steven-gellar-katz-lcsw-rStephen Geller Katz LCSW-R

Misophonia Cognitive Retraining Therapy


Misophonia Cognitive Retraining Therapy, as featured on the MTV True Life episode: “I Have Misophonia” premiering Friday, December 16th, 7:00 PM EST. See Clip >

Are you Suffering from any of these symptoms as a result of Misophonia? Call for a Free 15 Minute Consultation.

  • Mild to severe anxiety
  • Rage or Anger
  • Triggered fight or flight
  • Depression
  • Negative thinking
  • Crying spells
  • Hopelessness
  • Suicidal thoughts
  • Avoidance of people or places
Moderate to severe anxiety triggered by chewing sounds, including:
  • Nail clipping 
  • Brushing teeth
  • Eating sounds
  • Lip smacking
  • Breathing
  • Certain voices
  • Sniffing
  • Talking
  • Sneezing
  • Yawning
  • Walking
  • Coughing
  • Chewing gum
  • Laughing
  • Snoring
  • Typing on a keyboard
  • Whistling
  • Certain consonants

You may also be affected by visual stimuli, such as repetitive foot or body movements, fidgeting or movement you observe out of the corners of their eyes. 
Intense anxiety, rage and avoidant behavior may develop as a result of misophonia.

woman-misophonia* Do you feel your family and friends don’t understand how much you suffer?

* Do you often feel you can just suffer through a social event where there is eating present only to find that you must “escape” before you have a panic attack?

* Do you find that some people are at first understanding and make some efforts not to make the triggering sounds in front of you, but soon forget and constantly have to be reminded, causing you to feel angry, anxious and depressed?

* Are you avoiding social activities that you enjoy because of the misophonia?

* Are you fearful of losing your job and/or is the misophonia effecting your job performance?

If you answered yes to 3 or more of these questions or symptoms, then we can help.

You may be a candidate for Misophonia Cognitive Retraining Therapy, or MCRT.

Stephen Geller Katz, LCSW-R, with over 20 years of clinical experience, a New York University graduate, developed Misophonia Cognitive Retraining Therapy and founded Misophonia Cognitive Center in response to the growing number of people with Misophonia coming to his private practice from audiologists and ENTs. He discovered that by helping people to retrain and reinterpret the thoughts around their Misophonia, anxiety and depression symptoms began to improve. But even more important so did the Misophonic trigger response.

Call us at 646-585-2251 for a FREE consultation.

Misophonia Symptoms

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

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

Misophonia symptoms

Common Misophonia Symptoms

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

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

Behavioral Changes

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

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

Misophonia symptoms 2021

Physical Misophonia Symptoms

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

Conclusion: Contact Stephen Katz at the Misophonia Cognitive Center

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

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

Misophonia Cognitive Center
Stephen Katz LCSW

Do You Have A Hatred of Sounds?

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

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

Hatred of sounds & misophonia

Is Misophonia a Mental Illness?

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

Hatred of Sounds: Symptoms

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

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

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

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

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

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

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

Hatred of Sounds: Diagnosis

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

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

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

Hatred of Sounds | Misophonia Treatment

Hatred of Sounds: Causes

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

1.    Brain Chemistry

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

2.    Other Medical Conditions

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

3.    Tinnitus

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

4.    Genetics

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

Conclusion: Contact Misophonia Specialist Stephen Katz

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

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

Do People Chewing Loudly Bother You? You May Have Misophonia

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

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

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

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

Chewing Loudly Misophonia Diagnosis

Misophonia Triggers

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

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

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

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

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

  • Hair twirling
  • Nose rubbing
  • Foot wagging

Symptoms of Misophonia

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

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

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

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

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

Chewing Sounds Misophonia Diagnosis Treatment

What are the Causes of Misophonia

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

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

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

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


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

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

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

Can You Cure Misophonia?

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

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

Can You Cure Misophonia?

What Is Misophonia?

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

Diagnosis of Misophonia

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

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

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

Can You Cure Misophonia? Treatment & Info 2020-2021

Treatments for Misophonia

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

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

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

1.    Tinnitus Retraining Therapy (TRT)

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

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

2.    Cognitive Behavioral Therapy

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

3.    Medications

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


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

What is Hyperacusis?

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

Hyperacusis Symptoms & Treatment Info

Symptoms of Hyperacusis

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

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

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

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

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

Risk Factors and Causes of Hyperacusis

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

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

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

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

Types of Hyperacusis

Hyperacusis is divided into two types:

  • Vestibular
  • Cochlear

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

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

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

Home Remedies and Treatments

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

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

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

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


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

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

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

Sound Disorders: Do Certain Noises Make Your Blood Boil?

