steven-gellar-katz-lcsw-rStephen Geller Katz LCSW-R

Misophonia Cognitive Retraining Therapy


Misophonia Cognitive Retraining Therapy, as featured on the MTV True Life episode: “I Have Misophonia” premiering Friday, December 16th, 7:00 PM EST. See Clip >

Are you Suffering from any of these symptoms as a result of Misophonia? Call for a Free 15 Minute Consultation.

  • Mild to severe anxiety
  • Rage or Anger
  • Triggered fight or flight
  • Depression
  • Negative thinking
  • Crying spells
  • Hopelessness
  • Suicidal thoughts
  • Avoidance of people or places
Moderate to severe anxiety triggered by chewing sounds, including:
  • Nail clipping 
  • Brushing teeth
  • Eating sounds
  • Lip smacking
  • Breathing
  • Certain voices
  • Sniffing
  • Talking
  • Sneezing
  • Yawning
  • Walking
  • Coughing
  • Chewing gum
  • Laughing
  • Snoring
  • Typing on a keyboard
  • Whistling
  • Certain consonants

You may also be affected by visual stimuli, such as repetitive foot or body movements, fidgeting or movement you observe out of the corners of their eyes. 
Intense anxiety, rage and avoidant behavior may develop as a result of misophonia.

woman-misophonia* Do you feel your family and friends don’t understand how much you suffer?

* Do you often feel you can just suffer through a social event where there is eating present only to find that you must “escape” before you have a panic attack?

* Do you find that some people are at first understanding and make some efforts not to make the triggering sounds in front of you, but soon forget and constantly have to be reminded, causing you to feel angry, anxious and depressed?

* Are you avoiding social activities that you enjoy because of the misophonia?

* Are you fearful of losing your job and/or is the misophonia effecting your job performance?

If you answered yes to 3 or more of these questions or symptoms, then we can help.

You may be a candidate for Misophonia Cognitive Retraining Therapy, or MCRT.

Stephen Geller Katz, LCSW-R, with over 20 years of clinical experience, a New York University graduate, developed Misophonia Cognitive Retraining Therapy and founded Misophonia Cognitive Center in response to the growing number of people with Misophonia coming to his private practice from audiologists and ENTs. He discovered that by helping people to retrain and reinterpret the thoughts around their Misophonia, anxiety and depression symptoms began to improve. But even more important so did the Misophonic trigger response.

Call us at 646-585-2251 for a FREE consultation.

The Most Common Trigger Sounds for Misophonia Sufferers

The Most Common Trigger Sounds for Misophonia Sufferers

most-annoying-sounds-therapist-expert-nyc-ny-01If you’re trying to do some self-evaluation to figure out whether you might be dealing with misophonia, one of the best starting points are the kinds of sounds that you perceive as annoying – or triggering. Making a list is a good idea, as this kind of analysis is usually prone to being influenced by your own perception, so you’ll need to be sure exactly what kinds of sounds are truly annoying to you, and which ones are merely single incidents that can be safely ignored. Here’s a list of the sounds that misophonia patients have reported most often.

Sounds Made by Other People

common-annoying-sounds-need-help-cognitive-therapy-02By far the most popular category are sounds that other people make, especially with their mouths. Chewing, swallowing, crunching something with one’s teeth – these are all common examples that frequently get reported. Even talking can sometimes be irritating when the talker has a specific tone of voice, or, related to the above, if they talk while eating. While many people find that at least mildly unpleasant, misophonia sufferers get significantly more irritated from such annoyances.

Food-related Sounds

Sounds related to food and eating are also commonly present in these lists, even when they aren’t produced by other people specifically. For example, the classic noisy, crunchy sound of opening a bag of chips can drive some people borderline insane, especially if it’s prolonged by the person attempting to conceal their actions in a quiet environment. The clinking of glasses during a toast can also be a common irritator, making social gatherings particularly unpleasant for some sufferers when combined with the general noise and rattling associated with them.

