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.

Misophonia and Its Relation to Other Disorders

Does Misophonia have any relation to other disorders? Experts don’t classify Misophonia as a psychiatric disorder yet. However, the Misophonia condition implies negative thinking and behavior patterns due to certain sound triggers. Overall, it is a life-changing experience for people with this condition. They cannot freely participate in every activity due to the fear of experiencing intense anxiety and aggression upon hearing certain sounds.

Misophonia Relation to Other Disorders

It is a sound sensitivity that often leaves people with depression and stress. However, some experts think that Misophonia might correlate with other similar disorders. Here’s more on the topic.

Understanding Misophonia

Misophonia is a selective sound sensitivity syndrome. In this condition, an individual can experience sudden outbursts of anger, anxiety, and irritation when hearing sounds such as someone chewing, breathing loudly, sigh, sniffing, etc. Reactions can vary from person to person and may alter their lifestyle to a significant degree that they might stop engaging in social events, interactions, etc.

While some people might feel annoyed or irritated, others can lash out and act aggressively. There is still a need for extensive research to explain the full spectrum of all the complications, scientific analysis, treatments, and diagnosis of Misophonia. Experts are making efforts to increase the awareness of this condition to help patients.

How Does a Doctor Diagnose Misophonia?

It is worth mentioning that there aren’t specific criteria for the diagnosis of Misophonia. In fact, in the DSM -5 (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition), it isn’t a recognized official diagnosis. This condition is similar to multiple disorders and conditions such as intermittent explosive disorder, phobias, and OCD. Still, not all of the symptoms fully coincide with other disorders.

Despite the lack of proper diagnostic criteria, your doctor can work with you closely to help you through treatments to manage the symptoms and negative responses.

How Does a Person with Misophonia React?

Did you know that there is an endless list of everyday sounds that can be sound triggers for Misophonic people? Here are some of them.

  • Wheezing
  • Chewing
  • Breathing (loudly)
  • Sniffing
  • Snoring
  • Throat-clearing sound
  • Nose whistling
  • Slurping
  • Teeth grinding

Misophonia and Relation to Other Disorders

Doctors often associate this condition with various mental health disorders and issues that reflect some of the main symptoms. For example, a few symptoms of Misophonia are similar to bipolar disorder, OCD, depression, anxiety, stress, obsessive compulsive personality disorder, Asperger’s syndrome, and even autism. Also, a doctor might misdiagnose the condition as ADHD due to the intense distractibility that Misophonia exhibits in certain patients.

The key signs for screening and evaluation include behavioral pattern disturbances and mental health symptoms such as anxiety, manic depression, and more. Misophonia conditions resemble the side effects of various medications and treatments. This makes the diagnosis quite difficult for an expert while making it troublesome to find a solution for the patient.

Misophonia Relation to Other Disorders

Therefore, the initial approach involves performing laboratory tests that exclude certain conditions and narrow down the list of possible conditions or disorders that include Misophonia. X-rays and different scans might help in assessing brain activity and evaluating the results. Often patients receive self-test questionnaires that disqualify other diagnoses.

Is There a Link to Autism?

Moreover, experts remain confused regarding the link between autism and Misophonia. This is due to the complex sensory stimulation that occurs in autism. Nevertheless, there is still a need for proper studies and research to establish a valid connection between the two.

Potential Causes of Misophonia in Children and Adults

There aren’t any exact causes and knowledge of what causes such strong reactions in people with Misophonia and other similar disorders. However, some factors may lead to Misophonia and other disorders with similar symptoms.


Misophonia can occur in people with tinnitus. In this condition, affected people hear ringing, buzzing, or any other discomforting sound in their ear(s) without any apparent external sound source.

Mental Conditions

Doctors believe that those with OCD and Tourette syndrome might have a higher chance of manifesting Misophonia symptoms. Moreover, they believe that anxiety disorders play a major role in leading to Misophonia potentially.

Brain Chemistry and Neural Networks

It is valid to assume that some form of exaggerated brain activity can stimulate a more-than-necessary reaction in response to hearing certain triggers sounds. Scientists have this opinion as they notice that misophonic people have higher connectivity between their auditory cortex and anterior insular cortex.


If the condition runs in the family, there may be a genetic factor at play leading to Misophonia. Sometimes, it is possible that an older member of the family might have a Misophonia-similar disorder, and a young member may show symptoms of Misophonia.

Misophonia Relation to Other Disorders: Conclusion

Is your Misophonia condition getting worse day by day? Well, it is best to procure the best treatment options as soon as you can. A speedy recovery is possible only when you notice the symptoms early. By discussing your options and experience of Misophonia with the right doctor, you can arrive at solutions that may effectively regulate your negative responses against trigger sounds.

Get in touch with Misophonia Cognitive Center to benefit from the expertise of Stephen Katz LCSW-R. Call us at 646-585-2251 today and schedule an easy online appointment.


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What Does Reddit Have to Say About Misophonia?

What does reddit have to say about misophonia? If you feel like certain sounds trigger an emotional reaction and put you in a fight-or-flight situation, you are not alone. There are hundreds of people on Reddit and other platforms who feel the same way. They also express their anger and dislike after listening to a certain sound. Therefore, today we will discuss misophonia and how you can treat it:

What is Misophonia?

Misophonia is a disease where certain sounds trigger many people’s emotions and force them to react. The reason behind this condition is still unknown, and people have concerns about how they develop these conditions. Researchers are studying the impacts of misophonia and why people start to experience this condition.

Reddit Misophonia threads info

Many people on Reddit describe misophonia as an annoying feeling that drives them crazy. They discuss that their anger and annoyance lead them to run from the situation and panic. You can also refer to misophonia as selective sound sensitivity syndrome, as it only triggers certain sounds.

