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.

Sound Disorders Causes & Treatment

What are the main sound disorders causes & treatment? Misophonia or selective sound sensitivity syndrome is a sound-related condition that leads to aggression, anger, and irritation. People with misophonia cannot stand some types of sounds. When they hear a triggering sound, they lash out because they can’t handle their mind’s aversion to the sound. Triggers may vary from one person to another. For instance, many people find pen tapping triggering but chewing doesn’t bother them as much.

Let’s not forget that what triggers one person won’t necessarily trigger someone else. Reactions range from running away, annoyance and even rage. Misophonia is an under-researched and poorly understood condition. Before 2000, people referred to this condition as selective sound sensitivity syndrome. Then, experts selected the Greek word misophonia to name the condition. In 2011, various new channels aired stories about misophonia to increase awareness.

Sound Disorders Causes & Treatment

Causes of Sound Disorders (Misophonia)

Because there has been limited research on this topic, we know little about the exact causes. However, experts came up with the following factors as cause the emotional response.

1.     Brain Chemistry

Research indicates that people with misophonia have differing brain connectivity between the auditory cortex and the anterior insular cortex. The anterior insular cortex or AIC is a section of the brain that’s responsible for emotional processing.

2.     Other Mental Conditions

People with Tourette syndrome, obsessive-compulsive disorder, and anxiety disorders develop misophonia.

3.     Tinnitus

Many people suffering from misophonia confirmed that they initially had tinnitus. With time, their tinnitus grew worse, and now, they lose their patience when they hear certain sounds.

4.     Genetics

Misophonia is a genetic condition that can run in the family. So, if a member of your family suffers from the condition, you are likely to develop it as well.

Many people create awareness about this condition through social media platforms. Nevertheless, research is lacking. As we have little data, we cannot pinpoint the actual reason for the condition

Some researchers suggest that misophonia is becoming a common condition. Hence, experts should understand the symptoms and mechanisms of this condition. Furthermore, professionals should come up with an effective treatment plan to reduce its effects.

Diagnosis of Sound Disorders (Misophonia)

When you visit a doctor to address the condition, they use a hearing test to identify the issue. An ordinary doctor can’t diagnose misophonia and similar conditions. Therefore, you need to visit an audiologist, who is a hearing specialist. To consult with an audiologist in NYC, contact Misophonia Cognitive Center.

The audiologist will instantly run advanced listening tests and identify the triggers by making different sounds and examining their responses. For instance, they might tap a pen or stump on the floor. An audiologist measures the reaction by attaching painless electrodes to the ears. This way, they can record the brain’s reaction to the sound.

Treatments for Sound Disorders (Misophonia)

Misophonia doesn’t offer any proper treatment, but you can choose different therapies to reduce the effects of this condition. Here are some therapies that you can opt for with this condition:

1.     Cognitive Behavioral Therapy (CBT)

This type of therapy is helpful to remove associations and negative thoughts about certain triggering sounds. When you stop perceiving triggering sounds as negative, you can avoid an adverse reaction. A study published in the Journal of Affective Disorders suggests that about 50% of people living with misophonia faced a reduction in symptoms after taking CBT.

2.     Medications

There is no approved medication for misophonia. As a result, audiologists suggest medications for depression or anxiety to address these co-occurring conditions.

3.     Tinnitus Retraining Therapy (TRT)

This preventive method involves wearing a device that diverts your focus from the triggering noises. The more you pay attention to the sound, the more of a negative response your brain will generate. Therefore, ignore the noises by learning and practicing these relaxation techniques. The therapy is perfect for minimizing automatic stress response. Traditionally, people used Tinnitus Retraining Therapy for Tinnitus. It significantly reduces the impact of triggering noise to your brain and improves your focus on the main goal.

Main Sound Disorders Causes & Treatment

Preventive Measures for Sound Disorders (Misophonia)

Other than treatments, you can adopt some coping strategies, lifestyle changes, and relaxation techniques to reduce misophonia symptoms. Here are some strategies you should try:

  • Earplugs can block triggering noises
  • You can use a white noise machine to avoid certain noises
  • When you feel overwhelmed, try wearing earphones
  • If you find a noise irritating, turn on music or television to eliminate those frequencies
  • Learn stress management techniques and practice when you listen to triggering noise
  • Adjust your environment to get rid of items that produce annoying sounds
  • Change your position and practice relaxation techniques such as visualization or deep breathing

Also, talk to others about your condition to see if they can help. That way, people won’t make that noise when you are around. For instance, if someone is whistling or chewing gum and you feel annoyed, talk to them about your negative response.

