The Hidden Struggles of Highly Sensitive People

March 16, 2025

Illness, Medications, and Self-Care

Being a Highly Sensitive Person (HSP) means experiencing the world on a deeper level—physically, emotionally, and mentally. Dr. Elaine Aron, in The Highly Sensitive Person, describes HSPs as having a finely tuned nervous system that makes them more reactive to their surroundings. This sensitivity can be both a strength and a challenge, especially when it comes to illness, medication, and personal care. Psychotherapist Robin Shapiro expands on this idea, emphasizing the impact of environmental sensitivities and the importance of trauma-informed therapy.

Getting Sick Hits Differently

Existing research supports the notion that HSPs may experience both intensified physical symptoms and emotional distress during illness, though more targeted studies are needed to comprehensively understand these interactions.  In my practice and day to day life I have noticed the impact on getting sick and the increase of either anxiety or depression in my HSP clients. 

Medications Pack a Punch

Ever felt like a small dose of medication hits you way harder than it should? You're not alone. Dr. Aron explains that HSPs often react more intensely to medications, experiencing stronger side effects from stimulants, sedatives, and even basic over-the-counter drugs. Antidepressants, for example, can feel too intense at standard doses. This means HSPs should work closely with their healthcare providers to adjust dosages and find the right balance for their sensitive system.

Skin Care and Chemical Sensitivities

HSPs often struggle with skin care products and environmental chemicals. Robin Shapiro highlights Multiple Chemical Sensitivities (MCS) as a common issue among sensitive individuals. Harsh fragrances, preservatives, and synthetic additives in skincare or household products can cause rashes, headaches, or general discomfort. Many HSPs find that switching to fragrance-free, natural, and hypoallergenic products helps avoid these reactions.

Rejection Sensitivity and the Need for Calm

HSPs also tend to experience heightened rejection sensitivity, meaning criticism, social exclusion, or even perceived disapproval can feel crushing. Their highly sensitive polyvagal system—a key part of emotional regulation—makes them more reactive to conflict and stress. This is why calm, supportive environments are essential for emotional well-being.

Both Aron and Shapiro emphasize the need for self-care and self-compassion. Therapy that validates and accommodates high sensitivity (rather than treating it as a problem) can be life-changing. Grounding techniques like mindfulness, deep breathing, and polyvagal exercises can also help regulate emotions and reduce overstimulation.

Thriving as an HSP

Living as an HSP isn’t about toughening up—it’s about understanding and honoring your unique needs. Being mindful of medication responses, choosing gentle personal care products, and creating a soothing, low-stimulation environment can help HSPs feel balanced. As Dr. Aron says, "Being highly sensitive does not at all rule out being, in your own way, a tenacious survivor." And as Robin Shapiro reminds us, "You do not have to continue to experience yourself as less than, regardless of where those messages come from."

Further Reading:


Annabelle Denmark (she/they), MA, LPC is a therapist based in Lakewood, CO, They specialize in trauma informed (Parts work, EMDR and Sensorimotor Psychotherapy) individual therapy for neurodivergent adults 

You can find them at https://www.renegadecounseling.com




November 22, 2025
I’ve pulled together a holiday wishlist full of things that actually help — not the “must-have productivity bullet journal” hype, but real tools that me and people in my little ADHD-community lean on. Some of these are sensory, some are calming, some are just practical for a brain that forgets where it put its keys… again. This list is not sponsored — these are things that have brought relief or joy to real neurodivergent folks, myself included. My ADHD Gift Guide: What to Ask For (or Treat Yourself To) 1. Books & Workbooks The Anti-Planner If you’ve tried all the planners and they just end up collecting dust: this is for you. It’s not a dated planner — think of it more like an activity workbook for procrastinators. There are games, prompts, and low-pressure strategies to help you actually start stuff, even when motivation is MIA. It’s a favorite because it meets you where you are. Dani Donovan / Anti-Planner+1 Where to buy: You can order The Anti-Planner directly from the author’s site. Dani Donovan / Anti-Planner (Note: be careful of knockoffs.) Reddit+1 2. Fidgets & Sensory Tools Little Ouchie Grippie — This is one of our top picks in the office. It’s spiky, but in a grounding way — great for emotional regulation, calming down, or just giving your hands something to do when your brain is all over the place. Square Magic Dice — This is the fidget I can’t stop playing with. There’s a little hidden gem inside: a spinning-top spring surprise. It’s simultaneously weirdly magic and deeply satisfying. 3. Nervous System + Bedtime Support Pulsetto Vagus‑Nerve Device — Okay, full disclosure: I’m skeptical about how effective it is. BUT — I use it every night. The soundtrack, the ritual, the feel — it’s comforting. Pulsetto uses gentle vagus-nerve stimulation to help you relax, reset, and (supposedly) sleep better. 4. Grounding + Anxiety Soothers Bearaby Organic Cotton Weighted Blanket — Weighted blankets are a classic, and this one is dreamy. Soft knit cotton that’s breathable, but still gives that comforting hug. Perfect for calming down racing thoughts or overactive nerves. 5. Practical Lifesavers for the Forgetful Brain Apple AirTag — This is basically my “where are my keys? where’s my phone?” insurance. I’ve got like ten of these floating around, and on stressful days, “Find My” is my lifeline. 📝 A Few Other Beloved Ideas Beyond the main items, here are some bonus favorites from clients: Mini sensory stones or palm pebbles (textured, smooth, grounding) Visual timers (e.g., time-block timers) like the time timer A sunrise / gentle alarm clock (for less jarring wakeups) Noise-canceling headphones if the world feels too loud A self-care workbook (unplanner style) to track moods, energy, and needs 💬 Why These Items, Specifically I didn’t choose these just because they’re “trendy ADHD gifts.” Instead: These are things that people in my therapy space or IRL community actually use . They support emotional regulation , sensory needs , executive functioning , or daily brain stuff — not just productivity for the sake of “being busy.” Many are tools , not “fixes.” They’re not magic cures, but they help make life a little more manageable. ⚠️ Disclaimer This is just a personal list, curated from me + my clients. I’m not a product reviewer or a scientist — I’m a therapist + ADHD person. I cannot guarantee that these will “work” for you. Use your own judgment for anything with health or sensory implications. None of this is sponsored or affiliate-linked (unless you find links later, that’s your call — but not mine).
self portrait, green and yellow visual distortion
By Annabelle Denmark LPC May 1, 2025
This post is for therapists in training and clients who would like to know a bit more about how I show up in session.
anxiety spelled out in tiles
February 13, 2025
This blog uses a series of steps to help you navigate your anxiety.