Do you have a sound disorder from certain noises? Psychological disorders have always raised controversial questions for neuroscientists. Individuals with mental disorders can display unexplainable behavior. The inner workings of the brain still remain a mystery regardless of all the progress in medical science. Misophonia is a condition that causes a person to be annoyed or irate by certain noises and sounds. Experts are still behind on the research of this mental disorder and so it does not have a proper diagnosis or treatment. Misophonia causes a reflex response to certain sounds in an individual. These noises are particular to the person with Misophonia. The common nature of these noises is generally soft, repetitive, and generic.

Sound Disorders: Types of Noises Involved

As we discussed, the type of noises involved follow a similar pattern. Anyone anywhere can produce these atrocious and despicable sound waves. This makes the life of a person with Misophonia even more miserable. The noises that a person with Misophonia despises can be the following.

  • Chewing food
  • Breathing noises
  • Beats of a bass
  • Foot stomping
  • Keyboard clicking
  • Fingers snapping

The most commonly reported noise is of chewing food. The sound of a person chewing food is an emotional trigger for most of the people with Misophonia. This will normally result in the person eating alone. People with Misophonia tend to modify their whole life in order to avoid these noises. As you may have noticed, the noises mentioned above follow a similar pattern. They are soft sounds, often heard regularly by most people and are in a continuous motion.

Sound Disorder | Bad Noises & Sounds Misophonia Treatment

Why Does This Happen?

Misophonic patients usually have underlying mental conditions. Most common mental disorders associated with Misophonia is OCD (obsessive compulsive disorder), Tourettes syndrome, and tinnitus. This information tells us that people with Misophonia are generally sound-sensitive people. Symptoms of Microphonia are better studied by looking at the other psychological disorders. These emotional responses are prevalent because of the hypersensitivity of the auditory and nervous system of the brain.

The Neurobiological Mechanism

The exact mechanism that takes place in the brain during Misophonic episodes is still undiscovered. It is contemplated that it occurs due to the anomalous workings and coordination of the limbic system, which is responsible for the emotions in the brain, the auditory cortex, the part of the brain that perceives sounds and the autonomic nervous system which is responsible for all involuntary functions happening inside our body.

Sound Disorders, Bad Noises & Sounds | Misophonia Treatment

Emotional Response

A person who has Misophonia tends to display an intense emotional response to certain noises. This emotional response is involuntary and uncontrollable. It is unlike anything that an ordinary person would face. A person with a normal mental state may be annoyed with certain noises but will not experience the same emotional response to it. The person suffering from Misophonia, not only hears certain noises as being annoying or disruptive but also feels them being painful. This response is like a reflex action.

The experience of going through Misophonic reaction can be traumatizing. In some severe cases, it may also be scarring. The emotions a person feels are not fleeting and shortly diminished. They can have a long lasting effect on people. A person with Misophonia can tolerate certain noises to a limit. Once that limit is over, there is an outburst of emotion. It is like all the bottled anger and frustration leading up to that moment is releases. It usually does not take time to cross that threshold. In other cases, it takes a microsecond for the person to notice and exhibit a ferocious response.

How Misophonia Affects Social Life

You won’t see a lot of people talking about Misophonia. Most cases of Misophonia remain unreported. This is because the people who suffer from this disorder feel embarrassed to talk about it. There is a lack of awareness amongst the people about this disorder. Misophonia can affect your social life in various ways. It not only affects you but also the people around you.

Misophonia’s Effects on Your Personality

Misophonia makes you unbearable to certain noises that you are likely to come across in your regular life. This condition encourages individuals to become socially distant from others. A person with Misophonia is more likely to opt for a path of social isolation and avoidance. This avoidance and lack of interaction can stunt personality growth and can be harmful for one’s mental health. It can eventually lead to other problems like depression and anxiety.

Call The Misophonia Cognitive Center To Get Help

As of now, there is no clinical procedure to cure this mental disorder instantly. However, many people who suffer from this have benefited greatly from therapeutic treatments. Have you ever experienced certain noises that have infuriated you beyond bounds? Or do you know someone who shares similar traits?

Please book a tele-appointment with specialist Stephen Katz LCSW at the Misophonia Cognitive Center so we can help you and loved ones with Misophonia.

Stephen Geller Katz LCSW

Cognitive Behavioral Therapy for Misophonia

Cognitive behavioral therapy is a highly effective treatment for Misophonia. This therapy challenges the individual who suffers from this disorder to change the way he perceives this mental disorder. Since no clinically approved procedure cures Misophonia, most patients resort to seeking Cognitive Behavioral Therapy or (CBT). This therapy requires commitment and dedication from a person, as it does not work overnight. It involves techniques that can stretch over a couple of months or sometimes years, depending on the progress.