Sound Disorders Causes & Treatment: Conclusion

Get a free consultation from world renowned expert in sound disorders, Stephen Geller Katz LCSW-R, and make an appointment. Dr. Katz has successfully treated thousands of patients with these types of disorders from all over the world.

Call today to schedule a free consultation on phone or online video session:

Stephen Geller Katz LCSW-R
19 West 34th Street
Penthouse Floor
New York, NY 10001

Relationship Between OCD and Misophonia

Is there a relationship between OCD and misophonia? Do you get angry when someone chews food or makes loud sounds around you? Have you ever snapped when someone was breathing too loudly? Do you feel irritated when you hear someone sniff, sigh, or snore? If you experience these situations, then you might be suffering from misophonia. The literal meaning of misophonia is hatred of sounds, which is a Greek word. For normal people, misophonia feels like when someone scratches nails on a chalkboard.

This makes them squirm with displeasure and forces them to react and stop that annoying sound. But for a person suffering from misophonia, experiencing a similar situation is a routine. Every day, they hear different yet normal sounds and feel the same. Many people associate the condition with OCD, perhaps because both conditions psychologically occur in the same region of the brain. Let’s understand in detail what OCD is and if it relates to misophonia.

Relationship between OCD and Misophonia

What is OCD?

OCD or obsessive-compulsive disorder is a psychological condition in which a person experiences obsessions and/or compulsions. The brain of a person suffering from OCD generates repeated unwanted sensations or thoughts. They also experience the urge to perform the same activity over and over again until they feel satisfied. Some people have both compulsions and obsessions. Many people confuse OCD with nail-biting habits and other negative thoughts. However, that isn’t true, as obsessive thoughts cause an unsettling feeling. An obsession can be about defining a color or number, good or bad. On the other hand, a compulsive habit is when you perform an activity repeatedly, such as washing your hands multiple times, especially after touching items that could or could not be dirty. Although you try not to do these activities, your brain tells you to, making your feel powerless. Everyone has different thoughts or actions that they repeat sometimes. But people suffering from OCD have actions or thoughts that:

  • They cannot control
  • Take hours to complete
  • Interfere with work
  • Aren’t enjoyable
  • Make you feel like snapping on others
  • Make your snap on someone with loud breathing

What is Misophonia?

Misophonia is a behavioral and neurophysiological condition in which a person flips out when they hear certain noises or triggers. The triggering sound can be low or higher in volume, or perhaps others may not even notice. But, it can easily trigger a person with misophonia. Many people confuse misophonia with OCD. Let’s understand how these conditions relate to each other:

Relationship between OCD and Misophonia

Misophonia and OCD are different conditions that came into the spotlight recently. Experts need to learn a lot about misophonia because there is limited information about how this condition reacts. Recently, researchers found some new information about these conditions. This includes the link between both conditions.

1.     Similar Coping Strategies

People with misophonia exhibit the same coping mechanisms as people with OCD. The only difference between their coping mechanisms is how they apply them. Since misophonia relates to unpleasant sounds and is a more isolated condition, dealing with this condition requires a pair of noise-canceling headphones. That way, misophonia patients can create a trigger-free environment around them.

Obsessive Compulsive Disorder OCD and Misophonia

2.     The Shared Trigger-Response Mechanism

In both misophonia and OCD, the body responds in the same manner. When a person is in contact with a triggering sound, or they notice any activity that doesn’t seem right, they will feel discomfort. The certain irritant in both conditions leads to the involuntary response by their body. In both conditions, a person can get violent and feel physical sensations as a result of a trigger. The symptoms for both mental disorders are the same, such as an increased heart rate. However, the exact mechanism is still unknown, so it is hard to draw a clear conclusion.

3.     Differences in Diagnosis

Regardless of so many similarities, there are some inherent differences that you need to consider before attempting to diagnose yourself. For starters, the diagnosis process for both these conditions is different. Also, you should visit different specialists for the treatment. If you notice that you are suffering from misophonia, you need to consult an audiologist with extensive experience in the field. Finding a misophonia specialist can be difficult, as the condition is relatively unpopular. But, if you live in NYC, there is good news for you. You can visit the Misophonia Cognitive Center and consult with top sound disorder specialist Stephen Geller Katz.

