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.

What are Sound Disorders?

A sound disorder is a communication disorder, which starts showing its symptoms in the early stages of life. Children who start developing the disorder, will develop disfluency in speech and will also struggle in producing some sounds and saying a few words.

What are sound disorders?

People with this disorder struggle to coordinate their tongue, jaw, and lips with their breathing and vocal cords. Various treatments will fix the speech gradually. If the child sticks to the treatment exercises, his speech might even perfect in his adult years.

Effects of Speech Disorder

When a person has some disability, they start to shy off from conversations, and they become very quiet.

Similarly, when a child develops a communication disorder where his intellect is the same as the other kids, but his only shortcoming is, he cannot speak clearly. Such kids start making lesser friends, which affects their social life big time.

Since the kid is not able to communicate properly, their academic life is also greatly affected. The child is unable to participate in extracurricular and in class. If the disorder retains for long, the disorder will affect a person’s professional life. They might face bullying, and employers neglect them.


There are many sounds that kids learn earlier than others. Most kids learn to produce m, p, and w sound quicker than sounds like of z, th, and v. Most children will learn to say all sound by the age of 4, but if you believe your child is incapable of saying all the sounds by age 4, then he might have sound disorder.

If your child tends to add sounds, change the sound, and leave a sound while speaking and you struggle to understand him, in that case, your child might have the disorder.

It is prevalent that your child says some words differently like he makes “v” sound instead of “r” and says “vabbit” instead of “rabbit.” He might also leave out some sounds while talking. Most kids do that, but if he is doing that at an older age, then it might be an alarm.

Sometimes your child might speak differently because they have a dialect or an accent. If you speak with an accent that does not mean that you have a speech disorder.

Speech disorder has distinct symptoms, which are very different from any other neurological and medical condition.

Kids at Risk of Speech Disorder

The leading cause of speech disorder is still unknown. All the cases of speech disorder have different reasons, but there are still some kids who are at higher risk. The kids who have the following might have speech disorder;

  • Hearing loss
  • Cerebral palsy or any other nervous system disorder
  • ill health like a frequent ear infection
  • cleft lip or palate or any other physical issue
  • parents low education
  • lack learning support at home
  • excessive use of pacifier or thumb-sucking
  • down syndrome
  • autism


You can fix your child’s sound disorder in two ways. Either by taking your child to a pathologist or you can do that at home too.

The pathologist will ask your child to do some activities, and he will also tell him some interesting strategies that help overcome the disorder. He will also teach him lips and tongue movements, which will correct his speech. If the child suffers from any nose, throat, and ear disease, he will also recommend him to a specialist. If the child sticks to the activities, the child will overcome the disorder quicker.

You can treat a child at home by noticing his speech when he makes the wrong sound. For that, you need to learn how to fix your child’s speech correctly. Make him practice certain sounds and words.

What is a sound disorder?

Final Thoughts

Many people ignore the fact that their child is suffering from a sound disorder until it’s too late. When your child turns 4, and he is still not making some sound right, and the child is out of breath while talking, then your child must be suffering from a sound disorder.

Sometimes a child might not be suffering from a sound disorder, and his speech is naturally a certain way. Some kids develop an accent at a young age because of the media he watches.

Speech Sound Disorder

Do you or someone you know have a speech sound disorder? If your child is unable to say some words and sounds correct, then he/she must have speech sound disorder. When you speak, you require phonological knowledge. You need your tongue, lips, and jaw to coordinate with your vocal cords and breathing to talk and produce sound.

The children who have a speech sound disorder struggle with the phonological knowledge, and they also struggle with coordinating the movements required for producing speech sound.

Speech Sound Disorder

The primary issue that arises with the communication disorder is the child having it struggle in Their academic, occupational, and social life.

The Diagnostic Statistical Manual of Mental Disorder (DSM)

DSM is a guidebook. The first edition of the book is from the year 1952. The psychiatric association revises it in few years and makes an addition in it.

Currently, the 5th edition is in use, and this publication is from 2013. DSM-5 is the latest edition of the book. It covers many topics from anxiety, narcissistic personality disorder, speech disorder, Eating disorder, and various other mental disorders.

The DSM has categories for each disorder, with what the diagnostic criteria include, guidelines from psychiatrists, psychotherapists, and health professionals, and symptoms of the disorders.


