Some people use the pain of RSD to find adaptations and overachieve. They constantly work to be the best at what they do and strive for idealized perfection. Sometimes they are driven to be above reproach. They lead admirable lives, but at what cost?
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RSD sucks. If you’re crippled by constant anxiety and meltdowns (like I was) or have anger management issues, guanfacine or clonidine can go a long way in managing the symptoms. It’s really nice to not be constantly terrified of disappointing people.