This self-judgement is one of the problematic knock-on effects that can send people with ADHD into negative emotional states. “There can be an element of, like, ‘why bother, when I'm not going to do it right? I'm just going to get [a] negative response’, says Winter. This can trigger a common reaction of “rejection sensitivity dysphoria” , which she says “is a much deeper feeling of rejection at a critique” – one that can erode self-confidence and emotional wellbeing. And although rejection sensitivity is not unique to people with ADHD, it can be exacerbated in people with the condition.