According to the DSM-5, the following are the symptoms of speech sound disorder:

  • The first symptom is, the effects of speech sound disorder will show in earlier stages when a child starts speaking.
  • A child with speech sound disorder will suffer from omission, substitution, distortion, and phoneme addition. These complications will get in the way with your speech mostly.
  • Children who have speech sound disorder mostly struggle in social, occupational, and academic environments. These kids tend to speak lesser than others.
  • The symptoms which show on a person with speech sound disorder will not show on a person with some other neurological and medical condition patient, even people with Traumatic Brain Injury (TBI).
  • Speech sound impaired children will develop partial disorder by the age of two, and when they reach the age of 4, most of their speech will be intelligible.

Child Mind Institution has also given a few more symptoms for speech sound disorder, which include:

  • The child will make the wrong sound instead of the right ones, which makes the speech sound distorted.
  • The person will make nasal sounds, or they will have a sudden change in their speech, in terms of loudness and pitch. The change in sound also makes it more difficult to understand the speech.
  • Kids with the disorder might also run short on their breath while talking.


There are many causes of speech sound disorder. All the cases differ from one, so you cannot understand the exact reason for the communication disorder.

In most cases, the child who has the disorder has a family member with the same disorder. So, you can say the genetics of a person is the cause in most cases.


The most effective treatment for speech sound disorder is speech and language therapy. The therapy will consist of exercises in which the pathologist will help the patient recognize various words and sounds.

The pathologist will show the child various tongue and lips movements so that he learns to make the sounds correctly. It is the perfect way to treat the disorder and develop phonological skills.

Speech sound disorder treatment is a process, so it will take time for the child to perfect their speech. Over time, with practice, the child will learn to speak clearly without any difficulty. However, the speech disorder prognosis is a very slow process, and the treatment will not work in one go. So, you need to target specific parts of speech at one time.

Best Speech Sound Disorder Treatment

Final Thoughts

A speech disorder is a communication disorder condition in which a person struggles with producing sound for certain words. Speech disorder also comes in the category of phonological disorder, articulation disorder, and neurological disorder. In all the speech disorders is the most common.

Speech sound disorder affects your social, professional, and academic life. Since the person is struggling with speech, they tend to talk less.

Speech disorder creates disfluency of speech, and it also creates a barrier for other people to understand what you are saying. You can fix your communication with a lot of practice and patience.

Call the Misophonia cognitive center today and start managing and treating your sound disorder.


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Selective Sound Sensitivity Syndrome

Selective sound sensitivity syndrome is popularly known as misophonia. You can understand by its name that it is hatred towards selective sounds. These selective sounds are commonly known as trigger sounds. The trigger sounds can be loud, but they are very soft.

These days, ASMR videos come across as relaxing and tension releasing. If you are suffering from selective sound sensitivity syndrome, then these sounds will make you cringe.

Selective Sound Sensitivity Syndrome

It is a very common condition around the world. Around 20% of the world population is dealing with the disorder right now. So you are not dealing with this chronic disorder alone.

The Trigger Cues

You might confuse misophonia with hyperacusis. Both conditions are pretty similar, but there is a big difference, as well. If you suffer from hyperacusis, you will get triggered by some sounds and their specific characteristic. The sound might cause you physical pain. If you suffer from misophonia, the trigger sound will only get annoyed by the trigger sounds and you respond to them with bad-temper.

The recent researches show that the trigger cues can be of various kinds. 80% of the selective sound sensitivity syndrome sufferers get annoyed by sounds that come from the mouth. These sounds may be of lip-smacking, chewing, slurping, gulping, loud oral breathing, or sneezing.

Other kinds of trigger sounds can be repetitive or physical sounds. These sounds include finger tapping, nail clipping, sniffing, snorting, nose wheezing, clicking, typing, dogs barking, dish clattering, spoon scraping on dishes sound, or the clock ticking.

New research shows that some repetitive visual cues can also trigger a misophonic response, someone swinging their leg, the pendulum swinging, or the fan going around.

Trigger Sound Response

The response towards the trigger cues is known as “autonomic” response. While experiencing an autonomic response, your body instantly goes into “flight or fight” mode. In an autonomic response, you rather need to go away from the source of the trigger or you need to respond to it with aggression.  It is a very natural response. Whenever your body feels threatened, it responds with an autonomic response.

When you experience the flight or fight mode, your body starts producing adrenaline and norepinephrine. The release of these hormones causes your heart to beat faster and with that, your breathing also increases. You will feel that your muscles are tightening, which will also cause your blood vessels to constrict. While the experience your pupils will dilate and your senses will get more alert and you become more aware of your surroundings.