House Noises

unnerving-daily-common-sounds-lowering-quality-of-life-03Staying at home and trying to immerse yourself in a quiet environment usually allows you to focus on the tiny everyday sounds associated with living in a house or apartment. Air filters, doors slamming and squeaking, the creaking of the walls, that fire alarm chirping because its battery is low – even one of those can often be enough to provoke a serious reaction in a person dealing with misophonia but combining several can make the situation a complete nightmare for that person.

Feel like dealing with this on your own is too much? If you want some professional guidance through the process of identifying misophonia and dealing with it in your daily life, you should contact us for an appointment today. You can hardly do better than the best misophonia specialists in NYC, after all.

Misophonia Treatment

How Can Misophonia Be Treated?

top-misophonia-treatment-specialist-nyc-ny-01Once a person has identified that they are suffering from misophonia, seeking treatment usually doesn’t take too long to follow through. It’s one of the more annoying and unpleasant conditions a person can live with on a daily basis, and in some cases,  individuals have described it as unbearable. There is no solid treatment route that’s guaranteed to get rid of the condition in every person, and in fact, resolving it for good is a tricky task. A large part of misophonia treatment procedures focus on addressing the symptoms and helping the patient live their lives normally despite the condition.

Identify Your Triggers

Misophonia is usually triggered by different events in people that suffer from it, and there is no standard list of irritating factors that could lead to an unpleasant sensation. In some cases, the patient may even be unaware of the majority of factors that contribute to the condition, making it important to pay attention to one’s daily health and wellbeing. It can often be helpful to keep a diary or some other type of log that tracks your daily life, pointing out the specific moments when your misophonia was triggered.

Block Out the Annoying Sounds

Once you know what types of sounds affect your condition and make things worse, the next step most people take is to block them out and give themselves some peace during the important hours of the day. Noise cancelling headphones can help a lot, although care must be taken to stay alert about your surroundings with the headphones on, in order to prevent an incident from occurring due to your inattentive status. In addition, high-end headphones can also predispose towards listening to music at dangerous volume levels, which can further contribute to harmful conditions in the future.

Consider Professional Treatment

professional-treatment-for-misophonia-problems-new-york-02It’s also important to reach out for proper help once you’ve identified the condition and have tried some simple remedies. Modern medicine can do a lot to help you manage the pain and get on with your daily life with a minimal level of interference – but it’s still up to you to take the first step and seek out professional help.


If you’re in need of assistance with your misophonia and want to ensure that you’ll be treated by the best specialists in NYC, give us a call and we’ll set up an appointment to figure out the best possible course of treatment for your specific circumstances.

Common Symptoms of Misophonia

The Most Common Symptoms of Misophonia

common-symptoms-misophonia-01As more and more people are turning their attention to misophonia – including healthcare professionals, thankfully – you may be wondering if there might be something inside your head as well. The nature of the condition can make it difficult to self-diagnose in many cases, and it’s always preferred to get the opinion of a specialist if you’re not sure whether you might have it or not, but there are still some signs you can use to get a pretty good idea of what your current status is. There is a set of symptoms commonly associated with misophonia that tend to manifest themselves in most people who suffer from the condition.

Specific Sounds Trigger You, But Others Don’t

Misophonia is typically linked to the presence of certain sounds in the environment, but only those. You may not get any negative response from sounds that drive others crazy, and vice versa. It’s important to make a list of specific sounds that seem to annoy you if you’re starting to suspect that you might have misophonia, in order to identify whether there’s a pattern or not. In some cases, you might simply find out that you’ve been getting triggered by a small set of sounds that everyone finds unpleasant, having nothing to do with misophonia.

The Sensation Is More Than Simply Unpleasant

nyc-misophonia-specialist-symptoms-treatment-02Most people who suffer from misophonia describe their conditions as going above and beyond simple discomfort. Many people claim that the sensation is annoying enough to make them actually angry, and there have been reports of people lashing out after being provoked by their corresponding personal triggers. If your annoyance frequently develops into something much more significant and you find it hard to control those emotions, this might be a good sign that you’re indeed dealing with misophonia. That’s even more certain if you find yourself considering physical responses – or even acting on them.

You’re Subconsciously Avoiding Some Environments

Misophonia can make you associate some environments with unpleasant feelings, and it might even be difficult to figure out that these environments are the problem until you realize that they are saturated with the kinds of sounds that trigger your condition.

