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.

Noise Sensitivity & Anxiety

Anxiety is usually a by-product that occurs when you come across a distressful situation. Majority of scientists that sternly believe on the phenomena of evolution agree to hypotheses made by evolutionary biologists that anxiety is an inherited trait in humans that is important for survival. According to them, the first ever cousins of the human species used anxiety to their advantage, by fleeing from pray and avoiding dangerous outcomes.

Anxiety is a response that has played a critical role in the survival of Homo Sapiens(humans), however, statistics show that with the beginning of the modern information age there has been a sudden rise in anxiety disorders amongst the general population. Anxiety is a fight or flight response that be triggered by countless phenomenon, considering the complexities of human psychology.

Noise Sensitivity & Anxiety

Noise Sensitivity & Anxiety: Misophonia

Sensitivity to noise and its response in the form of anxiety’ points to a condition that many medical professionals still cannot classify to this day. It is called Misophonia, wherein “Miso” means hate and “phonia” means sound. Misophonia does not necessarily mean hating sound but instead it is more like hating certain and specific sounds so the more appropriate way of describing it would be by calling it a selective sound sensitivity syndrome. The term ‘misophonia’ is more popularly used.

The sounds that a person suffering from misophonia can be sensitive to and the intensity of emotional response caused by it vary from person to person. Loud chewing is an example of a sound that can be annoying for a person with misophonia. Chewing noises are the most common sounds that trigger an emotional response in people who have sensitivity to selective sounds.

Noises that can derail emotional stability can be the sound of heavy breathing, which is the second most common trigger for people with misophonia. If you have a problem with people who breathe too loudly, then you also could have a minor condition of misophonia. Other noises include feet stomping, pen clicking, keyboard tapping, window wiping, and finger snapping. Familiarity between all these sounds is the repetitive motion in which they occur. This explains why a subtle or loud noise that occurs repetitively triggers a misophonic person.

If we are to compare this condition with any other condition, the ones that come closest are ASMR and Hyperacusis. ASMR is a sort of audio stimulation, it also invokes an emotional and physiological response to any audio, which most people describe as a pleasant experience. In contrast, Misophonia is also a physiological and emotional response to sound, but it is not a very enjoyable experience. Instead, it can even trigger extreme reactions from some patients.

Rage, frustration, and anxiety are the most common psychological symptoms that people with Misophonia have to suffer from. Unlike hyperacusis, which is a condition that makes people intolerant to loud music, a person suffering from Misophonia has no problem with the intensity or amplitude of sound waves but some psychological disability to tolerate certain sounds. The complexity of this disorder is beyond bounds, diagnosing it has been difficult for doctors. However, recent studies have made us understand and treat this disorder better.

Noise Sensitivity & Anxiety Top Specialist

Noise Sensitivity & Anxiety: Studies

The medical science community is still discovering new information about this illness, many suggest that it is a symptom of other mental disorders. Patients with autism and obsessive compulsive disorders are more likely to show symptoms of noise sensitivity. It can also be found in people with Tourettes Syndrome. Normal patients with Misophonia were subjects of a recent study conducted by the University of Neuroscience.

The brain scans of healthy people and people with the disorder were compared and the study shows that there are differences between the brain activity of healthy people and people with noise sensitivity. This is good news for the people suffering with this abnormality as this study indicates new progress in the treatment of Misophonia. We still do not know for sure how this disorder arises and why it can be such an obstacle for some patients to overcome. Neuro-biology still has miles to cover until we can fully understand how the brain works and how the workings of the neural pathways dictate our behavior. This is why psychological disorders like these remain unclassified and for a long time untreated.

Noise Sensitivity & Anxiety Conclusion: Consult with an Experienced Misophonia Specialist

You should not take Misophonia, otherwise known as a ‘selective sound sensitivity syndrome, lightly. People need to start thinking about this disorder as a serious concern. People with severe or minor Misophonia tend not to seek treatment. This is because the disorder is still not classified as a legitimate mental illness. This is why most cases of Misophonia are left unreported.

The point of sharing all this information about this disorder is that so you can identify people who suffer on a daily from this and help them get treated. We provide extensive methods that treat Misophonia at the Misophonia Cognitive Center.

Stephen Geller Katz LCSW


Misophonia & Chewing

What is the relationship between misophonia and chewing? Imagine sitting next to a person eating crispy potato chips, and the bag is making sounds, or he’s chewing loudly. Do you hate the sound? Does it feel like someone is dragging nails down on the blackboard? This is not normal, and you may be suffering from misophonia, which can lead to stress, anxiety, etc.

Misophonia & Chewing

Misophonia, which experts also refer to as ‘sensitivity syndrome’ for selective sound, is due to being sensitive towards certain sounds. Some common triggers are throat sounds, chewing loudly, nasal sounds which include a human blowing his nose, and repetitive noise such as clicking a pen or tapping. As it is a very challenging symptom, this condition is not related to your mental health. A 2015 research included 300 people suffering from misophonia. The study concluded that only 2.2 percent of them suffered from a mental health-related condition. It can be very distressing for the person who is suffering from misophonia and their loved ones. It can become a reason for fallout in relationships because a person suffering from misophonia cannot tolerate sounds, and hearing them can trigger his anger. Similarly, they cannot go to public places as sounds can irritate them a lot. Furthermore, the sensitivity of sounds that a romantic partner will make may feel critical, overbearing, and hurtful for the person with misophonia.