This is our body’s way to prepare us for responding to a threatening situation. The researchers are still finding the cause of why misophonia sufferers react to simple visual and audio cues in such ways. Researchers say that these responses are involuntary.

If you suffer from this chronic disorder, you might have built various coping mechanisms. Many people might not even notice that you suffer from a disorder like that. Using headphones all the time is a great help when it comes to dealing with misophonia.

An Under-Researched Condition

If you talk about misophonia, it is a relatively under-researched condition. There are very few studies done on it. Even though people have been dealing with for very long but researchers recently started studying about it. Selective sound sensitivity syndrome was recently named misophonia in the year 2000. Formerly no one was much aware of the disorder but since the use of the internet has normalized, people are more aware of all kinds of disorders.

Even though there is a lot of awareness about the disorder, yet all the information about the disorder comes from very limited resources. Most of the information comes from case reports and some come from extremely specific studies. There is so little proof of misophonia that the psychology guidebooks do not acknowledge the existence of misophonia. The DSM-5 or ICD 10 has topics covering misophonia. The psychologist is still finding proof and trying to build a roadmap of misophonia.

Best Selective Sound Sensitivity Syndrome treatment specialist

Final Thoughts

Misophonia is a very common disorder, but there is very little research on it. Most of the information you see about is from small studies by individual researchers or case reports. The treatments which healthcare providers suggest for misophonia do not seem to work effectively. They only help you in altering your response or they help you in ignoring the trigger sound.

The Misophonia Treatment Center Treats Selective Sound Sensitivity Syndromes

Call us today to talk about identifying and treating your selective sound sensitivity syndrome.

Stephen Katz LCSW

New Treatments for Misophonia

Are there any new treatments for misophonia? If you dislike everyday sounds, and you unreasonably respond to them, then you might have “misophonia.” “Miso” refers to “Hate” and “Phonia” refers to “Sound.” Misophonia was formerly known as a specific sound syndrome. The researchers say that it is a better name for the disorder because it is self-explanatory.

New Treatments for Misophonia

Misophonia Classification

When you talk about misophonia is it is a newly found disorder. The psychiatric guidebooks like DSM and ICD do not acknowledge it by now. They do not consider it as a hearing disorder, mental disorder, or any other kind of disorder. Even though misophonia marks all the boxes for being a disorder.

The researchers are still trying to collect information about the disorder. They are trying to draw a roadmap for the disorder. Up till now, the scientist could not decide if misophonia is a disorder itself, or it is a symptom of some other bigger mental disease.

The Trigger Cues

Misophonia is a disorder in which you respond to specific visual and audio cues unreasonably. These reactions may vary. You might respond aggressively or mildly.

The trigger sounds are usually very soft since these are everyday sounds that everybody hears and you cannot run away these sounds. Even though the sound is soft, but it can be relatively loud.

When you look at the 80% of misophonic cases, you will see that the person usually gets triggered by sounds that come from the mouth. These sounds may be of chewing, gulping, eating, whistling, or whispering.

If you get triggered repetitive sounds, in that case, you might still be dealing with misophonia. Every day sounds like typing, tapping, marker writing sounds, or the clock ticking sounds can also be trigger sounds.

If repetitive actions also make you respond in awkward ways, in that case, you might be suffering from misophonia.

Misophonia Misconceptions

When it comes to misophonia, you might confuse its various disorders. Misophonia is a disorder, which can only be trigger by an external stimulus once the external stimulus goes away, you calm down instantly.

Anxiety disorder

You might confuse misophonia with an anxiety disorder. The best way to differentiate the disorder is by understanding if the stimulus is external or internal. When you have an anxiety disorder, the stimulus must be coming from the inside. For example, a simple thought of giving an exam might keep you thinking and make you anxious.


Phonophobia is another disorder that you might confuse with misophonia. If you have phonophobia, they will get scared of loud noises like sirens, toilet flushes, or the sound of something dropping. This disorder is very common in autistic children.


Hyperacusis is another disorder that is common in autistic children. If you have this disorder, certain intensities of sound might cause physical pain in the ear and brain. The sounds can be of various intensities, volumes, or a certain characteristic of the sound might be a trigger.

Treatments for Misophonia

As you know, misophonia is a newly found disorder, so the treatments for it are very few. Until now, healthcare providers use three different treatment methods for treating misophonia. These treatments help you deal with the disorder, but they do not cure the disorder in any way.

Tinnitus Retaining Therapy

During this therapy, the healthcare provider will conduct some exercises on you, which will help you in tolerating the trigger sounds better.

