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 Therapy

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

How it works

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

Misophonia | Therapy Options


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

Misophonia Therapy

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

1.     Cognitive behavioral Therapy (CBT)

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

Misophonia Therapy | Treatment Options

2.      Tinnitus Retraining Therapy (TRT)

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

3.     Relaxation Therapy

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

Misophonia Therapy: Conclusion

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

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

Sounds That Trigger Misophonia

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

Sounds That Trigger Misophonia

Sounds When Chewing

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

Sounds When Breathing

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

Sounds That Trigger Misophonia | Treatment

Sounds produced vocally

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

Sounds Produced in Our Homes

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

Sounds Produced Outdoors

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

Sounds That Trigger Misophonia - Treatment

Visual Triggers

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

Sounds That Trigger Misophonia: To Conclude

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

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

Hypersensitivity to Sound

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

Hypersensitivity to Sound | Disorders

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

Hypersensitivity to Sound


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

Side Effects

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


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

Hypersensitivity to Sound | Noise Disorders


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

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

Hypersensitivity to Sound: Final thoughts

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

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

Misophonia Symptoms

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

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

Misophonia symptoms

Common Misophonia Symptoms

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

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

Behavioral Changes

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

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

Misophonia symptoms 2021

Physical Misophonia Symptoms

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

Conclusion: Contact Stephen Katz at the Misophonia Cognitive Center

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

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

Misophonia Cognitive Center
Stephen Katz LCSW

Do You Have A Hatred of Sounds?

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

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

Hatred of sounds & misophonia

Is Misophonia a Mental Illness?

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

Hatred of Sounds: Symptoms

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

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

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

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

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

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

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

Hatred of Sounds: Diagnosis

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

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

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

Hatred of Sounds | Misophonia Treatment

Hatred of Sounds: Causes

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

1.    Brain Chemistry

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

2.    Other Medical Conditions

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

3.    Tinnitus

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

4.    Genetics

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

Conclusion: Contact Misophonia Specialist Stephen Katz

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

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

Do People Chewing Loudly Bother You? You May Have Misophonia

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

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

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

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

Chewing Loudly Misophonia Diagnosis

Misophonia Triggers

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

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

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

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

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

  • Hair twirling
  • Nose rubbing
  • Foot wagging

Symptoms of Misophonia

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

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

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

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

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

Chewing Sounds Misophonia Diagnosis Treatment

What are the Causes of Misophonia

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

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

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

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


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

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

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

Can You Cure Misophonia?

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

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

Can You Cure Misophonia?

What Is Misophonia?

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

Diagnosis of Misophonia

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

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

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

Can You Cure Misophonia? Treatment & Info 2020-2021

Treatments for Misophonia

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

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

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

1.    Tinnitus Retraining Therapy (TRT)

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

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

2.    Cognitive Behavioral Therapy

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

3.    Medications

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


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

What is Hyperacusis?

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

Hyperacusis Symptoms & Treatment Info

Symptoms of Hyperacusis

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

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

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

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

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

Risk Factors and Causes of Hyperacusis

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

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

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

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

Types of Hyperacusis

Hyperacusis is divided into two types:

  • Vestibular
  • Cochlear

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

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

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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.

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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.