How Misophonia Affects Relationships

People suffering from misophonia may resist gaining acceptance and understanding from their partners. A partner may not accept misophonia; they may argue that the person is too sensitive or controlling. A person may feel embarrassed when their partner with misophonia cannot tolerate annoying noises and gets irritated and angry in public places.

If you are in a relationship and either one of you is dealing with misophonia, it can create clashes between both of you. Eventually, it will lead to criticism and hurting each other’s feelings. Some of the common issues in a relationship due to misophonia are:

1.    Parenting Children Together

Many kids make repetitive, annoying, and loud sounds or noises. These can make a person with misophonia impatient and angry. On the other hand, if a child has misophonia, they can develop anger and cranky behavior when they grow up.

2.    In Public

Common misophonia triggers are sounds of eating, clicking a pen, and the ticking of a clock. It can extend as far as traffic and driving-related sounds and sounds that the body makes.

3.    Eating Together

The sounds of silverware scraping against the plate and chewing may trigger people suffering from misophonia.

4.    Identifying and Understanding Misophonia

When a person with misophonia complains about certain sounds, their partner may think they are extremely critical or exaggerating.

It’s not just a few sounds such as chewing and tapping that trigger a person with misophonia – other sounds are just as worse. Some patients say that they experience physical sensations, while others say that it is disgust and revulsion. When a person with misophonia considers normal sounds annoying, a partner may feel criticized, shamed, and judged.

Misophonia & Chewing specialist USA EU

Tips for Misophonia

People suffering from misophonia and its symptoms might improve their relationships by talking about it with their partner and close ones. You will have to visit a doctor who will diagnose you for misophonia. Research and therapy can prove effective for reducing the symptoms of misophonia.

While numerous causes lead to a person developing the condition, it’s crucial to tell your loved ones how you feel. For starters, you must tell your partner about the sounds that trigger you, such as chewing sounds. You can practice controlling this condition through positive affirmation, visualization, and deep breathing.

First, you need to identify all the triggers of misophonia. The more you know about the sounds that trigger you, the more quickly you can avoid this condition. One way to practice is to cover up your misophonia by slowly exposing yourself to the sounds in low-stress situations and low doses. This practice will work perfectly when you are doing it with a therapist and a doctor. You can also carry earplugs when you go to public places. This way, you won’t hear triggering sounds, which can be good for you and your partner.

Misophonia & Chewing: Conclusion

If the sound of chewing or any other irritating sound triggers you or your partner, you can visit our clinic. For appointments, you can contact us at 646-585-2251 or visit our website for complete details and our clinic’s location.

Misophonia Therapy

Do you need misophonia therapy? Misophonia is a unique psychological condition that is related to the cognitive dysfunction of the brain. It is a relatively new disorder and so there is not enough research on it on the internet to help you. Many people from the medical science community disregard it as a legitimate disorder because there is still not a proper procedural diagnosis for it. One of the arguments raised by the skeptic community is that you cannot possibly tell what kinds of emotions are involved in it. You will see some resources referring to this condition as selective sound sensitivity syndrome. Misophonia can be detrimental for your mental health because it not only affects the person suffering from it, but also the people around the person.

How it works

Misophonia causes an immediate reaction to sound. The sound can be different from person to person and does not necessarily have to be loud. It makes you react involuntarily and repulsively to any specific sound or sight. The triggers are generally the softer sounds, often also repetitive in nature. Misophonia triggers an outburst of strong and involuntary emotions in a person. The most occurring emotions that the person displays are anger, disgust, frustration, resentment, disgust and hate towards the person making the sound. In extreme cases, the person suffering with Misophonia can cause harm to other people when triggered by the sound. However, you should know here that people with this condition rarely act out on these impulses.

Misophonia | Therapy Options


Misophonia might not go away with time and so it does not get better as you get older. In fact it generally gets worse as time progresses. The intensity and severity of this condition can be stable for years and escalate at any point. As per the limited information on the condition, it can be fluctuating in nature. The reactions to the triggers can get better as you get older. This can be because once people mature they learn to deal with this disorder. Some people even modify their whole life in order to refrain from any moment that triggers them.

Misophonia Therapy

Treatment for Misophonia can be difficult. Since there is no diagnosis for it, there are no clinical procedures that can instantly cure it. The best and most effective methods available for the treatment of Misophonia are therapeutic treatments. Different therapies exist that treat Misophonia and some have even proven to have lasting positive effects on patients. Let us dive into the best ones that medical professionals usually recommend.

1.     Cognitive behavioral Therapy (CBT)

Since Misophonia is predominantly, a disorder that the brain is responsible for, cognitive behavioral therapy has a high chance of showing positive results. This therapy consists of multiple lasting sessions with a professional consultant. The consultant or therapist helps you analyze the problem in depth over multiple sessions of therapy. This has worked for patients that have a keen control over their conscience and have the ability to self evaluate. The main purpose of this therapy lies within the eradication of negative thoughts in the brain. The therapist in these sessions aims to have a transformative effect on the patient so that they are capable to self alleviate the emotional takeover.

