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.

Cognitive Behavioral Therapy for Misophonia

Cognitive Behavioral Therapy (CBT) is a popular treatment therapy option that doctors and experts employ for various conditions and psychological issues. This treatment approach shows potential and effectiveness similar to and sometimes more than other psychiatric and psychological therapies. Experts believe that effective CBT treatment can improve functionality and improve life quality.

Cognitive Behavioral Therapy for Misophonia

Clinical practices and research have given way to all the advances that improve the use of CBT as a treatment option for Misophonia. Since evidence and expert suggestions imply there is change through CBT in Misophonic patients, it is a popular option for behavior disturbances (like in Misophonia).

Essential Information Regarding “Misophonia”

Before we dive into how CBT can help patients with Misophonia, let’s learn the basic facts about Misophonia. When a Misophonic patient hears a trigger sound or encounters visual stimuli that are irritating, annoying, or disturbing, they produce negative behavioral thinking patterns. These lead to negative reactions such as lashing out at the person making the noise or urgently fleeing the gathering, event, or place where the sound exists. Trigger sounds are everyday sounds and appear normal to other people.

However, Misophonia affected people perceive these sounds as disturbing and irritating. Some sounds include lip-smacking, sucking, slurping, yawning, heavy breathing, sniffing, chewing, and many more. These normal sounds can annoy a Misophonic person and result in anger and aggression. Overall, Misophonia trigger sounds and visuals are repetitive and patterned. Hence, they are hard to avoid. Apart from the emotional responses that the condition includes, there are physical responses as well. The latter include heart rate elevation, muscle tension, blood pressure spikes, etc.

Comprehending Cognitive Behavioral Therapy

This therapy is like talk therapy, where you work with a mental health expert and counselor. The main goal of this therapy is to involve the patient and help them realize how and why their negative thinking is inaccurate. This further helps in identifying the key challenges and, therefore, helps formulate effective coping and behavioral change strategies.

CBT has shown effectiveness in the treatment of a variety of different mental health problems. These include PTSD, eating disorders, depression, anxiety, and Misophonia reactions/responses. However, it is imperative to note that not everyone gets the same benefits through CBT treatment. Still, it can help Misophonia-affected people in dealing with stressful behavior, thinking, and reactions.

Process of CBT Helping with Misophonia

What happens in the CBT treatment? What’s the process to change and redirect the negative behavior and emotional response against Misophonia trigger sounds? It is the role of a therapist to inquire about what’s troubling you. In the case of Misophonia, they will ask you to talk freely regarding your feelings and emotions in response to trigger sounds and visual stimuli. You will have more confidence to share details with your therapist once you start discussing the experience and personal thoughts about your condition.

CBT involves a goal-oriented approach in which you may learn either on a regular session basis or periodically. The main focus will be on learning and practicing the techniques, ideas, and methodologies that you and your therapist explore together. The end suggestion of nearly every psychotherapist will include some form of positive encouragement to lead your life with minimal interferences. Of course, if successful, CBT will help you build tolerance and make it easy to ignore the trigger sounds more frequently and easily.

Additionally, your therapist can combine multiple forms of therapies in conjunction with CBT to help you regain control over your thought process and negative reaction processing in response to trigger sounds.

Cognitive Behavioral Therapy for Misophonia

What Else Does CBT Help With?

CBT is not merely for the treatment of Misophonia. It helps treat and deal with a wide range of issues, and many psychotherapists use it. CBT helps to identify the causes and main challenges behind a particular mental health issue like Misophonia. This can be extremely helpful in formulating the right strategies on time. It follows a pre-set structure that your therapist will follow and guide you through the process. Here are some other emotional issues and challenges for which CBT is an effective tool:

  • Coping with serious medical illnesses
  • Managing mental illness symptoms
  • Coping with loss and/or grief
  • Evaluating emotion control and finding ways to do it
  • Stress situation management and coping
  • Treating mental illnesses once medications are no longer effective
  • Chronic physical symptoms management and coping
  • Overcoming and coping with emotional trauma such as violence or abuse

Cognitive Behavioral Therapy for Misophonia: Conclusion

Do you want to explore the treatments available for Misophonia in the medical industry? At the Misophonia Cognitive Center, Dr. Katz LCSW-R can help you with your Misophonia condition using cognitive behavioral therapy. He possesses high-level experience in the field of psychotherapy and specializes in the treatment of Misophonia.