If you’re not sure whether it’s misophonia you’re dealing with or a simple minor annoyance, you should get in touch with us and set up an appointment with the leading misophonia specialists in NYC. Don’t put this off until it’s too late, it will be much more difficult to deal with the problem later on.

NYC Misphonia Treatment Expert Discusses How to Manage Sound Sensitivity.

How to Manage Sound Sensitivity on a Daily Basis

sound-sensitivity-issues-misophonia-01Dealing with issues related to sound sensitivity is never fun, especially if it’s a persistent problem that manifests itself on a regular basis and is triggered by a variety of factors in your daily life. For some people, living with a condition like this can be downright dangerous due to the circumstances in which they are triggered, making it especially important to explore different coping mechanisms early on. It doesn’t matter if you’re dealing with tinnitus, misophonia or something else – you have a lot of potential control over the situation, and you must make use of it.

Isolate the Annoying Bits

chewing-sounds-sensitivity-misophonia-03If you can wear earplugs in environments that regularly trigger your irritations, it’s probably best to get used to doing that from as early as possible. Noise-cancelling headphones are another good option commonly used by people dealing with misophonia, although be careful that you don’t push things in the other direction – it can be easy to get carried away with a pair of powerful headphones and adding tinnitus on top of your pre-existing conditions is the last thing you want to do.


Explain Your Condition to People

sound-sensitivity-problems-misophonia-02If you’re dealing with something like misophonia, it can severely affect your relationships with others, especially if you have a stronger case of the condition that results in greater irritation and even potential physical outbursts. Not everyone understands what misophonia is, and the same goes for all related conditions that many people around us suffer from on a daily basis. Take your time to explain what you’re feeling to the people in your life so that they can be more understanding. Maybe someone will disagree and claim that you’re faking it, but that will only reveal things about that person that you were not aware of before.

Get Proper Help

best-treatment-misophonia-nyc-04If you want to maximize your chances of treating the condition successfully and bringing some peace back into your daily life, you have to get the problem addressed with the help of medical professionals as early as possible. Misophonia can quickly become much more problematic than it initially is, and delaying your treatment is one of the worst things you could do.



We understand how you feel and can connect you with the most respected misophonia experts in NYC, giving you a proper boost in dealing with the condition properly. Give us a call at 646-585-2251 and find out what we can do for you today!


What Is Misophonia?

top-misophonia-specialist-nyc-01Hearing is perhaps the sense that people mistreat the most throughout their lives, especially in their earlier years. Going to loud concerts without earplugs, listening to music at high volumes through in-ear earphones, and various other things that we pay little thought to can come back in a very frightening way in the future. Misophonia is a troubling hearing condition that affects a person’s daily life, causing significant discomfort – and in some cases even distress – when certain specific sounds can be heard in the vicinity.

What Are the Symptoms?

top-misophonia-sounds-specialist-02The main symptom of misophonia and the one people typically associate with the condition the most, is a general sense of extreme discomfort when a specific sound is heard. Different people respond to different sounds, and there doesn’t seem to be a common theme in what could trigger the condition. It’s also possible that the spectrum of harmful sounds can change over time, although reports on that seem to be somewhat conflicting at the moment.


How Does It Develop?

The exact mechanism behind the development of misophonia is still largely unknown, and the main hypothesis right now is that it has something to do with a malfunction in the nervous system. In that sense, misophonia appears to be a neurological disorder rather than a physical one related to the condition and healthiness of the ears. No concrete link has been established so far between a lifestyle that protects a person’s ears against hearing damage and the development of misophonia, although it certainly can’t hurt to ensure that the ears are treated with enough care and attention.

What Can I Do if I Have Misophonia?

negative-sounds-misophonia-treatment-03Medical science is still dealing with the problems caused by misophonia in somewhat experimental ways, although there are certain management courses established so far that seem to be showing good prospects. Treatment mostly boils down to learning how to cope with the situation and how to isolate the specific sounds that trigger it, although due to the way this therapy typically works, it’s not recommended to attempt it on one’s own. Professional assistance is strongly recommended to maximize the chances of seeing good results.