Many people stated on Reddit threads that they mostly respond to oral sounds. For instance, the sound of someone chewing their food, eating chips, or even breathing can make them angry. Other sounds such as finger tapping, keyboard playing, and someone wiggling their foot also trigger some people.

Similar to sound, people also said that they also aggressively respond to visual stimuli. For instance, if they see someone tapping their foot or finger, they find it triggering even though they cannot hear the sound, but the repetitive and instant motion can irritate them.

Many researchers suggest that the main cause of misophonia is brain filtering sound. However, people on Reddit claimed that Tinnitus was the trigger for their misophonia. This condition also ranges from mild to severe, depending on many factors. The major factor is the duration since you develop the condition. Here are some symptoms that people experience when they are suffering from misophonia:

  • A feeling of disgust
  • Anxiety
  • Discomfort
  • Emotional distress
  • Fear
  • Panic
  • Hatred
  • Rage
  • Anger

Misophonia is affecting the quality of life for many people. They find themselves anxious about visiting clubs, concerts, and other events. Furthermore, they hesitate to visit their family because they cannot properly respond to them. They also feel embarrassed to express their emotions with their loved ones. Therefore, they stay alone in isolation, causing distress and depression.

Misophonia on Reddit: Misophonia Triggers

By going through Reddit threads, we found that different sounds trigger different people. Furthermore, their triggers also increase with time. This indicates that failing to receive appropriate treatment in the initial stages can make your situation worse. As previously discussed, the common trigger for most people is the sound that comes from the mouth. Here are some examples:

  • Slurping
  • Chomping
  • Throat clearing
  • Lip-smacking
  • Swallowing

Here are some other triggers for misophonia:

  • Writing sounds
  • Ticking clocks
  • Sniffling
  • Paper rustling
  • The sound of crickets, birds, and other animals
  • Slamming the door of the car

Treatment of Misophonia

Misophonia does not have a dedicated treatment. However, researchers are studying the condition to understand the cause and best method for treatment. Many people on Reddit suggest that they find various treatments effective to reduce and eliminate their symptoms.

Misophonia info on Reddit

1.     Tinnitus Retraining Therapy

Many people found tinnitus retraining therapy a better option to tolerate the noise they consistently hear.

2.     Cognitive Behavioral Therapy

Cognitive behavioral therapy is another method to reduce the negative association of tapping or chewing sounds being triggers.

3.     Counseling

Many people find supportive counseling effective for the treatment of their condition. An expert audiologist will diagnose your condition and suggest the best treatment plan for misophonia.

What Does Reddit Have to Say About Misophonia: Conclusion

While misophonia can be frustrating and irritating, you can seek help by visiting an audiologist. Numerous people on Reddit mentioned how they undergo therapies and other treatments to mask out the triggering sound. Reading the threads on Reddit will help you understand that you are not alone and masking your triggering sound is possible.

To seek help and free consultation, you can contact us at 646-585-2251 and discuss your condition with Stephen Geller Katz LCSW-R, one of the top specialists in New York City and the world. Dr. Katz has treated and in many cases cured misophonia and other serious sound disorders in his patients. He will diagnose your condition and suggest the best treatment plan so you can return to your normal life.

Misophonia Cognitive Center: Treatments for Sound Disorders

What are the main treatments for sound disorders? There can be instances where normal daily sounds like chewing, tapping a pen, or even wagging your feet can cause misophonic reactions in certain people. They are highly intolerant to certain specific sounds and show aggression in response.

treatments for sound disorders

It is a highly disturbing and lifestyle-altering mental health condition that makes it troublesome for many people to enjoy their social lives. The sounds can become unbearable and cause them to lash out. Nonetheless, there are several different ways to cope with and treat the symptoms of this condition to ensure a peaceful and minimally disturbed life.

Reality of Misophonia

Misophonia, also known as selective sound sensitivity syndrome, was first classified as a condition during the early 2000s. Besides, there are many scientists and researchers are investigating whether to consider Misophonia as a real sound disorder as the symptoms are mild to severe.

Despite that, there is a lack of research and studies to confirm most of the potential claims and reasons. Moreover, it is not yet a recognized sound disorder in the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders- Fifth Edition. Therefore, official diagnostic criteria and principles do not exist.

Also, Misophonia can have an average onset during the ages of 11-12 years old. Still, there is a need for effective research and experiment results to reach valid conclusions for this neurological disorder.

The hypersensitivity to certain normal sounds can trigger harsh and aggressive reactions from misophonic people. The reactions can differ in misophonic people, and one may show aggressive behavior while the other may feel annoyed hearing the same noise.

Overall, Misophonia triggers an autonomic and nervous system reaction, i.e., a “fight or flight” response. Thus, a misophonic person will experience either irritation and try to evade trigger sounds or lash out. Such uncertainty and discomfort can affect a misophonic person’s lifestyle. Eventually, they may struggle with depression, anxiety, bipolar attitude, etc.

Treatments for Sound Disorders (Misophonia)

·       Sound Therapy

Multidisciplinary approaches (e.g., psychiatry, audiology, primary healthcare) are the best Misophonia treatments. Many audiologists specialize in helping misophonic patients rewire their brain’s auditory portion. Their main tool of helping misophonic patients is sound therapy, through which they try to regulate a misophonic person’s reaction to the trigger sounds.

treatments for sound disorders specialist

The treatment may prolong according to the complexity and severity of the patient’s condition. In addition to that, slight results might appear in the first few weeks of the treatment.

