DopaDone Neuro Toolkit
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Reframe an RSD spiral with a four-step evidence check

An RSD spiral can't be argued out of the feeling, but a short structured step buys a breather to climb out. Name the thought you're believing, list what happens if you believe it, state the opposite thought and its consequences, then weigh the actual evidence for each — usually thin for the negative, ample for the positive.

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Rejection sensitivity delivers a gut-level certainty (‘she hates me, I’m a rubbish friend’) that no logic dissolves in the moment — but a brief structured routine can insert enough of a pause to stop the feeling from running the whole day. Borrowed from CBT-style ADHD coaching, it runs in four steps. First, name the thought you’re actually choosing to believe. Second, spell out the consequences of believing it — how it would make you act and feel (you distance yourself, you feel rubbish). Third, state the complete opposite thought (‘I’m a good friend and I’m loved’) and its consequences (more present, happier). Fourth, gather the real evidence for each side — and honestly done, there’s usually very little supporting the negative and, if you look, a lot supporting the positive. This doesn’t switch off the emotional rejection feeling; what it does is insert a logical step and a breather so you can pull yourself out of the spiral rather than let the gut-feeling verdict stand unchallenged. It pairs well with having banked reassurance to draw on and with deferring any reaction until the wave has passed.

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What the grade means

A A — strongest evidence: meta-analyses or RCTs directly confirm it works (or, for diagnostic tools, strong validation of accuracy).
B B — good evidence: a single RCT, or a strong mechanism with supporting studies.
C C — weak / preliminary: a plausible mechanism, but few direct, controlled tests.
D D — no evidence: theory or isolated anecdotes, no studies.
Applies to: ADHD Autism AuDHD