Cognitive Behavioral Therapy

It is closely related to tinnitus retraining therapy. While the therapy, the healthcare provider will try to alternate your negative response into a relatively positive response towards the stimulus.

Newer Treatment

Recently the healthcare providers have introduced a new treatment for Misophonia. The healthcare providers add sound to your everyday background that you do not react to the trigger sound as much as you usually do.

The newer treatment has the most successful results. It helps the person to recondition more effectively.

Newest Misophonia Treatments

Final Words

Misophonia is a newfound was acknowledged in 1997. So that, all its treatments also very new. In the past people used to treat misophonia with TRT and CBT, but the newer treatment is also coming across as effective. It has many successful results. But if your case is severe, the healthcare provider might also recommend medication.

Misophonia Medications

Misophonia is a disorder that is common in 20% population of the world. Misophonia means that you hate certain kinds of sounds and noises. These sounds might want to make you respond in unreasonable ways. The sounds are usually very soft, and they are from your everyday life, but they still may annoy you.

Misophonia Medications

If you ask a person with misophonia about sounds that annoy them, they will likely tell you that nails scratching a chalkboard, constant beeping sounds from equipment, the clicking of a pen, etc all get on their nerves.


DSM 4 and ICD10 do not recognize the disorder anywhere in their guidebooks. Even though many people think of the disorder as a psychiatric issue or a hearing issue, but these respective guidebooks do not highlight the disorder, even though 20% of the population may suffer silently.

Some researchers say that the disorder can be some anxiety disorder, a form of sound and emotion synesthesia. And some also classify it as a form of OCD. Some researches even refer to it as a milder form of autism. Some findings of the disorder do not point toward a particular conclusion.

Types of Misophonia

Misophonia has various types and intensities. All cases vary from one another. You might have a severe type of misophonia in which you might react to the sound in a very aggressive while developing negative though. Or you might have a milder form of misophonia in which you might react to it with annoyance.

If you are in the 80% of the misophonia patients, then you might notice that sounds that come from the mouth can serve as a trigger. Sounds like chewing, munching, slurping, snoring, or whistling. You might react to it with annoyance or in a violent way.

Another form of misophonia is when you react to sound that comes from physical objects or a prevalent everyday sound, sounds like keyboard typing, mashing, the clock ticking, or chair squeaking. If you have this type of misophonia, you might react to the sound violently, and this is the type of misophonia which might be a cause of a mental struggle.

Phonophobia is a very severe form of misophonia. In this disorder, you might develop fear in response to the respective sound. You might develop this when you’re young, in response to a traumatic incident that left a lasting impression.

Medications for Misophonia

When it comes to misophonia, it is not a disease that the health care providers treat it with medications. Most health care providers suggest some kinds of long term treatments and exercises over the disorder.

Many healthcare providers will try to treat you with cognitive behavioral therapy in which they will try to alter your negative thoughts. They try to recondition your brain by replacing the sound response with some other mild response. The other treatment for misophonia is tinnitus retraining therapy. In this therapy, the health providers will teach you to tolerate the trigger.

But if you are not satisfied by the therapies the provider with suggesting you medications like Lyrica, it is coming across as an effective medicine for misophonia. They might also recommend you Klonopin, which is relatively less effective.

Experts began resorting to medications in recent times to treat misophonia based on its symptoms that matched other disorders, and this is why medications for combating depression, anxiety, etc. are among their top choices. So, it is no big surprise that medications that treat depression and anxiety are part of the subscription for treating misophonia.

Medications like fluoxetine and escitalopram that treat anxiety and depression can also treat misophonia. Dextroamphetamine and amphetamine can help with managing ADHD symptoms. And these medications tend to be a good match for treating misophonia.

Some bipolar disorder medications, like lamotrigine and divalproex sodium, also prove to be effective too. Moreover, experts believe that vitamins, minerals, and fish oil, and a few other dietary supplements can help ease misophonia.

Best Medications for Misophonia 02

Final Thoughts

Misophonia is a common disorder. Many people have some degree of it. You can lower the effects of misophonia with certain types of medications and treatments. Many people say that it is a mental disorder, and some call it a hearing disorder. But the DSM and ICD do not recognize them in their guidebooks a disorder.