Nevertheless, despite the enthusiasm and dedication to mental wellness, the treatment may not yield results overnight. Firm dedication and family support are a plus for effective Misophonia treatment as the condition can largely affect the lives of people around you.

·       Tinnitus Retraining Therapy (TRT)

Initially used as a tool for treating tinnitus in people, Tinnitus Retraining Therapy involves the use of attention-redirecting sounds to treat Misophonia. The sounds in TRT can help in diverting the attention and focus of a misophonic person. Subsequently, this can ensure a reduction in the severity and reaction appeal of certain sounds, such as chewing, pen tapping, screeching, etc.

It can also help misophonic people to ignore and reduce the autonomic stress that can lead to irritation and aggressive behavior.

·       Cognitive Behavioral Therapy (CBT)

Cognitive Behavioral Therapy (CBT) focuses on the mechanism and the thought process that leads to adverse reactions and thinking in misophonic patients. Hence, CBT helps in improving the negative thought process and the anticipation of sound triggers. Conclusively, it can help in reducing patients’ responses to certain trigger sounds and perceive them in a different way.

·       Counseling

Counseling is a great way to let out inner thoughts and ideas. Likewise, a misophonic person can express their emotions, and the therapy helps them in catharsis. Apart from that, counseling therapy can help ease the stress of the family and friends by making them comfortable and understand the patient’s condition.

·       Medication

At present, there isn’t any medication or prescriptions available under the approval of the Food and Drug Administration of the United States to treat Misophonia. However, your doctor may prescribe medicines to help counter the anxiety symptoms that cause severe aggression.

Treatments for Sound Disorders: Conclusion

Looking for the best treatments for Misophonia or other related mental health conditions? Look no further because, at Misophonia Cognitive Center (official website for more info), Stephen Geller Katz LCSW-R is one of the top specialists for sound disorders and conditions, including Misophonia and Tinnitus.

Ring us at 646-585-2251 to schedule a tele-session from anywhere in the world. Dr. Katz speaks 5 languages and is the preeminent specialist in treating sound disorders. Call today.

Misophonia Cognitive Center: Treatments for Extreme Sound Disorders

What are extreme sound disorders? Misophonia means the “hatred of sounds”, but it does not necessarily mean that everyone who has a certain irritation to some sounds is misophonic. In reality, the sound of forks scraping plates and nails on a chalkboard or wall is something that almost everyone finds unpleasant.

Extreme sound disorders

According to experts, Misophonia is a condition in which people show moderate to intense reactions, including severe irritation, anger, and aggression, when they encounter some specific sounds and noises. Bear in mind that these sounds may be normal to other people, and they might not even notice them. These include chewing, pen tapping, screeching, whistling, rustling, typing, clicking, ticking, etc.

Signs and Symptoms of Misophonia (Sound Disorder)

Apart from the number of emotional reactions, including annoyance, anger, irritation, stress, anxiety, and depression, there are certain physical reactions as well. Several studies suggest the following:

  • Rapid blood pressure drops and spikes
  • Heart rate increase
  • Muscle tightness
  • Pressure through the body (chest pressure)
  • Body temperature increase

Outlook of Misophonia (Sound Disorder) Symptoms

The symptoms are the body’s response when something sudden happens. For instance, the person may experience muscle tightness or a sudden rise in body temperature. However, such a fight or flight response of the nervous system is automatic and can trigger subconsciously or unconsciously.

In simple words, the body perceives certain Misophonia trigger sounds as threats and consequently produces stimuli in accordance with it. Therefore, feelings of panic, rage, and anger are common.

More importantly, misophonic people don’t go to social gatherings and events to avoid sudden reaction outbursts upon encountering Misophonia triggers. Others might go beyond control and isolate themselves, wear headphones unnecessarily, and avoid social interactions.

Diagnosis of Extreme Sound Disorders

Misophonia is not yet recognized as a mental disorder in the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders). Consequently, there is a lack of official diagnostic principles. Despite that, scientists consider Misophonia as a discreet psychiatric disorder that is separate from other similar mental health conditions.

In addition, scientists do believe Misophonia is similar to other mental disorders, such as obsessive-compulsive disorder, bipolar disorder, anxiety disorders, and many phobias (hence, “phobia of chewing”). However, they still conclude that none of the said conditions fully exhibit the extent of characteristics that exist in misophonic people.

Those characteristics of Misophonia include:

  • Anticipation of trigger sounds results in irritation and anger
  • Avoidance of social interaction and trigger sounds environment
  • Loss of control under anger
  • Disruption in regular tasks and activities
  • Feelings are highly dissimilar in comparison with other mental disorders

Treatments for Extreme Sound Disorders

While there is no official diagnostic approach to Misophonia, numerous treatments are available that may help in alleviating the symptoms of this neurological disorder.

Moreover, you should know that there are no approved medications or prescriptions in the US (by the FDA) for Misophonia treatments. Nonetheless, your doctor can provide a set of prescriptions to help control anger, anxiety, blood pressure spikes, and stress.

Cognitive Behavioral Therapy

Cognitive Behavioral Therapy (CBT) works to improve the understanding of this mental health condition to the misophonic patients and the people around them (i.e., family and/or friends). The core understanding behind how certain trigger sounds might lead to anger or irritation helps Misophonia patients. Thus, they are able to cope with it and improve their reactions to the trigger sounds.

CBT works to establish the rectification of the negative thinking pattern that causes people to fear, anticipate worse, and react adversely even when nothing has happened. Another objective of CBT is to teach patients to control their emotions and avoid irrational reactions.

Some of the techniques include mindfulness, emotional regulation, distress tolerance, etc.  Moreover, CBT also helps misophonic patients relax by triggering the relaxation response of the body.

