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Rejection Sensitivity

When rejection lands hard, it often carries echoes of older wounds. Together, we slow down the spiral of self-blame, tend to the hurt beneath it, and begin to rewrite the narrative—so it’s no longer shaped only by pain.

My rates are:
$880 for a 90 min session

$550 for a 60 min session

Mental Health Support For Rejection Sensitivity

Rejection sensitivity can make ordinary interactions feel loaded, painful, and hard to recover from. Feeling like you’ve said the wrong thing. Spinning after a text is left unanswered. Holding your breath, bracing for disapproval—even when no one’s said anything. It’s not a flaw in your character. It’s your nervous system trying to protect you.


At Modern Holistic Psychiatry, we approach rejection sensitivity with care and precision. Whether your experience fits the pattern of rejection sensitive dysphoria (RSD), is tied to ADHD, or echoes earlier relational wounds, you won’t be asked to toughen up or push through. Instead, we’ll make space for what those reactions are trying to tell us, and how they’ve shaped the way you move through the world.

Therapy for Rejection Sensitivity That Centres Safety and Understanding

This isn’t about denying the pain or forcing perspective. Together, we gently explore what happens before, during, and after those spirals of self-blame. We look at how old patterns, whether from trauma, neurodivergence, or high sensitivity, might still be playing out in your relationships, and we begin to create space for something new.


Our work might include relational therapy, to understand attachment wounds that shaped your sense of self; somatic techniques, to regulate your nervous system when rejection lands hard; or reflection on ADHD, RSD, and whether psychotropic medication or other tools could be supportive. Whatever the shape of your story, the focus isn’t on performance or perfection. it’s on connection, and the possibility of being met without fear.

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Francesca Rome-Marie, PMHNP-BC

Board Certified Psychiatric Nurse Practitioner/ Former LGBTQIA+ Primary Care Provider & HIV Specialist/ Somatic Practitioner/ World Traveler/ European & American Citizen

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Get In Touch

If you’re carrying the weight of rejection sensitivity and looking for support that feels grounded, collaborative, and respectful of your experience, I’d be glad to connect. Book a free consultation with Modern Holistic Psychiatry to explore whether this kind of care feels right for you.

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