For more information or to schedule an online consultation, call misophonia specialist Stephen Katz today:

Stephen Katz LCSW

Misophonia and Anxiety

What are the relationships between misophonia and anxiety? In simple words, misophonia is hatred towards the sound. If you find everyday sounds annoying like chewing, eating, slurping, a clock ticking, shoe tapping, then you might have misophonia. Many studies show that misophonia is a symptom of anxiety disorder. Meanwhile, other researches show that misophonia is a separate disorder itself.

Misophonia and Anxiety

There are many pieces of research done on the subject. If you have misophonia, you might confuse it with anxiety and vice versa. Preliminary research shows that misophonia and anxiety are two different disorders, but both of the disorders might interrelate with another at some point (Cavanna & Seri, 2015).

Misophonia and Anxiety

The major reason form people’s confusing is because both the disorders hit the same part of neurophysiological systems. When you feel anxious, you want to go away from the origin of the problem, and if you have misophonia, when you hear a trigger sound, you want to go away from the origin of the sound since both disorders make your respond similarly, so people confuse one another.

If you want to spot a difference between anxiety and misophonia, it is very easy. If you only get triggered by external visual and phonic cues, in that case, you have misophonia. It is very different from having anxiety. When you have anxiety, usually an internal stimulus is the trigger. It will get you anxious. Nevertheless, if you have severe misophonia, even thinking about the trigger sound will get you anxious.

When you talk about misophonia, the severe reactivity goes away as soon as you go away from the stimuli. For example, when you hear the sound of someone tapping shoes, you go away from the place, you immediately feel relaxed. This will happen to you when you have misophonia because the external stimuli were triggering you.

Meanwhile, if you are suffering from anxiety, the simple thought of having the next day will keep you thinking. A job interview will get you anxious. You might be thinking of the future, and it will get you anxious. You will notice, anxiety will be most likely to have an internal stimulus than external.

But if you are going through an anxiety attack, a misophonic stimulus might make it worse for you. Your nervous system is on an alert mood when you are thinking about something proactively since your system is on an alert mode, a misophonic stimulus will sound more intense than usual, and your anxiety will escalate and with added intensity. If you have anxiety and misophonia, then you might react to a misophonic stimulus more intensely than other misophonia sufferers.


The first step for misophonia maintenance is to know what sounds trigger you the most. You should also know about the disorder. You need to understand how the sounds affect your nervous system. When you learn about the disorder, you become a little less overwhelmed when you hear the trigger sound.

There are different ways by which you can manage your reaction towards the trigger sounds:

  • When you hear a misophonic trigger sound, you must concentrate on your thoughts. Check if you are having an anxiety attack or you have a misophonic response.

Once you differentiate between both reactions, it will be easier for you to unpack your response. It will not solve the entire problem, but it will somewhat help you.

  • The other way to overcome misophonia and anxiety is by meditating. Meditating will help you calm down and relax.

Meditating is a proven method to overcome any anxiety disorder. It will help a misophonic suffer from calming down and ignore when they hear the trigger sound.

Common Forms Of Misophonia

There are many forms of misophonia. All the forms make you react in different ways. You might also have a different level of misophonia. On all levels, you respond differently. The response might vary from aggressive to being annoyed.

The most common type of misophonia is when you react to oral noises. Around 80% of the misophonia sufferers deal with this type of misophonia. In this form, you might react on the different levels. If loud chewing noises make you violent and react unreasonably, then you might also have this form of misophonia.

Misophonia and Anxiety Relationship

Final Words

Misophonia and anxiety are some of the common disorders around the world. Around 20% of the world population is suffering from misophonia, and 18.1% of the population is dealing with anxiety disorders.

For more information, visit our website or call us to schedule an online appointment

Stephen Geller Katz LCSW

Hatred of Sound

Hatred of Sound - Noise Disorder 01

Do you have a hatred of sound? If you notice that you cannot bear with some sounds, which are normal and are part of daily life, then you might have “Misophonia.” Misophonia is a disorder, which makes some sounds unbearable for you. These sounds may be from daily life and inaudible for many other people. Such sounds trigger violent reactions, annoyance, physical disturbance, and headaches. In simple words, misophonia is hatred towards a particular sound. “Selective sound sensitivity syndrome” is another name for “misophonia.”

Misophonia Experience

Sounds that trigger a reaction are called “trigger sounds.” When a person with misophonia hears a trigger sound, they will portray an unreasonable behavior. If you ask a person with misophonia about the trigger sound, they will tell you, “Such sounds drive me crazy.”

When you talk about misophonia, the reaction level can vary. Some people have severe misophonia, and some people have it mildly.