Misophonia Therapy | Treatment Options

2.      Tinnitus Retraining Therapy (TRT)

This is a therapy for treating a different hearing disorder, which you would call Tinnitus. This disorder causes loud ringing sound in the ear. Tinnitus Retraining Therapy This therapy is a combination of multiple therapies that attempts to make chances in the brains dysfunctional neural wiring.  A consultant performs multiple sessions to help change the perceptions of this disorder. The patient receives a complete overview of the auditory malfunction so that he can isolate any of the negative thoughts that he has with the disorder. Another method that this therapy may imply is sound therapy,

3.     Relaxation Therapy

This therapy includes every possible therapy that causes physical and mental relaxation. The purpose of this therapy is to get you out of the anxious or distressed state and it was be helpful when a person with misophonia faces triggers. Physical therapies for this include acupuncture, Massages, exercise, sauna, chiropractics, and basically anything that will trigger the pleasure centers of your brain. Mental relaxation includes meditation. Meditation has proven to be incredible for the treatment of mental disorders and it can be easily performed anywhere without the help of any therapist, all you need is quite space. Misophonic patients can benefit greatly from emptying their mind and indulging in meditative states.

Misophonia Therapy: Conclusion

Misophonia is a relatively new disorder that is still debatable and so that is why it has lost all those years of being a subject to research. The research on this condition has been recent and so, there hasn’t been a real breakthrough in finding a real cure or effective treatment.

Treatments mentioned above have been useful regardless of the lack of research. If you are looking for treatment options for yourself or anyone else suffering from misophonia or it’s symptoms, call us at the Misophonia Cognitive Center and schedule a tele-session today.

Sounds That Trigger Misophonia

Unlike Hyperacusis, the sounds that trigger Misophonia are usually not loud. The nature of sounds that usually trigger the people who suffer from misophonia is usually continuous and intrusive in nature. Let’s remind ourselves that a person with Misophonia is usually a very sensitive person. Their level of tolerance for these obnoxious or irritating sounds is not very high. These sounds can be very subtle and also very loud. Each individual who suffers from this condition has low tolerance for particular sounds but some sounds are more common than others.

Sounds That Trigger Misophonia

Sounds When Chewing

This sound is the most common one that have a very triggering effect on a person with Misophonia. A person with Misophonia will display an immediate and rigorous reaction to this sound. The problem with this sound is that even the general population does not like the sound of loud chewing. You may be disgusted by it, but that would only mean that you are sensitive to that sound and are likely to address it by a verbal protest. A person with Misophonia gets triggered by this sound and experiences an involuntary reflex reaction to it. So, eating in public restaurants or around people can be impossible.

Sounds When Breathing

This is the second most common sound that can trigger a response. Just like chewing, it is also an accumulative sound; it is subtle, repetitive, and the human mouth produces it. Not that it matters where the sound is coming from because the sounds made on the dinner table can also invoke a response. Breathing sounds would include all sorts of breathing, snorting, sniffing, yawning, whistling, signing, coughing, and sneezing.

Sounds That Trigger Misophonia | Treatment

Sounds produced vocally

Any sound that our vocal cords or mouth produces can cause a Misophonic trigger, these include smacking lips together, making particular sounds with the help of your tongue, high pitched whispering etc. The little casual murmurs we might find ourselves making can also cause a Misophonic jerk. Sometimes, the consonant sounds produced by us can also be triggers (S and P) mostly. This is why people who suffer with Misophonia prefer not to interact with other people. They would rather have no social life than be in excruciating pain.

Sounds Produced in Our Homes

We usually do not notice sounds in our homes. Thankfully, we don’t suffer from Misophonia. A person who suffers from a severe case of Misophonia leads a hard life. This is because if they try to isolate themselves from others and lock themselves up in their room, they are still not safe if the neighbors decide to have a party. Studies have shown that one of the most common triggering sound, after eating and breathing sound, is the sound of bass playing through walls. This sound also follows the similar continuous and repeating pattern. Other less common triggering sounds produced in the house include, table shifting, glasses clinking, vacuuming, window wiping, walking with flip flops on, opening a bag of chips, the crackling of wrappers, nail clipping, etc.

Sounds Produced Outdoors

If it were possible, a person suffering from Misophonia would spend their days locked inside the house. Earning a living can be a disastrous effort for people who are hunted down by Misophonic sounds that can arise from anywhere. Many sounds in the workplace may annoy a Misophonic person. Sounds like keyboard typing, mouse clicking, beeping of phones, printers, laptops, and banging of desks. This makes it almost impossible to concentrate on work. Other sounds that can bother a Misophonic person outside the house are car of engines, construction noise, doors slamming, and birds chirping. These Misophonic sounds that are produced outside can push anyone suffering from this disorder to become socially isolated.

Sounds That Trigger Misophonia - Treatment

Visual Triggers

This disorder is a weird phenomenon. Not only do the sounds of certain kinds set off an emotional response, but also the actions that produce those sounds can cause an emotional outburst in a misophonic person. If chewing is bothersome to the person with the disorder, then the very action of a person putting a gum in their mouth can also elicit an emotional response. Just like the repetitive nature of certain sounds, actions that are repetitive in nature can provoke a reaction. Actions like shaking legs, scratching the face, and brushing hair. Basically, any visual image that occurs before the trigger can be associated with causing a Misophonic trigger response.