White Noise Treatment

White noise treatment generally refers to the use of ear-level devices that can play sounds, such as aesthetically calm waterfall noises or a river flowing. This helps in masking the unintentional or trigger sounds to prevent adverse reactions.

Eventually, a misophonic patient gets better at ignoring the trigger sounds and focusing on the calm sounds. In simple terms, it is the addition of background music to the environment that only the wearer of the white noise machine hears (i.e., ear-level devices rather than room-level devices such as fans).

Tinnitus Retraining Therapy (TRT)

Tinnitus is a condition in which a person hears ringing in their ear. The consistent ringing in the ear can cause discomfort and restlessness.

Therefore, TRT helps in controlling the reactions against such noise as well as Misophonia trigger sounds. Likewise, they also help in enhancing the tolerance of the misophonic patient against the trigger sounds.

Extreme sound disorders treatment specialist

Other Therapies

Many different therapies also help treat Misophonia and other extreme sound disorders. They include hypnotherapies, neurofeedback, biofeedback, acupuncture, and several autism treatments.

However, there isn’t sufficient research and data to support the effectiveness of these therapies. That said,  experts are focusing on the prognosis of this neurological disorder.

Extreme Sound Disorders: Conclusion

If you are in search of treatments for extreme sound disorders for you or someone in your family, then visit the  Misophonia Cognitive Center

Stephen Geller Katz LCSW-R  has extensive experience and knowledge in the field of sound disorders such as tinnitus and misophonia.  By using the latest equipment and research principles, Dr. Katz ensures to deliver effective treatment results.

Call 646-585-2251 to schedule an online appointment today.

Visit our main website for more information: 



Misophonia Cognitive Center: Phobia of Chewing

Is having a phobia of chewing a real thing? Have you ever encountered someone struggling with irritation and intolerance to certain normal sounds that others don’t even seem to notice? Do the normal sounds such as chewing loudly, pen tapping, clicking, and constant thumping trigger intense reactions in you or anyone you know?

Phobia of Chewing

Well, if that is the case, then it may have a connection with a selective sound sensitivity syndrome, Misophonia. It’s a Greek word, which means the “hatred of sounds.”

What is Misophonia

Officially, the term ‘Misophonia’ was first used during the year 2000, and doctors and experts described it as a mild to chronic sound disorder. The same research defined Misophonia as an individual chronic sound disorder and condition which doesn’t necessarily develop in association with other similar conditions such as tinnitus, OCD, bipolar, etc. Nonetheless, it is possible.

Despite doctors’ and researchers’ consideration of Misophonia as a chronic condition and sound disorder, it is not in the list of DSM-5 (Diagnostic and Statistical Manual of Mental Disorders). Hence, it is not an official mental health condition and/or illness in the United States.

What most researchers and doctors believe is that misophonic reactions are autonomic and unconsciously initiated. That is, they are a nervous system response upon receiving autonomic stimuli. What’s more, there are speculations, and studies have also concluded that alcohol and caffeine consumption in misophonic people can make their condition worse.

Misophonia: Phobia of Chewing

Commonly known as the “phobia of chewing” or other similar sounds, Misophonia is a condition in which people react abruptly in response to certain sounds and noises. The most common reactions include stress, anxiety, heart racing, perspiration, etc. They tend to get extremely uncomfortable and may even sometimes show aggression to great degrees.

It is not only the loud chewing sounds that trigger Misophonia in the affected people. In fact, what we perceive as normal sounds may feel like nails on the chalkboard to misophonic people.

But, you should keep in mind that the triggers often initiate unconsciously and automatically in misophonic people. Due to the reason that it makes misophonic people flee, hide, or act irrationally at places with triggers, it is known as selective sound sensitivity syndrome.

In addition, misophonic people also can also react in response to certain repetitive and perceptibly irritating motions such as feet wiggling, nose rubbing, etc.

Symptoms of Misophonia

Once in contact with any or some of the Misophonia triggers, there is a wide range of signs and symptoms that a misophonic person might exhibit. Importantly, the main coping focus for this condition is the prevention and control of aggression or other extreme reactions.

Phobia of Chewing: Misophonia

Besides, there are variations in the signs, symptoms, level of irritation, and Misophonia triggers in the majority of misophonic people. One misophonic person might experience annoyance and urge to flee the place, but a different person might become aggressive due to the same sound.

Here are some of the common symptoms and responses that come from misophonic people:

  • Verbal aggression to someone making the sound
  • Irritation transforming into anger
  • Lashing out verbally or physically
  • Physical aggression on the person making the sound
  • Irritation to disgust to anger
  • Avoiding social interactions due to misophonic triggers and noises

Misophonia is common in many men and women of all ages. In reality, it can develop at an early age in many people. However, the symptoms might be more noticeable in adulthood or late teenage. What’s more upsetting is that misophonic people feel that they are losing control once they realize that their response to such sounds and noises was so aggressive.

In some cases, even the thought of such sounds can sometimes cause misophonic people to experience unrest and stress. Hence, they might lash out verbally or physically once a noise or sound becomes constant. They are more prone to depression and anxiety disorders due to their intolerance, behavior, and the need to avoid social interactions on nearly all occasions.

Another study suggests that there are several other responses and symptoms of a misophonic reaction to certain sounds and noises apart from the emotional responses. There are a number of physical reactions such as:

  • Muscles tightness
  • Heart racing
  • Chest pain (body pressure)
  • Spikes in blood pressure
  • Increase in body temperature

Additionally, a study concluded that more than 50 percent of the misophonic participants had an obsessive-compulsive personality disorder (OCD).