People with severe misophonia might get violent when they hear the trigger and have negative thoughts because of the sound. If you have it mildly, you may feel annoyed by the trigger sounds. In some cases, you may start panicking, and when you hear the sound, you may need to move away from the origin of the sound.

Trigger Sounds

Trigger sounds are mostly sounds that you hear in your daily life. These sounds may be very soft, but at times they can be loud.

If you have misophonia, yoyu are likely to say that oral sounds trigger you the most, including sounds like chewing, loud breathing, eating, slurping, and whistling. Repetitive sounds are also trigger sounds, and sounds likea ticking clock ticking, drilling, fingers tapping, the sound of a marker, or sound of a fan are great examples.

Scientific Explanation For Hatred Of Sound

You will see in some researches that people with this disorder have an intense reaction to repetitive motions. Some misophonics also react to repetitive visual stimuli like the phonic stimuli. Some studies show that most people with misophonia develop issues in their brain, that doesn’t allow them to filter sound. Experts say this is due to a higher amount of myelin in their nerve cells in the brain.

Cause of Misophonia

In most cases, a person develops a negative relationship with sounds in their early stages of life. During their childhood, they experience some traumatic events around that sound. It is also possible that they heard the sound at the time when they experienced something negative.

Classification of Misophonia

The DM and ICD do not recognize misophonia as a disorder. DSM does not have any information related to Misophonia until the fourth edition, and ICD does not recognize until the tenth edition. They neither call it a hearing disorder, nor do do they call it a psychiatric disorder. Many researchers are still finding information about the disorder. They are trying to study the core of the problem.

But if you observe the condition yourself, you will feel that the disorder might be an anxiety disorder. To be specific, it might be sound-emotion synesthesia. Up until 2018, it wasn’t clear if it was even a condition or it was a symptom of some other condition.

Ways to Manage Your Hatred of Sound

Since the disorder is a relatively discovery, doctors have not designed super-effective treatments for it. Healthcare providers will guide you through some coping strategies. There are therapies like cognitive behavioral therapy, tinnitus retraining therapy, but there is no evidence that these therapies have ever cured the disorder.

Some people also ask misophonics to mediate. It helps to calm yourself down, and the sounds seem to affect you less. Meditation enables you to go into a zen mood. It relaxes your body, and you feel calmer.

Hatred of Sound - Sound Disorder

Final Words

There are millions of people who enjoy the sounds of eating and other soft sounds. But other people find the same sounds triggering and annoying. The triggering sounds are soft, everyday sounds, which might get a reaction out of people.

Many studies have been made concerning this subject, but so far, no research can identify the main cause of this disorder. Some studies  suggest that the disorder is genetic, while others argue that it is an extended form of OCD.

Up until now, there were no fully developed treatments for the disorder. Healthcare providers suggest certain therapies that might help you to some extent, but these may not entirely treat your disorder.

For more information and to schedule an online session, contact Stephen Geller Katz today:


Do You Hate the Sound of Chewing? Misophonia Treatment

Do You Hate the Sound of Chewing Misophonia 01

Do You Hate the Sound of Chewing? These days, ASMR videos are all over the internet. There are millions of people who enjoy the sound of chewing. Some people even say, the chewing sound provides them calm and help them sleep better. However, many people hate the sound of chewing, and it makes them angry when somebody makes those sounds. This is a condition called, “Misophonia.” When a person has this disorder, they cannot stand the sound of repeated pen-clicking, chewing, eating, slurping, loud breathing, and such noises. In 2000, people referred to this condition as Misophonia.


In many studies, you will see that misophonia is having an extremely adverse reaction, thought, or feeling when you hear triggering sounds. The triggering sound may be soft, but they can be loud.

In some studies, the results show that 80% of the sounds relate to mouth like slurping, popping gum, eating, whistling, whispering, and many more. 60% of the triggering sounds are repetitive sounds like a clock ticking, pen-clicking, water dripping, or sound of a fan.

A study showed that your first misophonic reaction could occur at a younger age because of a person, or a pet or an incident.

You will observe that when a person with misophonia hears the trigger sound, they may react to it with violence. Often, the person doesn’t even realize how violently their reaction comes across.

Misophonia cases differ from one another. Some people have severe reactions to the chewing sound, and some might have mild reactions. The sufferer considers it as an abnormality, but it is okay if certain sounds irritate you.


Everybody is still unsure about how misophonia works. Again, some studies say that you suffer from it because the sufferer might have dysfunction in their central auditory system, not in the ear but the brain.

