The Hidden Struggles of Highly Sensitive People: Illness, Medications, and Self Care || By Annabelle Denmark LPC
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:
● The Highly Sensitive Person by Dr. Elaine Aron
● Doing Psychotherapy: A Trauma and Attachment-Informed Approach by Robin Shapiro
● https://doi.org/10.1016/j.paid.2005.11.021.
About the Author: 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