Sounds That Trigger Misophonia: To Conclude

Anything that vaguely follows a soft and repetitive pattern, whether it is a sound or a sight, can cause an misophonia related emotional reaction. It is important for us to understand that a person with Misophonia not only hears this sound but also feels it intensely.

If you or anyone you know has this disorder, schedule a tele-meeting with Stephen Katz LCSW at the Misophonia Cognitive Center:  646-585-2251

Hypersensitivity to Sound

Hypersensitivity to sound is a condition in which sound waves from a certain frequency enter into your ear and the brain interprets them in an exaggerated manner, causing an overwhelming reaction. This condition is more commonly known as Hyperacusis. Hyperacusis is an extremely rare condition that causes some sounds appear unbearably loud to the person who suffers from this disorder. 1 in 1500 people has Hyperacusis and most people who have Hypercusis also suffer with Tinnitus, which is a disorder that causes you to hear loud ringing noise in your ear. It is different from any other hearing disorders like Phonophobia and Misophonia.

Hypersensitivity to Sound | Disorders

A human ear has the frequency of hearing a wide range of sounds. Numbers range from 20Hz – 20 kHz. Anything above this range will sound unbearably loud to a normal human being. A person suffering from hypersensitivity to sound or Hyperacusis may find sounds that are well within the normal hearing range to be incredibly loud. Noises like babies crying, car engines starting, and in some instances, even conversational voices of people who speak in a slightly higher tone, can cause an abnormal reaction.

Hypersensitivity to Sound


The causation of this disorder is to do with the brain, since the brain is responsible for interpreting sound waves and forming them. Causes include situations that could have caused some sort of brain damage. Injuries point to the most convincing cause of brain injury that could lead to hyperacusis. Indulging in the use of heavy psychoactive drugs like LSD also seems to be a cause. Other common causes include being exposed to loud noises. However, some people are just born with hypersensitivity to sounds maybe because they inherit it from their parents.

Side Effects

This disorder can be very painful for some people because it can have a traumatic effect in your life. The traumatic effect is usually a by-product if the Hypersensitivity or Hyperacusis is an incidental occurrence. There have been many reports of students being exposed to a loud noise and then developing Hypercusis, which ultimately resulted in them being scarred for life, e.g., losing interest in studies and being unproductive. People who start developing Hyperacusis socially isolate themselves because they are always consciously blaming themselves for being a trouble for others. This can also Lead to severe depression, and in some cases, insomnia.


The general symptoms are headaches, pain, and fear. On some rare occasions, a person can also develop insomnia. A person with this disorder is also likely to run into situations that cause him to go into a full-blown panic attack. Hyperacusis has a link with other diseases and disorders. A symptomatic patient of hypersensitivity is more likely to display an introverted personality. This is evident because avoiding interactions gives you a better chance of not running into loud places or people. A person with this condition can experience a pinching pain in the ear if he/she hears a loud sound.

Hypersensitivity to Sound | Noise Disorders


There is no medically facilitated treatment for hypersensitivity to sounds yet. Researches are underway on this illness. However, many people have ascribed to seeking help in the form of therapy. A lot of people benefit from therapy and there is therapy for almost all kinds of illnesses. The go-to therapy for Hyperacusis is sound therapy. This therapy has worked for many people. Apparently, it helps getting your sensitivity to normal by using hearing devices or noise generators that can reduce your sensitivity to some sounds over a course of time.

Another option is Cognitive Behavioral Therapy, otherwise known as CBT. This therapy focuses on getting you in control of the negative thoughts in your brain. It has positive results since this disorder has a connection with the health of your brain. A therapist usually counsels the patient over a number of sessions in order to get to the root of the problem and try to understand it on a subconscious level. Other therapies include several different types of relaxation therapies, massages, sauna and even acupuncture.

Hypersensitivity to Sound: Final thoughts

Dealing with a disorder that has no procedural treatment can be extremely tough and it is not uncommon to lose your will to live. What is most important when coping with hearing disorders is keeping your mind and body happy. Living your life in a positive and fulfilling way can help you fight any problems that the world provides. If you look closely, you will realize that this is the same objective that most therapies are trying to achieve.

If you face problems with Hyperacusis, please contact Stephen Katz at the Misophonia Cognitive Center.

Misophonia Symptoms

Misophonia is primarily a mental disorder that causes irritation in response to a certain sounds. Since Misophonia is a relatively new disorder, the symptoms can be hard to distinguish. This type of situation has occurred in everyone’s life at a certain point and so this points to a naturally common occurrence. The thing that separates normality from abnormality is the severity of the symptom. A person with Borderline Misophonia or severe Misophonia displays a much more elaborate response to subtle nuances in the form of repetitive sounds.

The symptoms of the condition can be so severe that they impact the person’s whole life, making him/her unable to function on a daily basis. Simple noises, such as breathing, can invoke a threatening feeling in the person who has the sensitive sound syndrome. The symptomatic people who have a serious issue with sensitive sounds are much easier to identify because their immediate outbursts and breakdowns are easily visible.