Misophonia Trigger Sounds

A few of the many Misophonia trigger sounds include:

  • Chewing
  • Lip-smacking
  • Screeching
  • Clicking
  • Tapping
  • Sniffling
  • Repetitive motions
  • Heavy breathing
  • Barking
  • Sucking

Phobia of Chewing: Conclusion

Do you or anyone in your family suffer from similar symptoms discussed above? You should consider seeking the best professional medical care to identify the reasons behind such irritation and responses.

Dr. Stephen Geller Katz LCSW-R at the Misophonia Cognitive Center excels in the treatment of Misophonia and related conditions. He is a highly experienced and trained specialist.

Schedule a highly secure online session from anywhere in the world:

Misophonia Cognitive Center
Stephen Geller Katz, LCSW-R



Misophonia Cognitive Center: Misophonia Triggers

What are the most common misophonia triggers? Misophonia is a Greek word meaning “hatred of sound.” However, do not assume that the sounds of rough chalk on a chalkboard or fork scraping on a plate can trigger Misophonia in anyone.

Misophonia Triggers

Researchers and scientists refer to Misophonia as a selective sound sensitivity syndrome. Despite that, it is not on the list of the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders) as a recognized sound disorder.

How Does Misophonia Affect an Individual?

Misophonia can have mild to intense effects on an individual’s life. However, severe cases involve extreme reactions that can cause aggression and anger to a great degree. In addition, numerous emotional responses occur when people with Misophonia hear certain sounds or noises.

Bear in mind that some people may not find these sounds and noises, such as rain, chewing, pen tapping, etc., unpleasant. Therefore, it is common to misunderstand someone’s sound sensitivity as a general attitude or irritation. The reactions that misophonic people may show include panic, aggression, distress, anxiety, etc.

In simple words, certain common sounds may feel like nails on the chalkboard to misophonic people. Moreover, it is extremely difficult for misophonic people to control their reactions, such as anger towards the person or object involved in the Misophonia trigger sounds.

Therefore, it gets troublesome for misophonic people to carry on with their normal daily routine while under distress or guilt of acting aggressively toward someone making trigger sounds unintentionally.

What are Misophonia Triggers?

There is a long list of trigger sounds that can bring out a number of different reactions from a misophonic person. Misophonia triggers are generally human and environmental sounds, such as slurping, chewing, tongue clicking, rain, clapping, screeching, etc.

The Misophonia trigger sounds are auditory stimuli responsible for mild to severe responses from misophonic people. Initially, the severity of the irritation might not be high, but as the sounds keep increasing in volume and remain consistent, they may incite aggressive attitudes.

Top Misophonia Triggers

Did you know that if misophonic people make the same Misophonia trigger sounds, it will neither irritate them nor incite any unusual behavior? Further, Misophonia trigger sounds do not have the same effect on people with misophonia. For instance, a chewing sound can incite aggression in one misophonic person while the other might not even notice it.

Here is a comprehensive list of the Misophonia trigger sounds (including human and environmental noises) that can also change in misophonic people over time.

  • Lip-smacking
  • Swallowing
  • Chomping
  • Throat clearing
  • Sniffling
  • Slurping
  • Rustling (e.g., papers)
  • Ticking clocks
  • Pen tapping
  • Birds and/or insects chirping
  • Stomping
  • Chewing
  • Car doors
  • Writing sounds (pen scratching)
  • Loud breathing
  • Snoring
  • Nose whistling
  • Typing
  • Clicking (fast typing)

Also, you should know that misophonic people can perceive sound triggers from visuals of certain actions as well, such as:

  • Foot wagging
  • Hair twirling
  • Nose rubbing

Misophonia Classification

Scientists, researchers, and doctors have not pinpointed the real mechanism as to how the brain interconnects the sound information that triggers aggressive behavior in misophonic people. Doctors believe that Misophonia is part physical and part mental. Hence, certain sounds are able to produce automatic physical reactions.

This ensures misophonic people don’t have any problems with their ears. It means ear damage or other conditions are not responsible for the severe reactions that Misophonia triggers generate. Often, due to misclassification of Misophonia, doctors consider it obsessive-compulsive or bipolar disorder associated with anxiety effects.

What are the Causes of Misophonia?

Once a misophonic person comes in contact with a Misophonia trigger, the mind generates stimuli that result in the autonomic “fight or flight” response. Most people with the following conditions have higher risks of experiencing Misophonia:

  • Tourette syndrome
  • OCD
  • Bipolar Disorder
  • Anxiety
  • Tinnitus (ringing in the ear)

What puts many people into confusion is the similarity in all the signs and symptoms of these conditions with Misophonia. For example, a bipolar person might feel the same distress or irritation as a misophonic person. Moreover, rapid heartbeats and perspiration are some more common symptoms that also exist in OCD or bipolar people.

Additionally, it might be possible that you develop Misophonia due to genetics. What’s more, a single irritating sound of childhood can begin the onset of Misophonia triggers, which may comprise various sounds in time.

Misophonia Triggers Conclusion: Consult a Specialist

Do you or someone in your family struggle with coping in their daily life due to Misophonia? Then, you should seek professional medical care from Dr. Stephen Geller Katz LCSW-R at the Misophonia Cognitive Center. Check out our official website to learn more about Dr. Katz. You will work your way to recovery and learn coping techniques for Misophonia. 

Dr. Katz treats clients from all over the world via Skype, Zoom and other popular and secure online video platforms. Dr. Katz speaks 5 languages fluently. Schedule an online session today.

Stephen Geller Katz, LCSW-R


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Misophonia & Tinnitus Comparisons & Contrasts

What are the similarities and differences between misophonia and tinnitus? Common sound disorders include tinnitus and misophonia. These conditions relate to the intensity and type of sound. But, both of these conditions have some similarities and differences. If you are confused about distinguishing between both these conditions, this article will help you understand both disorders. So let’s start with tinnitus:

What is Tinnitus?

