These aren’t standard rejection responses — hence the use of the word “extreme” within RSD’s generally accepted definition. The same is true of PDA. “The distinction from everyday avoidance lies in the pattern being pervasive, anxiety-driven, and significantly impairing. It affects daily living, relationships, education, and work in a way that exceeds ordinary reluctance or procrastination,” explains Dr Ute Liersch, a Counselling Pyschologist at The Soke.