With effective treatment solutions, there may be scope for changes and improvements for your sound sensitivity disorder. Call  646-585-2251 to schedule a free online consultation with Stephen Geller Katz LCSW-R.

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Can Things Other Than Sounds Trigger Misophonia?

Do things other than sounds trigger misophonia? Sure, you might find little noises like the tapping of a pen or loud chewing to be annoying, but what if they made it impossible to focus on anything else? People suffering from misophonia don’t consider these sounds to be annoying but unbearable. Misophonia is a Greek word that means hatred of sound and was used to name the condition in 2001.

People also refer to this sound disorder as selective sound sensitivity syndrome. This condition is an abnormality of the brain, and people suffering from t exhibit physiological and psychological symptoms. In a recent study, experts compared the MRI scans of people with misophonia before and after exposing them to triggering sounds. They studied their brain structure and reaction to different triggering sounds.

Can Things Other Than Sounds Trigger Misophonia?

Experts don’t know the actual cause and mechanism of this condition, but it is obvious that most people find auditory triggers harmful. Other than auditory, people also find some visual images as triggers. However, the sound can be so much pain for these people that they cannot tolerate it and undergo a fight-or-flight situation. These sounds also trigger their anxiety, causing them to panic and rage. Also, it leads to depression, isolation, and avoidance. Since there are limited researches, we know little about the condition.

Misophonia Triggers

Triggering sounds aren’t the same for everyone. What’s triggering for one person isn’t necessarily triggering for someone else. Furthermore, the intensity and may change with time. However, the most common triggers in this condition are mouth sounds. Here are some examples:

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

Besides sounds from the mouth, people also find these sounds irritating:

  • Writing sounds
  • Ticking clocks
  • Papers rustling
  • Sniffling
  • Car doors slamming
  • The sounds of crickets, birds, and other animals

With time the auditory triggers turn into visual, causing irritation and annoyance. Visual triggers include:

  • Nose rubbing
  • Foot wagging
  • Hair twirling
  • Bright lights
  • Untied shoes
  • Anything breezing and flipping
  • Chewing without a sound
  • Shaking of the legs

What Does Misophonia Feel Like?

You’re probably wondering how people with misophonia perceive triggers? To them, annoying sounds are more intense and feel like nails on a chalkboard. Suppose that whenever you hear a squeaky noise, your nerves flare, skin prickles, and you will do anything to make it stop. Sometimes, people don’t find these sounds annoying, but with misophonia patients, it is an everyday struggle. Furthermore, they also hear sounds that normal people’s brains don’t even pay attention to.

What Other Things Trigger Misophonia?

If you are looking for a single word that explains how a person with misophonia feels, it would be “awful.” Their blood starts to boil, the heart starts racing, and stomachaches are common.

How the Brain Works During Misophonia

When people suffering from misophonia listen to provoking sounds, they experience physiological effects. A few studies in this regard suggest that people with this condition undergo physical responses, including measurable autonomic responses. However, when people are in a control group, they don’t physically respond to these triggers. Misophonia and tinnitus, which are ringing in the ear, share some similarities. Consequently, some studies suggest that misophonia is a hyperconnectivity disorder. This makes it different from tinnitus. The reaction between the limbic and auditory system of the brain cause irritation and pain.

The hyperconnected nature of this condition means that there are numerous connections between neurons. Because these neurons relate to emotional and auditory abilities, people cannot tolerate triggering sounds. In one study, experts used MRI imaging to determine the brain’s response in this condition. They found that people with misophonia exhibit an exaggerated reaction. Experts analyzed and identified the changes in the brain after the participant listened to triggering sounds. The sounds influence the anterior insular cortex of the brain, which processes emotional feelings. The study confirmed the connection between the default mode network and the AIC. These neural networks promptly affect memories and associations.

Some brain sections of a person with misophonia have higher myelination in their nerve cells compared to the average person. That’s why their brain generates a higher level of connectivity. Furthermore, research suggests that high-level activity in the brain’s AIC creates different perceptions. Therefore, they experience skewed perceptions about a sound that isn’t really a threat.

Can Things Other Than Sounds Trigger Misophonia? Conclusion

If you read this article, it means that you or a loved one gets highly irritated when exposed to triggering sounds or events. You need a solution. The best way to overcome the effects of misophonia is to opt for Misophonia Cognitive Retraining Therapy. Schedule an online session with the Misophonia Cognitive Center to discuss your problem with a professional sound disorder specialist.

To schedule a quick online session with our expert Stephen Geller Katz LCSW-R, contact us at 646-585-2251.