Tinnitus is a common condition that occurs as a result of numerous reasons. In this condition, you start hearing unwanted noise that may or may not come from an external sound source. The condition can be the consequence of an ear infection or blood pressure. You may also develop tinnitus when you suddenly hear a loud noise.

Misophonia Tinnitus comparisons contrast

The sounds a person hears as a result of tinnitus may vary from person to person. The sound may also differ because of the cause. The most common sound that people experience is a ringing sound. It’s why people refer to this condition as the ringing of the ears. Or, you may hear a buzzing, whistling, grumbling, or hammering sound.

Most people returning from a nightclub or a concert experience a beeping sound in their ears. Keep in mind that loud noise can affect your ears, so it is essential to protect them with earplugs. Tinnitus due to loud sounds indicates damage to your hearing. When this happens due to no reason, it’s a sign that you have tinnitus.

Tinnitus is a genetic condition, and people with a family history are more likely to develop this condition. So if your parents or siblings have experienced tinnitus, you should be careful. Visit an ENT surgeon or a practitioner, and they will share ways on how to protect your ears from the condition.

Causes of Tinnitus

Tinnitus may increase over time. Also, the condition grows worse with other health issues, such as an ear infection, trauma, and neck injury. Ear specialists diagnose your condition and evaluate the reason for the development of tinnitus. The actual reason for tinnitus is still unclear. Below, you will find some of the common causes of tinnitus:

·       Hearing Loss

Your hair cells contain a cochlea, which generates electrical signals. They are tiny and delicate hair cells that move when the ear receives the sound. The movement of these nerves sends the signals to the auditory nerve of the brain. The brain converts these signals from waves and interprets them into sound. When the cochlea in your ear bends, it generates random signals to the brain. This happens because of continuous exposure to loud noise or age. When the brain receives these signals, it continuously triggers the ringing sound.

·       Ear Canal Blockage or Ear Infection

When your ear canal builds up or earwax, fluid caused by an ear infection, dirt, or other foreign material, it creates pressure in the ear, leading to the characteristic tinnitus sound.

·       Medications

You may develop tinnitus due to various medications. Normally, when you consume high doses of certain medications, your tinnitus may get worse. Sometimes, when you quit using the medication causing this unwanted sound, you start feeling better. Therefore, if you feel that the drugs are the cause of your tinnitus, you should stop using them. If the ringing sound disappears after you quit the medication, discuss it with your doctor so they can prescribe you some other medication. Some common types of medication, such as cancer drugs, certain antibiotics, non-steroidal anti-inflammatory drugs, anti-malarial, antidepressants, and water pills, can cause tinnitus.

What is Misophonia?

Misophonia, unlike tinnitus, is a mental condition and not hearing damage. In this condition, sounds such as swallowing, chewing, smacking, and sniffing, become intolerable. The sound becomes so annoying that you start showing a strong reaction against such actions. Sounds related to the mouth are a common trigger for misophonia. Around 80% of the most triggering sounds come from the mouth. These triggers include popping gum, chewing, whispering, slurping, and eating. On the other hand, 60% of the sounds are repetitive such as tapping, knuckle-cracking, and banging. In some cases, you may also develop visual triggers. When this happens, you feel annoyed even when you watch someone tapping or hammering even the sound is not audible.

Tinnitus Misophonia comparisons contrast treatment

Misophonia can force you to react with downright aggression or annoyance. The condition can be very severe. Some people avoid visiting restaurants and bars because they fear that triggering sounds will prevent them from enjoying themselves. The current knowledge about Misophonia circulates on few studies. Just like with tinnitus, you can wear plugs to deal with repetitive sounds.

Causes of Misophonia

Misophonia is a mental disorder that occurs because of the over-activation of the nervous system. The actual cause of this condition is still unclear. However, Anxiety disorder, oppositional defiant disorder, autism spectrum disorder, attention deficit hyperactivity disorder, neurodevelopmental disorders, or post-traumatic disorders may be the reason for your misophonia. Furthermore, tinnitus can also be the reason for the development of Misophonia. For instance, when you suffer from tinnitus, the constant sound of the cochlea can trigger signals to your brain, causing this mental condition.

Misophonia & Tinnitus: Conclusion

Both tinnitus and misophonia can have genetic causes. It means that you’re more genetically predisposed to developing the condition if people from your family have had it as well. Therefore, it is important to consult with a specialist and seek help identifying your risk factors in developing these conditions.

Contact tinnitus and misophonia specialist Stephen Katz LCSW and setup an online session. He treats patients from all over the world who suffer from these conditions.  Dr. Katz is fluent in 5 languages and is at the forefront of treating and curing sound disorders.

For more information, visit the main website at: Misophonia Cognitive Center

Misophonia and ADHD

Are there connections between misophonia and ADHD? There are many unbearable conditions out there that severely affect people. The worst part is that we lack awareness of how they affect people and their ability to lead normal lives. Conditions like Misophonia and ADHD have existed for years but are never properly talked about until now. With more and more experts conducting studies, people are learning about in-depth research that talks about these conditions.

Misophonia is a condition in which a person cannot bear specific sounds, causing them to feel disgusted, fearful, panicked and anxious. ADHD is a brain disorder that affects your ability to pay attention and doesn’t allow you to control certain behaviors. Both these conditions are familiar in children and adults, and it is important to seek treatment for it. If you want to learn more about misophonia and ADHD and see if there is a link between both these conditions, read further below.

misophonia and ADHD

What is Misophonia?