The following are some of the cognitive behavioral therapy methods that can be useful in mitigating the emotional response of a person with Misophonia.

Cognitive Behavioral Therapy for Misophonia

Exposure Therapy

This a therapy in which a therapist will gradually expose a person with Misophonia to triggering sounds. This is a counter conditioning measure for desensitizing the person to the sounds. This provocative measure is useful when the therapist is simultaneously guiding the person on how to deal with this.  It is important to have this exposure in small intervals of time so that the person exposed is not overwhelmed or startled.

Cognitive Restructuring

This therapy involves hours of counseling from the therapist. The therapist attempts to talk to the person with misophonia to get the person aware of his condition. This awareness can help shift the negative thought patterns to positive ones that may emerge amid an emotional hijacking of the brain.

Cognitive Behavioral Therapy for Misophonia

Group Therapy

It involves a group of people who suffer from Misophonia to gather and interact with each other. A person who suffers from Misophonia tends to stay socially isolated and ignore any interaction. This is a very harmful practice. Group therapy allows people to interact and indulge in necessary socialization. It helps a person feel less socially isolated and allows them to experience the aspect of the community. This practice has many positive results in boosting the confidence of people with Misophonia.  When these individuals relate to each other, the interaction becomes easier and more meaningful.

Training to Refocus

This training involves indulging people who have Misophonia in various activities. Activities usually involve some physical activity. When people participate in sports, it helps them refocus their attention on the tasks put in front of them. Such a refocus of attention, when practiced over time, can help divert their attention when they experience a trigger. Although it can be very hard to do and so this method does not make any promises. Engaging In activities that refocus attention can train the brain to be less susceptible to distracting to triggers like eating sounds or breathing sounds.

Directed Discovery

This method requires the help of a therapist, psychologist, or counselor. The main role in this method relies solely on the therapist to make the person uncover the secrets to his reactions. This method allows the person with the disorder to make discoveries about the triggers he faces. These discoveries may challenge some of the assumptions the person has made about his fears of triggering sounds. This method opens the person to new perspectives and thoughts. This process is not easy, as it demands the person to separate trigger sounds from emotions and look at them each distinctively without associating the two. This is a fight against the impulses and can be very tough for people who suffer from severe Misophonia.

Cognitive Behavioral Therapy CBT Treatment for Misophonia

Does Cognitive Behavioral Therapy for Misophonia Work?

It is important to note that Misophonia is an involuntary response. It is a reflexive emotion trigger to certain sounds particular to the person.  Cognitive behavioral training helps in coping with the reactions to those triggers but not the triggers themselves. The trigger ranges from mild to high in different people, and the intensity may vary throughout their lives. These triggers will emerge in the presence of external stimuli (in this case, what the therapy can help you with is identifying the negative behavior patterns that follow those triggers.

CBT helps limit the emotional trauma that comes with this disorder. The complexities of the nervous system work in mysterious ways, and there has not been any deciphering of involuntary reflex actions. Cognitive Behavioral Therapy is still very useful for people who suffer from Misophonia and its effects on daily life. Yes, some people may see it as a way of masking the problem, but it works.

In Conclusion

Cognitive behavioral therapy is crucial when dealing with post-traumatic injuries to your psyche after you face a trigger. It has a transformative effect on your personality. Once successful, it can help you live a happy life. Therapies like consultation and exposure can equip you to face the triggers better.  Spreading awareness of this problem can result in more research on it.

If you have Misophonia symptoms or know anyone who does, visit us at the Misophonia Cognitive Center and schedule a tele-appointment.

What are Sound Disorders?

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

What are sound disorders?

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

Effects of Speech Disorder

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

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

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


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

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

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

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

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

Kids at Risk of Speech Disorder

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

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


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

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

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

What is a sound disorder?

Final Thoughts

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

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

Speech Sound Disorder

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

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

Speech Sound Disorder

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

The Diagnostic Statistical Manual of Mental Disorder (DSM)

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

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

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


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

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

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

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


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

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


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

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

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

Best Speech Sound Disorder Treatment

Final Thoughts

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

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

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

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


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Selective Sound Sensitivity Syndrome

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

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

Selective Sound Sensitivity Syndrome

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

The Trigger Cues

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

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

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

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

Trigger Sound Response

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

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

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

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

An Under-Researched Condition

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

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

Best Selective Sound Sensitivity Syndrome treatment specialist

Final Thoughts

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

The Misophonia Treatment Center Treats Selective Sound Sensitivity Syndromes

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

Stephen Katz LCSW