WD
Specialist Expert

William W. Dodson

M.D., LF-APA — Board-Certified Adult Psychiatrist

The man who named your deepest fear

Rejection Sensitive Dysphoria (RSD) & Interest-Based Nervous System
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Overview

William W. Dodson, M.D., is a board-certified adult psychiatrist who has spent over 25 years specializing exclusively in ADHD treatment. He was one of the first psychiatrists in the United States to focus his entire practice on adult ADHD, and has served on the faculties of Georgetown University and the University of Colorado Health Sciences Center.

In 2012, he was named a Life Fellow of the American Psychiatric Association (LF-APA) in recognition of his clinical contributions. He also received the Maxwell J. Schleifer Award for Distinguished Service to Persons with Disabilities in 2006.

His most significant contribution is identifying and naming Rejection Sensitive Dysphoria (RSD) — the extreme emotional sensitivity triggered by perceived rejection, criticism, or failure. Before Dodson coined this term, millions suffered in silence, often misdiagnosed with mood or anxiety disorders. He reports that 98–99% of his adolescent and adult ADHD patients experience rejection sensitivity, with roughly one-third citing it as the single most impairing aspect of their ADHD.

His "Interest-Based Nervous System" framework explains why ADHD brains are motivated by interest, challenge, novelty, urgency, and passion — rather than importance or consequences. He has authored over 120 articles for ADDitude Magazine and is a member of its ADHD Medical Review Panel. He maintains a private practice in Denver, Colorado, and has recently transitioned toward writing, speaking, and consulting. He is currently working on his first book.

Notable Quotes

People with ADHD don't have an attention deficit. They have an interest-based nervous system.
The ADHD world is curvilinear. Past, present, and future are never separate and distinct. Everything is now.
It is estimated that those with ADHD receive 20,000 more negative messages by age 12 than those without the condition.
Most people with ADHD are self-blind. They can't, in the moment, stand back and say, "What am I feeling? Why am I feeling that?"

Connection to Your ADHD Type

Related Type: Storm + Freeze

RSD is a key mechanism behind both the Storm type's emotional intensity and the Freeze type's tendency toward social withdrawal and paralysis. The fear of rejection creates anticipatory shutdown — "if I don't try, I can't fail." His 20,000 negative messages statistic also helps explain the Ghost type's masking behaviors.

Which ADHD type are you?

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