Misophonia symptoms

Common Misophonia Symptoms

Most common symptoms tend to lead to anger and frustration. The mechanism of how this may unfold in a person who suffers with Misophonia can be of different kinds. The first being the kind in which a person lashes out after being gradually provoked by the sounds that they are sensitive to. This takes place in a manner in which the repetitive noise starts to cause minor disruptions in the person’s mental state. The frustration gradually starts to build up until it reaches a tipping point. This is when the person with Misophonia cannot tolerate the tiny but deadly auditory havoc and lashes out.

In other instances, a person who suffers with minor Misophonia can display symptoms as just a verbal protest. One may simply ask you to stop whatever sound you are making in a displeasing manner. This is merely due to the overwhelming stimulation that is happening in the hypersensitive brain of the person who suffers from Misophonia. This can be either one noise or a couple of noises together that are triggering  an emotional response in the person. Behavioral changes are the most common symptoms of Misophonia.

Behavioral Changes

The behavioral changes in the people suffering from Misophonia are transformative processes often leading to anger and frustration. A behavioral change can start with any feeling that leads to anger that can ultimately lead to aggressive behavior. Some people initially feel disgusted while others feel annoyed and overwhelmed. So far, the doctors do not have a a consistent behavior pattern that they can use to diagnose the presence of Misophonia in people. The intensity of the outburst can also depend on other variables, like the environment, or the general personality of the person.

These behavioral changes are also invoked in people suffering from this disorder without actually being exposed to the disregarded noise. The basic act of thinking about certain noises can also result in the emergence of physiological and emotional pain. This is a fact that solidifies the propensity and relentlessness of the disorder. The following discussions have been aimed at all the emotional and mental disturbances and symptoms that Misophonia causes. However, where there are emotional and mental stimuli, the body responds to them by making a few changes in its workings.

Misophonia symptoms 2021

Physical Misophonia Symptoms

People with Misophonia also suffer from several physical conditions. The trigger of emotional response causes the brain to make hormonal changes in the body, which ultimately results in physical reactivity. Misophonia sends you in a state of fight or flight response. Our body uses the negative feedback encountered by our brain by simultaneously increasing our blood flow. Our body produces this counteractive response in times of fear or anger so that our muscles can receive more oxygenated blood. This allows the body to perform actions that are necessary to avoid the situation that’s causing this response. Another symptom of Misophonia is increased heartbeat, which is a result of emotional triggering. People with severe Misophonia may face these physical symptoms like increased blood pressure, rapid heartbeat, and heaviness in the chest.

Conclusion: Contact Stephen Katz at the Misophonia Cognitive Center

A study found that 52.4 percent of participants with Misophonia were also diagnosed with obsessive compulsive disorder. The underlying message to this fact is that people with Misophonia do not share the same mental health of the general population. Being a victim to Misophonia could mean that you have other mental health problems that are even more threatening.

Contact Stephen Katz LCSW at the Misophonia Cognitive Center today. He is an expert in diagnosing and treating symptoms related to misophonia and sound disorders.

Misophonia Cognitive Center
Stephen Katz LCSW

Do You Have A Hatred of Sounds?

What causes hatred of certain sounds? Misophonia is a condition that involves having an aggressive irritation towards some sounds. It literally means that the person suffering from this condition hates sounds cannot control their own emotions.

Basic sounds that can trigger misophonia include everyday sounds, such as repetitive oral sounds, breathing, and chewing sounds along with sounds of pencil tapping and typing. A person with misophonia can feel anger just by listening to triggering sounds of a keyboard or a pencil.

Hatred of sounds & misophonia

Is Misophonia a Mental Illness?

Experts have yet to declare misophonia a mental illness, but they are also confused. Research has proven that the brain of a misophonia patient reacts differently than the non-misophonia patient. But there is limited research on this topic, so experts cannot say the main cause of this condition. The posterior medial cortex and the medial frontal cortex are way more active when they hear triggering sounds. Misophonia patients also give the sign that they are in distress by sweating and an increased heart rate when they hear these types of sounds.

Hatred of Sounds: Symptoms

The initial symptoms that people who are suffering from misophonia may experience include:

  • Verbal or physical aggression
  • Disgust
  • Annoyance
  • Avoidance
  • Anger

The response towards triggering sounds is called autonomic, and usually, the person is very angry and enters in a situation to fight or flight from the moment. The flight and fight response is also a response to acute stress. It is a natural way of defending the body when the situation seems threatening. In this situation, various things occur as a part of the response:

  • Alertness and awareness increase
  • Pupils dilate
  • Blood vessels constrict
  • Muscles tighten
  • Breathing and heart rates increase
  • Body release hormones such as norepinephrine and adrenaline

The research has shown that people with misophonia have increased body temperature, heartbeat, and blood pressure.

All these responses are the body’s natural way of responding to threatening stimuli. However, no one knows why people suffering from misophonia respond like this to triggering sounds, but according to different research, this is an involuntary response. People suffering from a chronic condition often feel anxiety, rage, and panic due to these triggering sounds.

People with this condition try hard to avoid any exposure to triggering noises. They also socially isolate themselves or develop interesting and unique coping mechanisms. Many patients also start wearing headphones or create different noises to blend and drown out the sounds that irritate them.