If you’re suffering from misophonia – or believe you may be – and are not sure what to do, don’t postpone treatment any further. Get in touch with us today and set up an appointment with the best misophonia specialists in NYC, and you’ll feel the difference in the quality of your daily life in no time!

Signs that You Have Misophonia

Sound sensitivity diseaseMisophonia basically, refers to a sound sensitivity disease or in easier words it can be a hatred of sounds. These sounds can include the noise made by a person when they eat, chew, breathe, whistle or yawn. Repetitive noises are quite disturbing for the one suffering from this disease. They not only prove to be painful but can also lead to negative reactions such as anger. These sounds are called trigger noises as they keep on reminding the nervous system.

If you have a mild reaction, you might feel uncomfortable and anxious. Whereas, if your reaction is harsh, it might lead to anger, hatred, rage, fear, and panic. This disease is usually found in children.
Moreover, Misophonia can put restrictions on your social life. These may include eating separately from the family and avoiding restaurants. This is because continuous noises might disturb the person and they may attack the one who is making the sound physically or verbally.

Warning Signs for Misophonia

Let’s have a look at the warning signs that may lead to Misophonia:

  • Sound sensitivity diseaseThe most visible sign that can be seen if your child is suffering from Misophonia is that he would show extreme sensitivity towards certain types of sounds. The most disturbing ones are sniffing, breathing, typing, and snoring, etc. Therefore, it is possible that your child will react indifferently.
  • Secondly, when your child hears any sound, it brings out an automatic reaction. This is beyond his/her control, and a clear discomfort and pain can be seen on his/her face. Moreover, these emotional responses can be anger and disgust.
  •  Another thing that you as partners must make sure is that they should take full care of their child if they watch anything like this. You should immediately take action if you witness that your child is trying to escape from the place where a certain sound is made. In most cases, they may run to a place where they are alone.
  • When your child knows that a triggering sound is going to be made, he/she starts taking steps to avoid them. These may include checking for people who are chewing, avoiding certain people, and not going to places where sounds like these may arise. Avoiding meals regularly is the most vital sign that shows that a person is suffering from Misophonia.
  • This issue faced by your child may worsen his reactions all the time. He/she has stopped talking to you and tries to stay away from people as much as possible. If your child is suffering from such disease, you would also get complaints of them from the school. Moreover, this can also lead to another disease, Misokinesias, which refers to the hatred of physical noises made by people around.



Sound sensitivity diseaseSuffering from this disease is seriously dangerous and can lead to other diseases as well. Moreover, you should make sure that you keep your child with you and engaging in regular talks. This would play a major role in this disease being cured.



Call today for a free 15min phone consultation 646-585-2251

Risk Factors for Misophonia

MisophoniaMisophonia refers to a chronic condition where an individual gives an emotional response to certain sounds. The exact meaning of this is “Hatred of Sound.” The affected people not only hate this condition, but they also show fear and annoyance to some sounds. Those of you who are mentally ill or have hearing loss is the most likely to suffer from Misophonia. Treatments for such condition is difficult, but antidepressants are recommended to get out of such conditions.

Risk Factors for Misophonia

Let’s have a look at some of the causes and risk factors of Misophonia:

Hearing Problem

MisophoniaAs there is no such cause for Misophonia, therefore, the way your central nervous system works plays an important role. The spinal cord and brain should work properly without a change in its structure. Particularly, this disorder results from an increase in hearing pathways, as well as the way people react emotionally to sound. All this happens in the central nervous system. People who are suffering from one disorder may suffer from the other. For instance, people who have hyperacusis are likely to have hearing loss. Therefore, some diseases are interconnected to each other.

Moreover, this disorder is related to some behavioral theories. It usually centers on extreme reactions to normal noises. This is done by the patient as it is beyond their control. Basically, in other words, this illness develops when the sufferer tries to develop an emotional association between an irritating noise, and a normal one. It is thought that this disorder is caused when the person who is suffering from it distinguishes the pain in hearing normal sounds in the environment.