A 2017 study shows that people who suffer from misophonia have a high amount of myelin (a fatty substance that wraps the nerve cells, which produces electrical insulations for the brain.). However, it is still not sure that myelin is an effect of misophonia, or it is a cause that gives misophonia.


Many people confuse misophonia with hyperacusis. They think that the sufferer has phonophobia, and they are scared of the trigger sound, but in reality, the sound is annoying them. Sufferers even say that the sound of someone chewing makes them feel like someone is chewing a part of their brain physically, which is why they have a violent reaction to the sound. Some studies also say that misophonia is entirely genetic.


Some studies say that misophonia is a result of anxiety disorder. DSM-4 and ICD 10 do not recognize the disorder. They do not classify it as a psychiatric or hearing disorder, but you can class it as a sound emotion synthesis.

Until 2018, people were not clear if it is a symptom of some other condition or it is a condition itself.


There are no evidence-based therapies for misophonia, but when you ask the health-providers, they will give you some tips concerning how you can overcome this condition. They will ask you to conduct tinnitus retraining therapy and might put you on cognitive-behavioral therapy or exposure therapy. These will help you in dealing with these sounds better and not react violently. They will help you in becoming less aware of the trigger sounds.


Since it is a relatively new research topic so there no known number of it. Whether females or males, younger or older, are more likely to suffer from it.

But there are many support groups on the internet for it. So you can find out for yourself the right epidemics.

Do You Hate the Sound of Chewing? Online Misophonia Treatment

Final thoughts

When it comes to misophonia, many people around the globe have it. Many people find chewing sounds relaxing and pleasing, but people with misophonia would start getting violent when they hear such triggering sounds.

There are many ways to deal with misophonia. You can conduct your treatment for it. Or you can join the support groups and even go to a health care specialist to ask effective treatments to ignore the triggering sounds.

Do Noises Bother You? Misophonia

Do Noises Bother You?

Misophonia is a widespread disorder, which is common amongst 20% of the world’s population. In simple words, misophonia is a disorder that refers to hatred or resentment toward specific sounds.

Misophonia was first named ‘Selective Sound Syndrome’ in 1997. Most people say that it is the right name for it because misophonic sound triggers are usually soft sounds, which may seem loud. Trigger sounds are mostly from daily life. The sound may be of a bell ringing, a keyboard typing, tapping, chewing, slurping, and whatnot.

Misophonia Diagnosis

When you talk about its diagnosis, all researches speak differently about it. In a few pieces of research, the researcher considers it as a mental disorder. Some say that it is a hearing disorder, and some even claim that it is an extensive form of OCD.

The most prestigious psychology guidebooks do not acknowledge the existence of misophonia up until now. Researchers are still finding proof that causes the disorder. They are confused if misophonia is a disorder itself, or it is a symptom of some other more severe disorder or mental illness.

Many researchers say that misophonia marks boxes to consider it as a disorder, but the psychiatrists’ community is still confused about the disorder.

Misophonic Reactions

Misophonia reactions vary from person to person. Every misophonia case is very different from one another. There are various forms and levels of misophonia. If you have a more severe form of misophonia, then you would react to the trigger sound more aggressively. You might burst out of anger or start flipping things. If you have a mild form of misophonia, then you would react to getting annoyed. In both cases, you would want to flee.

80% of the misophonia sufferers have hatred towards vocal sounds. In current times almost everybody is a big fan of ASMR the misophonia patients cannot stand the sound of chewing, eating, and slurping. Some people even find it very annoying when someone whispers.

Misophonia sufferers find repetitive sounds very annoying. If you face issues with this type of misophonia, then you will find sounds of typing, pen clicking, loud footsteps, drilling annoying, then you might be suffering from misophonia.

Many misophonia sufferers even get triggered by repetitive actions. If you find it annoying when someone is swinging their legs and sight of constant typing, in that case, you are still suffering from misophonia.

Misophonia Cures

Misophonia is a complicated disorder to handle. If you have this disorder, then you know that simple everyday sounds can trigger you very easily. The people are still searching for effective treatments for the disorder. The health care providers suggest various exercises and treatments for the disorder. The therapies do not entirely wipe out the disorder, but they will help you in dealing with it gradually.

Tinnitus Retaining Therapy

It is one of the most famous therapy suggested for misophonia. In the treatment, the healthcare provider recommends you some exercises which will help you in tolerating the noises better. The therapy has helped a few people, but it did not cure misophonia by any means.

