotional reactions to criticism, linked to emotion dysregulation.
Why it works
Downey and Feldman (1996) showed rejection sensitivity shapes perceptions and reactions in relationships. Emotion dysregulation is common in ADHD (Shaw et al., 2014). ‘Rejection sensitive dysphoria’ is a popular term rather than a formal diagnosis.
When to use it
- ADHD and emotional sensitivity
- Relationship and workplace conflict
- Social anxiety
- People-pleasing
How to use it in session
- Write facts only.
- Name the interpretation and intensity.
- Weigh evidence and alternatives.
- Use a coping strategy.
- Choose a response.
Clinician tips
- Validate the intensity of the pain.
- Practise delaying responses.
- Pair with self-compassion work.
Worked example
Sharing with clients
Members can download the PDF to print or email, or copy a private client link from the download box. Your client opens the link and downloads the worksheet on any device. No client account is needed, and nothing your client writes is stored on TherapyAid.
Frequently asked questions
Is rejection sensitive dysphoria a diagnosis?
No. It’s a widely used description, not a formal diagnosis, though emotional sensitivity is common with ADHD.
Can rejection sensitivity improve?
Yes. Skills like checking the facts, emotion regulation and, for some, ADHD treatment can help.
References
Downey, G., & Feldman, S. I. (1996). Implications of rejection sensitivity for intimate relationships. Journal of Personality and Social Psychology, 70(6), 1327-1343.
Shaw, P., Stringaris, A., Nigg, J., & Leibenluft, E. (2014). Emotion dysregulation in attention deficit hyperactivity disorder. American Journal of Psychiatry, 171(3), 276-293.
This worksheet is an educational tool for use by, or under the guidance of, a licensed or registered mental-health professional. It is not a diagnostic instrument or a substitute for clinical judgement. If a client is in crisis in Canada, call or text 9-8-8 or call 9-1-1.