Can Misophonia be Cured?

Are you suffering from and need to know if misophonia can be cured? Are you having trouble tolerating certain sounds? Do sounds like pen tapping, chewing, and other little noises make you angry and violent? If so, you might be suffering from misophonia. Many people experience misophonia, but due to a lack of awareness, people fail to recognize it. Due to limited research, proper treatment is  largely unavailable. Instead, an audiologist or behavioral cognitive specialist examines the condition and suggests measures to cope with the condition. In this article, you will learn about misophonia and how you can cope with this condition.

Can Misophonia be Cured?

What is Misophonia?

Misophonia is a term that originated from the Greek word “hatred of sound.” Previously, before 2000, people referred to this condition as selective sound sensitivity syndrome. Some suggest that Misophonia is a brain abnormality that exhibits physiological and psychological symptoms. Due to hypersensitivity towards the sound, patients show emotional or fight-or-flight responses. Consequently, the condition negatively influences the patient’s everyday life. It is essential to seek proper treatment. Inability to cope with this condition can lead to isolation, depression, and avoidance.

Misophonia Triggers

Each patient may have a different set of triggering sounds. Here are some common triggers for misophonia:

  • Slurping
  • Throat clearing
  • Swallowing
  • Pen-clicking
  • Chewing

Other triggers are:

  • Door slamming
  • Sniffling
  • Writing sounds
  • Sounds of animals
  • Paper rustling

For a person with misophonia, any sound can be a potential trigger. Many people are triggered by visual images as well. Visual triggers include:

  • Nose rubbing
  • Foot wagging
  • Hair twirling

Causes of Misophonia

Researchers are still studying the actual mechanism behind misophonia, as there is currently little research on the matter. However, many experts assume some reasons for the occurrence of the condition. Here are a few causes for misophonia:

  • Anxiety disorder
  • Obsessive-compulsive disorder
  • Tourette syndrome.

Many people reported that they initially developed tinnitus, which later developed into misophonia. Although tinnitus is a different condition, it may be the cause of misophonia. Experts suggest that this condition can be genetically transferred from one family member to another. Age factors can also trigger symptoms as a person’s auditory system grows weak as they age.

Can Misophonia be Cured? | Specialist USA EU UK

How to Deal with Misophonia?

A professional treats misophonia with a multidisciplinary approach, including primary care audiology and psychology. When you visit the Misophonia Cognitive Center for treatment, our specialist can help rewire the auditory portion of the brain. Furthermore, they will calm the nervous system through prescriptive sound therapy. The ultimate goal of therapy in this condition is to neutralize triggering sounds. As a result, your brain won’t send a reflex response that causes anger, aggression, and emotional change.

Many people find these treatments effective in reducing the underlying damage to their auditory system. To prevent reaction due to a triggering sound, you need guidance from an experienced professional. They will examine your responses and suggest the best treatment methods to help manage this condition.

Below, we will understand these therapies and how they can help reduce symptoms:

1.     Tinnitus Retraining Therapy

Tinnitus Retraining Therapy is an effective treatment that helps with tinnitus. Tinnitus is a condition referred to as ringing in the ear. It reduces the effect of triggering sounds by diverting the brain’s attention. This technique is also helpful with misophonia. It teaches the brain to tolerate noise, so the person with misophonia doesn’t react to the triggers.

2.     Cognitive Behavioral Therapy

Cognitive Behavioral Therapy is an amazing therapy that changes the way your brain processes the triggering sound. This therapy removes the negative association of sounds and blends them with other therapeutic sounds, such as falling rain, birds chirping, and other sounds that are surely effective. An audiologist uses a device that plays rain and other soothing and calming sounds. About 85% of people who used these ear-level devices experienced relief in symptoms.

3.     Counseling

Supportive counseling can also help in many conditions. In this technique, doctors discuss the patient’s condition with the entire family. Furthermore, the doctor also suggests appropriate techniques to prevent triggering sounds in the house. Currently, FDA doesn’t approve any medication for misophonia. Therefore, it is best to alleviate symptoms by opting for therapy with a professional audiologist.

Can Misophonia be Cured: Conclusion

Are you looking for an audiologist with experience with handling misophonia cases? Then you should schedule an online session immediately. At the Misophonia Cognitive Center, our misophonia specialist has extensive experience in reducing, and in some cases curing symptoms of this difficult sound disorder.

Get in touch with us today to schedule an online session:

Misophonia Cognitive Center
Stephen Geller Katz LCSW-R

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