OCD and Misophonia: Conclusion

When you visit our clinic for misophonia treatment, our specialists will diagnose your condition and identify your triggers. Every misophonia patient has different triggers. After identification, they will try different methods to mask and reduce the effects of certain sounds. If you want to learn more about your condition and treatment options, give Stephen Katz LCSW a call and schedule a free consultation online or by phone today.

19 West 34th Street
Penthouse Floor
New York, NY 10001


Misophonia: Sounds & Anger

What is the relationship between misophonia and anger?  There are certain complications associated with misophonia that resemble other disorders and conditions. It is a condition in which the affected person has a low tolerance against particular sounds. The sound tends to instigate adverse reactions in the affected person.

Misophonia sounds and anger

The reactions may vary, from worry and feeling uncomfortable to getting physically aggressive and angry. It can affect the normal life and routine as the affected person will carry anticipatory anxiety regarding the sounds and the consequent reactions.

What is Misophonia?

Misophonia can detach a person from their social life to a great extent. When others make sounds such as chewing loudly, breathing heavily, sniffling, wheezing, etc., it can trigger a reaction from the misophonic people hearing it. The reactions are usually negative, such as the sudden need to flee or do something aggressive to make the sound stop. In many cases, a  person may experience a fight or flight response that can lead to severe complications for them and others.

There aren’t enough research and scientific studies when it comes to misophonia. People with this condition isolate themselves from friends, colleagues, peers, family, and even spouses. Other times, some people feel embarrassed in sharing their issues. Overall, misophonia is a prevalent condition in different age groups. From anger to anxiety and manic depression, misophonia can convert many sounds into serious reactions due to intolerance.

Brain Science – Misophonia

What’s the brain science behind misophonia? How do certain sounds change a person’s mood? What’s the effect of sounds on the brain? You may think that misophonia is similar to tinnitus. Most people tend to assume that because tinnitus also isolates a person and leaves them socially disturbed. However, tinnitus refers to ringing or similar sensations in the ear, which vary in frequency.

Moreover, some researchers and experts believe that misophonia might have a connection to hyper-connectivity between the brain’s limbic and auditory systems. This may be true considering hyper-connectivity refers to excessive connections between the neurons that control emotions and hearing in the brain.

A study shows that after hearing the misophonia trigger sounds, an affected person’s AIC (anterior insular cortex) suffers from excessive responses. AIC is the part of the brain that processes and regulates emotions. In effect, the study shows there is high connectivity between the default mode network and the AIC in the brain of the misophonic patient. This prompts associations and memories. Furthermore, higher myelination in the nerve cells of specific brain parts could lead to greater connectivity.

What Signs to Look Out For?

Talking about the sounds and how they affect a misophonic person, pay close attention to all the symptoms and signs of this condition. The key features of a patient’s reaction include aggression, anger, or any extreme reaction towards the source of the trigger sound (usually a person). The severity of the condition varies from person to person. Therefore, some people may only feel uncomfortable while others will flee or feel enraged. If a person has misophonia, the symptoms appear from an early age, like adolescence or teenage. Still, the condition is prevalent in both males and females.

Although the person may initially have a single trigger sound, the number of trigger sounds can increase depending on the severity and progression of the condition. The common concept is that misophonia people see particular sounds as highly disturbing and experience a series of reactions that makes them feel they are losing control. Here are some of the symptomatic responses of misophonic people:

  • Disgust/irritation converting to anger
  • Verbal aggression towards the sound’s source (person)
  • Evasive actions to reduce the discomfort due to the sounds
  • Using objects to get physically aggressive
  • Lashing out or harming the person making the sound

Other Signs

In reality, the thought of hearing trigger sounds can initiate negative responses and strong stimuli in the brain of the affected people. They experience symptoms such as depression, anxiety, and neuroses more than others. Emotional responses are not the only signs that appear in misophonic people. Certain physical reactions can take place when a misophonic person encounters a trigger sound. Those include the following:

  • Muscle tension
  • Heart rate spikes
  • Chest pressure and pressure across the body
  • Body temperature spikes
  • Irregular blood pressure levels

Furthermore, it is worth mentioning that you may notice OCPD (obsessive-compulsive personality disorder) symptoms as this condition accompanies misophonia.

Misophonia: Sounds and Anger Conclusion

Do you think that your misophonic condition is getting worse? Do you find yourself getting extremely angry due to trigger sounds and visual stimuli? It is important to acquire the best treatment options for misophonia to minimize your reactions and adverse thinking pattern.