Cognitive Behavioral therapy

It is the type of tinnitus therapy. During the treatment, the healthcare provider will try to replace your negative responses towards the stimulus into positive responses. According to Johnson, 85% of the sufferers have found relief in the result of the therapy.


No medicine to time has proven to work for misophonia sufferers. Many psychiatrists suggest that the misophonia sufferers should resort to therapy to battle with the disorder. Their families should also volunteer for therapy because the disorder is affecting them as well.

The US Food and Drug authority does not suggest medicine for the disorders, so it is better that you also avoid taking medication for the disorder.

Do Noises Bother You? Misophonia Treatment

Take Aways

Misophonia is a widespread disorder around the world. It is hatred towards specific everyday sounds. Misophonia cases are very different from one another. Every person has a different trigger sound and a different level of responsibility towards the sound. There are various treatments introduced to deal with misophonia now.

Schedule an online session today:

Stephen Geller Katz

Misophonia Diagnosis

Misophonia is a very common disorder around the world. Around 20% of the world population is suffering from misophonia. Around 80% of the misophonia sufferers suffer from the same kind of misophonia. Misophonia, in simple words, is hatred towards everyday life sounds. The sound may or may not be repetitive. One similarity amongst all trigger sounds is that they are soft but they can also be loud. Trigger sounds are the phonic stimulus that may integrate a response.

When you talk about misophonia, every case is very different from one another. Every sufferer has a distinct trigger sound as well as distinct levels of response.  Some people have a very intense response towards the trigger sounds, and some respond in a very mild way.



Misophonia Diagnosis: History

Misophonia was earlier called 4S or selective sound syndrome in 1997. Many researchers say it is a better name for misophonia because misophonia is not hatred towards all kinds of sound. It is a dislike of selective sounds.

The Trigger Sounds

Many people do not know this, but misophonia is not only dislike towards the specific sounds but the sufferer might also get triggered by specific visual stimuli. These visual stimuli are mostly repetitive actions. If you have misophonia, the swinging legs, the pendulum motion, constant typing, and actions like that may trigger you.

Disorders Similar to Misophonia

There are many people who confuse between misophonia and hyperacusis. It basically sensitivity towards various volumes, intensities, and types of sounds. You develop Hyperacusis while you’re a child but in some cases, you might develop it in your adulthood years. The healthcare provider will check your hyperacusis with various tests like measuring various volumes and see what volume becomes irritating. There are many treatments given for hyperacusis.

Many people also confuse it with phonophobia. It is when you get scared of certain types of sounds. When you have misophonia, you do not get scared of the sound rather than that the sound irritates you and make you want to go away from the origin.

If your child is unable to tolerate loud sounds, it may be because your child is suffering from sensory processing disorder (SPD). In this condition, the person will have a problem with various sensory stimuli. It may be of touch, taste, sight, sound, and smell. SPD causes high sensitivity towards the stimuli. This is a separated disorder and it has no link with misophonia. in this disorder, your child will react as if he has hyperacusis or phonophobia. When you notice such reactions, you need you to take your child to a health care provider.

Hyperacusis and phonophobia are common autistic children. Loud sounds likewise of a toilet flush, vacuum cleaner, and siren scare them. But then you have misophonia. The trigger sounds annoy you. A simple daily life sound feels like nails on a chalkboard.

Misophonia Diagnosis According to Psychology Guidebooks

DSM is the most prestigious guidebooks for psychological sciences. In the guide book, there is no mention of misophonia. Many people are trying to get it in the book because misophonia qualifies many various disorder criteria. There are many pieces of research and pieces of evidence that support the fact that it is a disorder but DSM looks over it.

There are various reasons for not putting misophonia in the book because, until now, the cause of misophonia is unclear. There are various researches that consider misophonia as a symptom and others say that it is a disorder.

Many researchers say misophonia might become a part of future DSM and ICD editions. The researchers are still researching on the topic. The main issue that arises for putting it in the book is that the researchers cannot decide whether misophonia is a disorder itself or is it a key feature of some other broader syndrome. The psychiatrists are trying to draw a roadmap for its systematic evaluation.

Final words

When it comes to misophonia, the main diagnosis about misophonia is that you dislike certain sounds. The trigger sounds are specific sounds which a person cannot stand at all. Some people have a relatively severe response to the sounds, but some people have relatively mild reactions. It entirely based on your tolerance.

There are many disorders that are similar to misophonia. People confuse them with it. Many people even say that misophonia is a kind of OCD.

Call Stephen Katz at the MISOPHONIA COGNITIVE CENTER today: