How we respond and react when our RSD is triggered, manifests it from being not only a neurological/pathological condition to a mood condition or challenge with our overreacting and intense feelings over something you really care about. It's the hyperarousal part of ADHD where we struggle to distinguish between dangerous threats and minor problems.

Females (especially) with ADHD tend to be people-pleasers, over workers and perfectionists doing all we can to ensure there's no room for criticism. It's about applying for jobs below our capabilities because we are scared we won't be able to do what's being advertised (even if it's the same specifications and description of our previous role), we downplay our abilities in an attempt to lower other people's expectations of us, so we can meet them.

RSD is also being easily embarrassed, setting standards and expectations so high that no one (especially you) can't meet them, low self-esteem and anxiety (generalised and social). Social anxiety is the anticipatory fear that you're going to do or say something that will be embarrassing or be scrutinised afterwards. In some cases, the RSD person that they know people around them, want them to be, or worse, live a solo existence out of the fear they'll be rejected so they self-sabotage relationships and friendships to avoid their imagined rejection.