Hatred of Sounds: Diagnosis

There are no proper criteria for the diagnosis of misophonia. This is because it is still not recognized by the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5).In 2013, diagnostic criteria were proposed and published. Researchers suggested that this condition be a discrete and separate psychiatric disorder. Researchers also noticed that although this condition is similar to other conditions such as OCD, different phobias, intermittent explosive disorder, the patterns of the symptoms for misophonia do not fit any of these diseases, and the characteristics are totally different. In the above-proposed criteria of misophonia, it is characterized by:

  • Loss of control due to anger
  • Believing that a sound can trigger the condition and result in disgust, anger, and irritation.
  • Avoiding triggering sounds that are known or tolerating the sound with discomfort, anger, and disgust.
  • Feeling of distress that is affecting the daily activities.
  • No other medical disorder can define this condition and feelings in a better way.

As there are no official methods to diagnose this condition, doctors may recommend various methods of treatment so you can manage to decrease the symptoms.

Hatred of Sounds | Misophonia Treatment

Hatred of Sounds: Causes

Accurate reasons for people developing misophonia are still unknown. However, you can define this condition in various methods and by considering different factors.

1.    Brain Chemistry

According to many researchers, people suffering from misophonia may develop connectivity among the auditory cortex and AIC or anterior insular cortex, which is an area in the brain responsible for emotional processing.

2.    Other Medical Conditions

People suffering from OCD or obsessive-compulsive disorder, anxiety disorder, or Tourette syndrome are likely to develop misophonia.

3.    Tinnitus

Misophonia is very common with people who are suffering from tinnitus. In this condition, a patient will hear a continuous ringing noise.

4.    Genetics

This condition also runs in families, so there may be a genetic component responsible for increasing the risk of this condition.

Conclusion: Contact Misophonia Specialist Stephen Katz

Many people are creating awareness about this condition, but still, there is very limited research about misophonia. Even the epidemiological evidence of this condition is not available. If you or your loved ones suffer from this condition, we know how hard it can be for you to talk about it.

We will help you with your misophonia. For setting up an appointment with our professional doctors, you can contact us at 646-585-2251 or visit our website.

Do People Chewing Loudly Bother You? You May Have Misophonia

Does people chewing bother you due to misophonia? There are various times when the sound of a pen tapping, chewing, and other sounds annoy you. But if you experience severe symptoms every time you hear these sounds, it can be a serious condition. People with such a condition suffer from misophonia. For these people, such sounds are not only annoying but unbearable.

Experts named this condition in 2001. The word misophonia means hatred of sound in ancient Greek. Medical professionals also recognize the condition as selective sound sensitivity syndrome. This is an abnormality in the brain with physiological and psychological symptoms. In a recent study, researchers found differences between the brain structures of people with misophonia and people who do not have this condition. The difference was prominent in the MRI machine when their brain reacted to sounds that trigger their condition.

This hypersensitivity to noise and sound can lead people to develop a fight or flight response. They also feel rage, anxiety, and panic when they hear these disturbing and triggering sounds. If they fail to treat the condition or seek help in time, it can lead to depression and social isolation.

Research on misophonia is still not extensively available. There is still no criteria to diagnose the condition in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). However, some doctors have found certain treatments to be effective and have included it under “Obsessive-Compulsive and Related Disorders.”

Chewing Loudly Misophonia Diagnosis

Misophonia Triggers

Various sounds may trigger you if you have misophonia. These sounds differ from one person to another and may also change over time. Oral sounds are the basic and most common triggering sounds that affect most people with this condition. Here are some of these sounds:

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

Other sounds that trigger the person suffering from this condition are:

  • The sound of crickets, birds, and other animals
  • Slamming of car doors
  • Ticking clocks
  • Papers rustling
  • Writing sounds
  • Sniffing

Any sound can be irritating for misophonia sufferers. People with misophonia also gets triggered with visual triggers, such as:

  • Hair twirling
  • Nose rubbing
  • Foot wagging

Symptoms of Misophonia

The main characteristics of this condition are an extreme reaction like aggression and anger to people who make these sounds. The reaction to the sound may vary depending on the person. It also depends on how much a person can tolerate these sounds. Many people may feel irritation and annoyance, but some may also experience full-blown rage.

Both genders can develop this condition at any age. However, they start showing symptoms when people are in their late childhood and teenage phase. Initially, only a few or a single sound triggers people, and when they do not take care of it, the response time increases and additional sounds also start eliciting a negative response. People with misophonia realize how excessive their reaction to sound is, and they know that their feelings are un-controllable when they listen to the sound that triggers a response. According to studies, here are some of the triggers of misophonia:

  • Reacting evasively with people who are making triggering sounds
  • Physically lashing on people who are making the sound
  • Disgust converts to anger
  • Irritation converts to anger
  • Getting verbally aggressive to people who are making noise

Other than emotional responses, there are many studies in which commonly experienced physical reactions were found:

  • Increasing body temperature
  • Rapidly increasing heartbeat
  • Tightness of muscles
  • Increase in the blood pressure
  • Pressure in the chest and throughout the body

Chewing Sounds Misophonia Diagnosis Treatment

What are the Causes of Misophonia

Researchers are still not aware of the causes behind misophonia. People suffering from the following conditions are at a higher risk of developing misophonia:

  • Tourette syndrome
  • Anxiety disorder
  • OCD or obsessive-compulsive disorder

People suffering from Tinnitus have a higher chance of developing this condition. When people suffer from tinnitus, they hear a continuous ringing-like sound in the ear that people around them can’t hear.