Psychiatric Disorders

Furthermore, if you have a look at more causes of Misophonia, it tends to occur with mental disorders. Mental disorders that can take place, in this case, are surely obsessive-compulsive disorders. This refers to unwanted thoughts that come into your mind when you hear certain sounds. This makes it difficult for some people to go through daily activities as it may lead to the person being feared. To solve this issue, the relatives of the sufferer have a vital role to play.

Age Factor for Girls

Misophonia is a type of disease that is much likely to be caused to girls nearing or at the age of puberty. Therefore, it is important for parents to play an important role by keeping their daughters engaged in any work so that they do not feel depressed. Moreover, any other group of people is not attacked by such diseases. However, this does not mean that there is a confirm chance of it.

Eating Disorders

MisophoniaAnother circumstance which may give rise to Misophonia is people having eating disorders. Eating disorders refer to the illnesses that make the eating behaviors disturbed. People who have obsessions of weight and shape are also much likely to suffer from these disorders.

Bottom Line

It is significant for you to be aware that a risk factor does not mean that you will suffer from a certain disease no matter what happens. However, risk factors are highlighted to make sure that the people who have these problems should take intense care.

Call today for a free 15 min phone consultation 646-585-2251

Managing Misophonia at Work

Misophonia at work Misophonia is a complex disorder to comprehend. This is an absurd condition where a sufferer disgusted by certain common noises such as chewing food or clicking a pen. It has been associated with your psychological health because when triggered, a sufferer feels anxiety and in most cases gets enraged. The symptom and condition don’t seem serious, but it can damage the sufferer health in the long run.

Moreover, if you are a misophonia sufferer, dealing with ambient noises must be difficult for you. And if a certain noise triggers your misophonia at work, it must be a troubling condition. In the light of this, here are some useful tips that will help control your misophonia at the office.

Consider Ear Plugs

You can find good quality earplugs that will impede misophonia triggering noise. This device is easy-to-wear and easy-to-carry and can stop every background sound. And you will only need to take them off to interact with people.

Noise-Cancelling Headphones

Misophonia at workInvesting in noise canceling headphones can save your life. With the help of a magical set of headphones, you can manage your misophonia. Simply wear it and prevent a condition that contributes to your stress and anxiety. For instance, if a chewing sound triggers misophonia in you, you can escape the sound by wearing your noise-canceling headphones during lunch time. This way you can listen to your favorite music and can focus on your work without bothering via an ambient noise.

Take Frequent Short Breaks

This may seem difficult but to manage your misophonia at work without hurting your good ties with co-workers, taking short breaks is necessary. Experts suggest taking a 5-minute break every hour or 10 minutes after two hours. It is essential to relax your mind from the situation that keeps it stressed or anxious.

Sitting at the same for hours and try to control the noise that affects your wellbeing can cause severe psychological problems. Moreover, dealing with the ambient noise in silence can contribute to extreme anger levels as well. Thus, don’t hesitate to take frequent short breaks at work. Go to an open space, stretch and allow your brain to move from constant lights, sounds to silence and tranquility.

Talk to Management

Misophonia at workIf your misophonia has gotten intense and uncontrollable, you need to talk to your management in this regard. This is a serious health condition that you should take precautions for. This is why don’t hesitate and let your supervisors know about your disorder. It is your responsibility to explain to them that a particular sound affects you physically and you need help or else it would worsen your condition. You can also request for rearrangement of your desk –where the noise cannot bother you. Apart from this, you can also talk to the person that causes ambient sound. For instance, if a person has this habit of clicking pen unnecessarily, you can have a polite conversation in this regard.

Bottom Line

Misophonia is associated with your psychological health hence it is dangerous. So, don’t wait and schedule an appointment immediately to get best misophonia treatment in New York.


Call today for a free 15 min phone consultation 646-585-2251

Is Misophonia Hatred of Certain Noises?

MisophoniaMisophonia in literal meaning refers to hatred of certain sounds. However, a person suffering from Misophonia does not hate all types of sounds. Those with Misophonia have specific symptoms and are only sensitive to certain sounds. Usually, people who have Misophonia are not comfortable with background sounds. These uncomfortable sounds are called “trigger set” by them. When a person is exposed to certain sounds, this automatically brings an emotional response to his face. The intensity of the response can be moderate discomfort or full panic. It is important for you to act in some manner if you witness a person reacting to trigger events in some way or the other.

