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How Rejection Sensitive Dysphoria Affects Relationships

Karen Chambre LCSW, PSY.D ca
3 min readNov 10, 2024

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A couple constantly fights in their relationship. They love and care for one another, but the circular loop of arguing keeps them stuck. They need help finding a way to break the cycle, so they come to couples therapy.

The couple's main issue is extreme sensitivity to rejection dysphoria. A partner with this condition can be deeply affected and may feel ignored or rejected if they see their partner interacting with others, even in innocent situations that pose no threat to their relationship. This heightened sensitivity leads them to perceive these interactions as threatening. The disparity in how each partner views these social interactions can result in significant conflict, emotional harm, and, in some cases, separation within the relationship. Often, the partner who exhibits symptoms of rejection sensitivity obsessively questions their partner. Also, wanting to know the whereabouts of the partner at all times. The intensities of these inquiries drive the other away from the relationship.

This article is about those relationships that pose no threat to the couple's integrity but in no way suggests that partners do not get involved with others they meet and have affairs with.

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Karen Chambre LCSW, PSY.D ca
Karen Chambre LCSW, PSY.D ca

Written by Karen Chambre LCSW, PSY.D ca

As a psychotherapist, it has been a pleasure to help clients overcome their internal and external challenges over the last 40 years.

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