Misophonia is a condition with its own symptoms and does not relate to any other diseases, but this condition can overlap with various other conditions. Many people suffering from any of the above conditions may develop misophonia and experience similar symptoms. For instance, if a person suffers from misophonia, they may experience sweating, heart racing, etc. whenever they perform stressful tasks at home or at work while hearing a specific sound.


In various circumstances, misophonia can become non-tolerable, and the condition gets worse from time to time. If you treat the condition in time, you may get relief before it gets uncontrollable.

For professional treatment and expert advice, you can contact misophonia expert Stephen Katz LCSW at 646-585-2251.

Visit our main website at  for complete information about the conditions we treat.

Can You Cure Misophonia?

Can You Cure Misophonia? Do you feel angry when people chew in front of you? Ever snapped at a person for breathing too loud? Or do you hate the sound of people sniffing, sighing, or snoring? If so, you may be suffering from misophonia. The literal meaning of this condition is hatred of sounds. Many people cringe and feel uncomfortable due to some noises as if they’re nails on a chalkboard. But even everyday sounds such as tapping, sniffing, chewing, and breathing are enough to trigger people with misophonia and illicit an intense negative response against it. If you experience such adverse reactions to everyday sounds, don’t blame yourself. In many cases, this condition worsens, and it disturbs your quality of life. If even being in a public space is enough to cause immense discomfort, it can become difficult for you to achieve your targets and goals.

You should learn more about this condition and possible treatment if you feel like certain sounds affect your mental health to the extent that you’re avoiding social situations.

Can You Cure Misophonia?

What Is Misophonia?

While the term means hatred of various sounds, it doesn’t imply that hating a certain sound means you have misophonia. For instance, if you only hate sounds like the scraping sound of a knife or fork on the surface of a plate, you might not suffer from this condition. Similarly, if you hate a sound or cringe due to a specific sound, it doesn’t mean you have misophonia.

Diagnosis of Misophonia

Numerous health care professionals can diagnose misophonia. This includes psychiatric nurses, psychologists, language and speech therapists, audiologists, primary care providers, psychiatrists, social workers, physicians’ assistants, etc. After conducting an examination, they will recommend a physical examination and extensive medical interview for assessment. Another key aspect for diagnosing this condition is checking if you face other conditions that can affect hearing. This includes hearing loss due to age, hyperacusis (disability to stand normal environmental sounds), tinnitus (a continuous perception of sound because of abnormality in hearing), and auditory hallucinations (hearing voices and frequencies that don’t exist in reality).

This disease is linked with many other problems related to mental health, such as bipolar disorder, depression, anxiety disorder, obsessive-compulsive disorder, obsessive-compulsive personality disorder, various autism-spectrum disorders, and Asperger’s syndrome. Experts may misdiagnose misophonia patients with ADHD or attention deficit hyperactivity disorder. So the evaluating person will look for the sign of anxiety, manic depression, depression, behavioral disturbance, and many other mental health-related symptoms.

Symptoms of misophonia can occur due to various medical conditions or side effects of different medications. That is why health care professionals mostly perform routine tests at the time of initial evaluation to find other causes of the symptoms. Normally, you will require scans, x-rays, and other imaging studies. While examining, the professional may ask you various questions through self-test or standardized questionnaire to disqualify other diagnoses.

Can You Cure Misophonia? Treatment & Info 2020-2021

Treatments for Misophonia

Experts have yet to study misophonia thoroughly. Many experts know that this condition may occur after 12 years of age and have different severity. People with misophonia experience embarrassment. This can lead to them hiding their condition from the doctor. That is why it is hard to find out how many people suffer from misophonia.

Many healthcare providers are not aware of this condition so if you need proper treatment, visit our clinic. Here, you can learn more about the challenges of this condition and possible treatment options. Before diagnosing you with misophonia, our doctors will perform various medical interviews and conduct a physical examination of your ears.

A treatment dedicated to misophonia is not yet available, but various other treatments have shown positive effects in improving the patient’s quality of life. Here are the therapies that may help you in curing this disease:

1.    Tinnitus Retraining Therapy (TRT)

This treatment helps in rewiring your brain and reducing the reactions of triggering sounds. This treatment involves the combination of sound therapy along with directive counseling. This treatment may take 12 to 24 months. With the help of intentional rethinking and practice, therapists teach positive association with the trigger sounds. The patient forms this association by listening to pleasant and triggering sounds together.

This treatment is normally for people with hyperacusis and tinnitus, but it has significant results for patients with misophonia. The main reason for TRT in misophonia patients is to create conditioning reflexes that are the reason for distress.

2.    Cognitive Behavioral Therapy

Experts prescribe this therapy along with TRT. In this therapy, a professional will modify your negative thoughts and try to decrease your symptoms. They will work by pairing the triggering sounds with a positive experience.