Misophonia is a condition in which you tend to produce an emotional reaction triggered by a specific sound. This sound could simply involve chewing, yawning, stomping, or even saying a specific word in repetitive motions. These sounds trigger feelings of disgust, panic, anxiety and fear, and make the person want to run away. Many things could stimulate Misophonia, and most of these occur as a result of hyperactivity. A condition such a Misophonia requires treatment, so it is very important for a person suffering from the condition to seek immediate help before it gets worse.

What is ADHD?

As mentioned earlier, ADHD is a brain disorder also known as Attention Deficit Hyperactivity Disorder. This disorder tends to come in the way of your attention and coping skills and can also have an impact on how you behave in society. When a person is diagnosed with ADHD, it is because they display an inability to focus on tasks. It is usually spotted in children during school. The thing with ADHD is that there is no proper cure for it. However, if they detect it in its early stages, a child can receive a beneficial treatment plan that helps manage their symptoms.

The symptoms include forgetting about activities and experiencing difficulty in organizing tasks. People with ADHD may appear distracted and are unable to pay attention or stay still. In fact, you may catch them randomly daydreaming.  These behaviors tend to come in the way of their day-to-day activities, making it difficult for a person to cope in school or at work.

Can Misophonia Trigger ADHD?

To a certain extent, misophonia can trigger a person’s ADHD. Of course, not every person with ADHD can relate to this. Every individual with ADHD has different sensory triggers, and misophonia could be one of them. Many people with Misophonia can get distracted or anxious with unnecessary repetitive sounds they hear. Sounds such as continuous chewing, clicking a pen, or even breathing can trigger a person with ADHD.

Similarly to ADHD, misophonia is not an easily treatable condition.  Just like ADHD, it can affect everyday activities and relationships. Consequently, there can be a correlation between suffering from Misophonia as well as ADHD. People around such patients should be more understanding when they want to flee from a particular situation or react in an unexpected way.

Other ADHD Sensory Triggers

Television Time

There are many times a person with ADHD can go into hyper-focus mode in the middle of watching a show or movie on television. For many ADHD patients, this sensory trigger isn’t necessarily seen as a bad thing. The only exceptions are the times when they have to lie to the people around them that they’re enjoying the show. In reality, they don’t even know what’s going on because they can’t concentrate and watch any further.

Misophonia and ADHD specialist USA


To most of us, hugs seem like a great way to show affection to the people we love, and we may even expect one in return. People who have ADHD aren’t big on physical affection, as it could really trigger their sensory processing disorder. This is one of the reasons parents are recommended never to force their children to hug someone they don’t want. It is important to respect their boundaries because you might be helping them out.

The Clothes You Wear

Clothes can sometimes trigger people with ADHD and actually make them angry towards the look and feel of what they wear. They may feel like ripping their clothes off their body or avoid going out in public because of their clothes.

Misophonia and ADHD: Final Thoughts

Misophonia and ADHD are both something that people should start taking seriously, and if you know someone who is struggling, you should encourage them to get treatment. It is also important to determine the reactions of people who suffer from Misophonia or ADHD. Sometimes, it can get very unbearable.

For the best Misophonia treatment from the top world renowned specialist Stephen Geller Katz LCSW-R , visit the Misophonia Treatment Center in New York.

Extreme Sensitivity to Sounds

Do you have extreme sensitivity to certain sounds? Everyone reacts differently to a disturbing sound in one way or another. Imagine you’re sitting in a library, and a loud song starts playing suddenly. The chances are that it will have a slight effect on you. Now can you imagine simple sounds like chewing, walking, stomping, or even breathing making you sensitive? Well, many people are sensitive to such sounds, and at times, it gets so bad that they start reacting to them in a negative way.

There are certain symptoms that can detect you’re sensitive to sounds. In other words, you may have Misophonia or Hyperacusis. These are two conditions that are very common in both kids and adults. To learn more about sensitivity to sound, read further below.

Extreme sensitivity to sounds

Misophonia vs. Hyperacusis

Misophonia is a condition in which a person literally starts to hate particular sounds to the point that they can’t bear it anymore, and that affects their behaviors. Sounds such as chewing, breathing, or a specific ringtone can trigger certain symptoms such as anxiety, fear, panic, and disgust. It becomes very difficult to live with a condition like Misophonia, especially when it comes in the way of your daily lives.

On the other hand, Hyperacusis is also a condition that causes you to become sensitive to sounds, and this leads to major panic attacks and intense pain. The cause of Hyperacusis derives from listening to excessively loud noise. Sounds such as dogs barking, chewing, lawnmowers, breathing, and any other repetitive sound can make both Misophonia and Hyperacusis patients sensitive to sounds.

How to Deal With Noise Sensitivity

There are a few things you can do and consider to deal with noise symptoms and reduce the impact the symptoms have on you. Mentioned below are a few things you can do to deal with noise sensitivity:

Talk to a Professional

The moment you feel like you can’t bear certain sounds is the time you must receive professional help. A medical advisor will be the best to guide you through your problem and what you can do to deal with it. You may go to a behavioral health expert or therapist. You could also go to a counselor for counseling therapy, and they will guide you on how to deal with your symptoms.

This counseling session may also involve family members as the effect of sensitivity of sound also impacts the people living with you, and they must know how to deal with it as well. You may be recommended different forms of therapy such as Cognitive behavioral therapy (CBT) and Tinnitus Retraining Therapy (TRT).

Expose Yourself to Triggering Sound Systematically

This is something you may find difficult to do, but instead of running away or avoiding certain sounds you’re sensitive to, face them and allow yourself to deal with them. This type of strategy will create a relaxed environment wherein your mind and body are at peace.  This way, you won’t allow your mind to be diverted by the sound.