Stephen Geller Katz LCSW-R at the Misophonia Cognitive Center helps patients solve their complications with this and other sound disorders. With years of experience successfully treating patients, he is a renowned specialist in NYC.

Call us today at 646-585-2251 to schedule an easy online session. 

Stephen Geller Katz LCSW-R
19 West 34th Street

Penthouse Floor
New York, NY 10001


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Misophonia & PTSD

When a person suffers from PTSD or Post Traumatic Stress Disorder, they might find it difficult to handle the intensity of some sounds. Perhaps they develop phonophobia, which is a fear of sound, or they might get misophonia – an aversion to certain sounds. In this article, we will discuss the relationship between PTSD and misophonia. But first, let’s understand what both these conditions mean.

Misophonia & PTSD

What is PTSD?

This is a mental health condition that is triggered because of a terrifying event. This condition relates to traumas and includes symptoms such as nightmares, flashbacks, and severe anxiety. Furthermore, a person suffering from PTSD will find it hard to control their thoughts because of an event.

Many people suffering from traumatic events might find it difficult to cope with situations. Even so, recovery is possible. All they need is some time and proper self-care. Their symptoms can last as long as a month or a year, depending on how they adapt to the situation. If they don’t make appropriate life changes to handle the condition, it will negatively impact their ability to function in day-to-day tasks properly. Therefore, it is important to seek appropriate treatment to reduce the symptoms and improve function.

Symptoms of PTSD

Symptoms of post-traumatic stress disorder begin within a month of the event. But, a person may not notice the symptoms until a year later. The symptoms negatively influence work and social situations. Moreover, their behavior with their partner may also change after the event. Also, the symptoms interfere with the normal daily task. PTSD symptoms fall under four types:

  • Intrusive memories
  • Avoidance
  • A negative change in mood and thoughts
  • Changes in emotional and physical reactions

The symptoms and interval of the phase may vary from person to person.

What is Misophonia?

People with misophonia cannot tolerate some sounds. Certain sounds can cause their brain to react negatively, which is reflected in their behavior. While others may not notice the sound, a person with misophonia may find it triggering. Examples of these sounds include chewing, yawning, and breathing. Furthermore, the brain may elicit a fight-or-flight response, which forces them to escape or show anger. There are only a few facts known about this condition, so it is hard to understand the mechanism and treatment. People with misophonia feel embarrassed talking about their inability to tolerate sounds. To avoid their aggressive reaction, they usually stay isolated. Most people develop misophonia at the age of 12, but due to a lack of awareness, they may not understand what they’re experiencing.

Misophonia and PTSD

As discussed above, misophonia involves negatively reacting in response to triggering sounds. According to many experts, misophonia and PTSD are similar conditions, where stimuli can cause triggering effects. Because of the similarities, many experts are taking into account the qualities of PTSD to understand misophonia. The person suffering from PTSD doesn’t need to always show a fight or flight response. They can also experience unsteadiness, dreams, flashbacks, and mood swings. The core issue in this condition is an event, whereas in misophonia, the cause is a triggering sound.

The difference between both conditions can be the aftermath of the stimuli. Other than triggers, the person’s reaction is different in both cases. For instance, when a person suffers from PTSD, they have bad dreams and develop negative emotions. However, with misophonia, a person losses their temper and experiences anxiety. But, there are some similarities as well.

Misophonia & PTSD Diagnosis Treatment

In both conditions, the person reacts because of certain triggers. Some researchers also suggest that Misophonia relates to distressing and traumatic events as well. The fight or flight response is due to the stimuli that their mind has already set. In order words, the triggers that a person cannot tolerate are due to an event that their brain isn’t letting go of. Perhaps, that is why each person reacts to different triggers. When they hear that specific sound, their brain elicits a survival response to move them away from danger.

Misophonia & PTSD: Conclusion

If you experience any of the above conditions, you need to visit a professional audiologist or a specialist in sound disorders. When you visit a misophonia specialist, you can find a technique or therapy that relieves your response to triggering sounds.

Schedule an easy online session with the Misophonia Cognitive Center from anywhere in the world at 646-585-2251 today.

