Attention-deficit/hyperactivity disorder impacts many different aspects of life, from laundry habits to behavior at work. Another area where ADHD can pose major challenges is sexual intimacy, thanks to a condition known as rejection sensitive dysphoria, or RSD.

So what exactly is RSD, and how does it harm your sex life? Below, experts break down the concept, how it manifests and what you can do if the experience sounds familiar.

What is rejection sensitive dysphoria?

“Rejection sensitive dysphoria, or RSD, means having an intense negative emotional reaction ― often emotional pain ― to real or perceived instances of rejection, dislike or critical statements by others,” Dr. Lidia Zylowska, an associate professor at the University of Minnesota School of Medicine and author of “The Mindfulness Prescription for Adult ADHD,” told HuffPost.

“It often means being vigilant and sensitive to others’ negative reactions, trying to pre-empt them, and having difficulty shaking off the intense negative feeling triggered by feeling rejected or disliked in some way.”