Specialist for extreme sensitivity to sounds

It takes a lot of patience and practice to do something like this, but it is very helpful once you get the hang of it. The purpose of doing this is to develop an attitude towards the triggering sound and to get used to it. So instead of it having a negative impact on you, you can change your perspective. You can do this by listening to a particular sound for short periods of time and gradually increasing your exposure.

Don’t Try too Hard to Block the Sound

The more you try to block the noise by covering your ears or running into another room, the more you will fear triggering sounds. The more fear you have, the more likely these sounds will irritate you.

It’s like your brain registers the way you react to the sound, and whenever you hear it again, that’s the same way you deal with it. So start by being patient and face the sound a little at a time. This is a type of managerial therapy you can carry out on your own. The more you practice, the more you’ll feel insensitive towards a particular sound.

Extreme Sensitivity to Sounds: Final Words

Extreme sensitivity to sound can get very frustrating at times and can have a negative impact on your day-to-day activities as well as relationships.

For the best diagnosis and treatment for extreme sensitivity to certain sounds, get in touch with one of the top specialists in the world at the New York Misophonia Cognitive Center.

Do Certain Sounds Make You Angry? You May Have Misophonia

Do certain sounds make you angry? A person suffering from misophonia gets angry whenever they hear common, everyday sounds, such as someone eating or breathing. The sound of such activities triggers your fight-or-flight reaction. As a result, you avoid restaurants, parks, and other public places. The reason? You feel that you can’t control your emotions in these spaces. People suffering from misophonia have shared that when they hear continuous sounds such as tapping or chewing, they felt like they were going to die. In fact, normal people may not even notice the sound, but because of the condition, your ears may become sensitive to such sounds.

Sounds Make You Angry

According to various researches, misophonia is an autonomic and unconscious response of your nervous system. Professionals concluded this after analyzing people’s reactions to sounds. These people are sensitive to sound. Studies also suggest that alcohol and caffeine can make the condition worse (Source).

When Sounds Make you Angry: What is Misophonia?

Misophonia is a disorder that emotionally affects you because of the triggering sounds. These sounds may be unnoticeable and common for others, but they give you a hard time when you’re trying to listen and tolerate. The sound that triggers your emotions and increases the desire to escape includes yawning, breathing, or chewing.

This condition does not include a lot of research, and doctors cannot yet tell how common this condition is. The severity of the symptoms varies from one person to another. People with misophonia are not expressive. They prefer to stay in isolation rather than mentioning things to others or doctors. Because they feel embarrassed about developing this condition, they hide it. That is why many doctors and other health care providers do not know about the condition.

Keep in mind that misophonia is a serious condition that limits your quality of life, social life, functionality, and mental health. Most people develop this condition at the age of 12, and the severity of the condition increases over time.

Causes of Misophonia

With little research, professionals are unable to find the actual cause of the condition. However, some factors affect the development of this condition. Here are a few of those factors:

·       Tinnitus

People suffering from Tinnitus often develop Misophonia. In Tinnitus, they continuously hear ringing or clicking sounds in the ear. This leads to intolerance of similar sounds from external sources. Tinnitus is a genetically transferred condition that affects your tendency to hear sounds. There are numerous underlying conditions for the development of Tinnitus, including trauma, injury, or an infection.

When Sounds Make You Angry | Misophonia

·       Brain Chemistry

According to some experts, Misophonia relates to the anterior insular cortex or AIC. This region of the brain is responsible for processing emotions. Also, when your auditory cortex does not normally function and increase communication with the auditory organs, some sounds become more prominent than others. Consequently, irritating sounds seem louder and more apparent.

·       Genetics

Misophonia is a genetic condition that can run in the family. The genetic component of this condition increases the chances for you to develop the condition.

·       Other Mental Conditions

Many other conditions, including Tourette syndrome, obsessive-compulsive disorder, and anxiety disorders, can cause misophonia. The hypersensitivity in this condition will cause a fight and flight response.

Misophonia and Anger

The condition can trigger feelings of stress. Because of this, you may prefer to stay in isolation to avoid irritating sounds. While many people find chewing sounds annoying, people with misophonia feel fury and rage when someone makes such a sound near them.

1.     Fight or Flight

Normal sounds, such as the clicking of a pen, can irritate you if you deal with misophonia. When you experience the problem, you may want to scream and run from the situation or try to make the noise stop with rage. This condition can cause daily irritation leading to anxiety and depression. You will find it hard to live your life to the fullest.

2.     Losing Control

Suffering from misophonia means you can react to relatively small sounds & behaviors. Your reaction starts with irritation because of the sound, and it instantly turns into anger and rage. You will feel like shouting and become verbally and physically aggressive. Here are some physical reactions that you might experience caused by misophonia. The reactions include:

  • Muscle tightness
  • More rapid heartbeat
  • Increase in blood pressure
  • Pressure on chest
  • Increase in body temperature

3.    Eating and more

According to Dutch researchers, here are some common triggers of misophonia:

  • Eating sounds (81%)
  • Loud breathing (64.3%)
  • Hand sounds and finger tapping (59.5%)

As you can see from the above percentages, eating sounds many people with misophonia finds eating sounds irritating.

When Sounds Make you Angry: Conclusion

People suffering from misophonia will start experiencing the symptoms of the condition at an early age. It starts with one sound, and over time, you feel irritation with other sounds as well. The reaction to the sound can be intense or excessive.

This affects your feelings, and you can lose control. Misophonia is a chronic condition usually triggered by other conditions. Misophonia can lead to mental illness and isolation, leading to depression and stress. If you want to visit a professional and control your symptoms, simply contact our clinic at 646-585-2251.