Fingernails Scrapping Down The Chalkboard

This is one of the examples of what people suffering from Misophonia face regularly. This is a mild example, and the intensity of the emotions of the sufferer is not very high. Moreover, the person does not produce a fight in events like these. Normally, the people closest to the sufferer experience the most problematic and uncomfortable triggers. This may lead to personal relations being affected. A person with Misophonia also has to limit from social activities. Furthermore, people suffering from Misophonia have to stay away from friends and family to reduce the symptoms.

Common Misophonia Triggers

Mentioned below is a list of common triggers that people usually go through. Let’s have a quick look at some of them:


MisophoniaThis refers to all the sounds made while you consume anything. This section also covers sounds that are made using the mouth. The major sounds include drinking, chewing, gulping, burping, nail-biting, licking, swallowing, tooth brushing, grinding teeth, and throat clearing, etc.

Breathing Nasal

These are all the sounds that are made when you breathe. These mostly include groaning, grunting, breathing loudly, snorting, sneezing, hiccups, yawning, screaming, and nose whistling, etc. These prove to be the most uncomfortable for people suffering from Misophonia.


MisophoniaIt is advised to use any glass and steel materials very politely. Making sounds will make this noise disturbing for those suffering from Misophonia. Therefore, it is recommended to use them when Misophonia sufferers are not around. The most common sounds are dish clattering, silverware hitting plates, and rattling change in pockets.



Call today for a free 15 min phone consultation 646-585-2251

How to Manage Misophonia

Misophonia Misophonia is a condition where you find some sounds utterly irritating such as loud breathing, loud and constant sniffling, loud food and gum chewing, etc. These are some intolerable conditions that trigger Misophonia in people.

In most cases, this ailment is so severe that you feel anxious, disgusted and it also contributes to hateful feelings for the person making the noise. It can be a problematic health condition as the noises keep you distracted from the tasks you are performing. It can also affect your performance at work or school.

Although the problem is common, but complex to understand; hence you can opt for a therapy to treat it with the best Misophonia treatment in New York. Apart from this, the advices and tips from the experts will allow you to manage it to some extent.

Noise-canceling Headphones

Misophonia You can control Misophonia triggering noises by wearing headphones. According to experts, you can opt for noise-canceling headphones. This way you can effectively impede noises that make you feel anxious or disgusted. It will also help maintain a peaceful relation with the person making noise that triggers Misophonia in you. By wearing noise-canceling headphones and listening to your favorite playlist not only eases your problem, but you don’t have to give explanation after explanation regarding this absurd health problem. The noise canceling headphones are easy to carry and can provide help during lunch breaks when chewing sounds make to uncontrollably disgusted.

Switch Locations

Switching locations is another quick solution to block out ambient noises in your surroundings. You can switch location at home without encountering an embracing situation. But if you are a working professional the case might be distinctive for you. However, experts recommend discussing your problem with your superiors so that they understand that Misophonia is a serious ailment. And they might consider switching the location of your desk to minimize noise that affects your wellbeing. And you will be more focused towards your tasks, which result in improved performance.

Explain Your Problem

Misophonia If you are suffering from Misophonia, be prepared to open about it as hiding your illness will only lead to more health problems. Experts suggest having a conversation with the person that makes certain noises and it contributes to your Misophonia – in or outside your home. This way the people will get a clear picture of what you are going through. An illness like Misophonia is difficult to comprehend. So it is your responsibility to let people around you know that Misophonia is a serious health problem and those ambient noises affect your wellbeing. You will find support this way, people in your surrounding will become careful and it will help decrease your anxiety levels as well.

Bottom Line

Misophonia is one of the serious health problems that can put you under stress. Therefore stop suffering in silence and start taking precautionary steps to treat your hatred of noise. Don’t wait and schedule an appointment to get Misophonia treatment in New York.

Call today for a free 15 min phone consultation 646-585-2251