3.    Medications

Many professional healthcare providers will advise avoiding any treatment that involves medication for this condition because this medication may become a habit and have negative side effects. But if other forms of therapy don’t provide relief, your doctor may prescribe a certain medication.


If you feel like you might have symptoms of misophonia or any other sound related condition, call us for a consultation at 646-585-2251. You can also visit our website for any further details regarding this condition.

What is Hyperacusis?

What is Hyperacusis, it’s symptoms & treatment? Hyperacusis is a hearing-related in which you find it difficult to listen to everyday sounds. Experts also call the condition sensitivity to noise or sound. If you are suffering from this condition, you will find it challenging to tolerate loud sounds, but people you’re with will not notice it.
This is a rare condition. Around 1 out of 50,000 people suffer from hyperacusis. Many people with this condition also suffer from tinnitus, a condition due to which one feels ringing or buzzing in the ear. This is a hearing disorder. However, many people with this condition may have normal hearing as well.

Hyperacusis Symptoms & Treatment Info

Symptoms of Hyperacusis

Hyperacusis has many symptoms that can be harmful to you and affect your daily life. These symptoms include:

  • Ear pain
  • Relationship problem
  • Anxiety
  • Trouble connecting and bonding with different people (avoidance and social isolation)
  • Depression

Some of the sounds that you might think to be louder than they actually are:

  • Car engine
  • Running faucet
  • Loud conversation
  • Kitchen appliances such as dishwasher or refrigerator

Various people who develop severe symptoms might experience a loss in balance. Some may feel slightly bothered because of such sounds while others have seizures.

Risk Factors and Causes of Hyperacusis

As you might know, your ears can detect vibrations. If you have hyperacusis, your brain gets confused by certain vibrations. If you get the same signals to somewhere else, your brain reacts differently to them. So, then you experience discomfort.

Generally, people are not born with hyperacusis. It may usually result from certain health issues or diseases. The most common are:

  • Damage to your ears, either one or both, because of toxins or medications.
  • Temporomandibular joint (TMJ) disorder
  • An injury to your Head(for instance, one that is caused due to airbag)
  • A viral infection is affecting your facial nerve and inner ear. This condition is also called Bell’s palsy
  • Tay-Sachs diseases
  • Lyme diseases
  • Certain kinds of epilepsy
  • Using Valium Regular
  • Chronic Fatigue syndrome
  • Migraine headaches
  • Autism
  • Meniere’s disease
  • Depression
  • Williams syndrome
  • Surgery on your jaw or face
  • Posttraumatic stress disorder (PTSD)

Something like a single loud gunshot or blast can trigger the condition. Being around loud noise, in many cases, can cause hyperacusis. But being near, loud noises for prolonged periods can eventually lead to a disability as well.

Types of Hyperacusis

Hyperacusis is divided into two types:

  • Vestibular
  • Cochlear

Cochlear is very common. It involves feeling frustration, pain in your ear, and intolerance with everyday sounds. However, in vestibular, you will feel dizziness, nausea, and imbalance while experiencing a particular sound. In both of these types, you will experience stress, anxiety, social isolation, depression, and phonophobia (which are fear of sounds that are normally present in our environment).

Many people confuse recruitment and hyperacusis. However, recruitment is a condition in which you will experience exaggeration in your perception to hear sounds that are present in the frequency range for hearing loss. In recruitment, you will only feel certain noises loudly, but in hyperacusis, every sound will feel loud and uncomfortable. To determine what sensitivity to loud noise you are experiencing, an audiologist who is specialized in these conditions will run the loudness discomfort test.

Hyperacusis Symptoms & Treatment USA EU UK JAP SK 2020-2021

Home Remedies and Treatments

Hyperacusis treatment depends on the reason for this condition. If you are experiencing this condition due to injuries to your ear and brain, the sensitivity to sound may get better without any treatment.

If the condition is improving on its own, you need to visit a doctor for suggestions on sound desensitization. A specialist will work with you and help you learn the ways in which you can treat your sound problems. Through time, you need to work on low sounds that are around you daily, and after a while, you can work on loud sounds and try to adapt.

For most of the day, you will be wearing a device on your ear, either the affected one or both ears. This device will convert the sound to static, so you do not have to worry, as it won’t bother or cause pain. To benefit from therapy, you need to take it for at least six months or a year.

Other treatments for hyperacusis are not well-researched for experts to know if they are really helpful for you or not. These treatments involve relaxation, exercise, and acupuncture. People have found other available options to be effective, such as AIT or auditory integration therapy, which helps in treating autism. This treatment involves hearing music on various levels for some time on a daily basis. To manage the stress that this condition causes, your doctor may prescribe medication.


As experts still do not know the reason behind hyperacusis, you may be experiencing the condition because of hearing damage from excessive exposure to noise. If you want to reduce symptoms and any other hearing-related condition, you can:

  • Keep the volume of the music lower than 85 decibels.
  • Wear ear protection, for instance, when you are in a concert or at work.

This condition can be irritating and will affect your daily activities. If you have been experiencing this condition for over 3 to 4 days, visit a professional. Kindly contact our clinic center for treatment at 646-585-2251 or find more information on our website.