Latest Developments in the Treatment of Misophonia

What are some of the latest developments in the treatment of misophonia? Do you feel stressed or tense when suddenly someone starts chewing or breathing loudly? Do you feel a lack of control over your reactions upon hearing such sounds? Does hearing someone sniff or snore upset you or make you angry? You may be suffering from a condition known as “Misophonia.” In this condition, you suffer from anxiety and other mental health symptoms even when hearing certain everyday normal sounds. This can cause you to cringe, squirm, or react negatively and cause social awkwardness. Thus, it is important to seek effective treatments for this condition.

Latest Developments in the Treatment of Misophonia

What is Misophonia? Is It another Word for Hyperacusis?

Misophonia sound triggers don’t have a diagnosis. While chalk on a board or nails on a wall might make many people cringe, this doesn’t imply that everyone has Misophonia. The clear distinction between generic cringe and Misophonia is that in the latter condition, patients overreact or act instantly in an aggressive, aggressive-passive, or negative way. Moreover, Misophonia is a general irritation of certain sounds, while Hyperacusis refers to the sensitivity one has to a certain sound’s characteristics.

Latest Treatment Options for Misophonia

There is still an extensive need for research about Misophonia. Experts and doctors are trying their best to treat and find solutions for this condition. Latest developments and research have led to significant advances in the treatment processes. Now, there is a broad range of treatment options that may help in reducing negative responses due to Misophonia triggers.

However, our focus in this article will be on the latest therapy treatments that are helping Misophonic people maintain a consistent response to Misophonia triggers. If you are living with this condition, learn the treatment options to work out the best solution specific to your lifestyle with your doctor’s help.

Exposure Therapy

Exposure therapy utilizes a psychological approach that helps patients overcome their fears resulting in aggression, anxiety, anger, depression, stress, or any other negative reaction. It enhances the thought process of an individual and helps them counter the responses that otherwise occur without any proper treatment, such as in Misophonia.

For example, the treatment may involve exposing the patient to the Misophonia triggers that cause them to react and act aggressively. The therapy may start with a low-intensity exposure depending on the severity of the condition. However, the intensity of exposure increases gradually to help the patient overcome their fears and build tolerance.

Tinnitus Retraining Therapy (TRT)

Tinnitus Retraining Therapy involves treatment procedures to help tinnitus patients cope with ringing (or any other sounds or sensations) in their ear(s). Ringing or buzzing in the year can be constant and discomforting. Therefore, retraining therapy in this sense helps build tolerance and form a level of patience against the triggers. For example, in tinnitus, the treatment may involve building tolerance against ringing in the ear. Conversely, in the case of Misophonia, the retraining therapy may help reduce the impact of certain sound triggers and negative responses against them.


Biofeedback encourages patients to notice and jot down how and why they are noticing some symptoms. With the use of auditory and visual feedback, patients learn how to notice the symptoms of stress, anxiety, depression, etc. They may learn to notice muscle tension, heart rate, body temperature, and other signs.

Best Treatment of Misophonia

By controlling the psychological and physical effects of stress or any other symptoms that occur due to Misophonia, patients can learn to cope. They can easily relax their mind and feel at ease through several techniques. These may include relaxing muscles, slowing heart rate, reducing signs of body temperature spikes, etc.

Dialectical Behavior Therapy (DBT) & Cognitive Behavioral Therapy (CBT) Techniques

Through CBT, patients with Misophonia learn about their responses and sound trigger symptoms. This helps them to produce coping strategies that later help in keeping control over the negative reactions. The primary focus is on the negative thinking patterns relating to Misophonia triggers sounds.

By adjusting and unlearning the responses, emotions, and feeling, patients learn to cope with Misophonia through effective management strategies.


Some experts believe that hypnosis, the latest development in the treatment of various psychological, psychosomatic, and other forms of conditions, can help with Misophonia. This may be true based on the evidence. Hypnotherapy utilizes a hypnotic state to help patients focus on their inner experiences by detaching external experiences temporarily.

Latest Developments in the Treatment of Misophonia: Conclusion

Coping with Misophonia is difficult. It can make your daily activities difficult. What’s more, misophonia can cause social awkwardness and anxiety. Hence, it leaves you with the feeling of loneliness, stress, depression, etc. You should find the best doctor to help you treat your condition. A good doctor will help to regain control over thoughts and responses through the use of different treatment methodologies.

At the Misophonia Cognitive Center, Dr. Stephen Geller Katz LCSW-R offers the best Misophonia treatment options. He helps his patients according to their needs and gives individualized care.

Call us at 646-585-2251 to schedule a convenient online appointment.


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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.