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 today for a 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.

Category Archives: Cognitive Behavioral Therapy

Cognitive Behavioral Therapy CBT for Misophonia

What is cognitive behavioral therapy for misophonia? According to a 2021 study published by Depression and Anxiety, Jager and colleagues conducted a controlled trial to evaluate the results of misophonia with cognitive behavioral therapy. Their findings were remarkable and surprising. Before understanding the results of the study, let’s understand what cognitive-behavioral therapy is.

Cognitive Behavioral Therapy CBT for Misophonia

What is Cognitive Behavioral Therapy?

Cognitive-behavioral therapy is an effective treatment for a wide range of psychological disorders. People with depression, marital problems, and anxiety found this treatment effective. Moreover, CBT is helpful for patients with drug dependency, severe mental issues, and eating disorders. Numerous studies suggest that CBT has remarkable effects to improve quality of life. The treatment improves the body’s functionality and reduces symptoms of mental illness. Studies also suggest that CBT is more effective than other psychological treatments and psychiatric medications.

After scientific evidence and research, experts claim that CBT is an effective treatment process that helps with many psychological problems. With the help of CBT, people suffering from mental diseases can cope with the symptoms and start a healthy life.

What is Misophonia?

Misophonia is a mental condition wherein a patient can’t tolerate a certain sound. These sounds include sniffing, heavy breathing, sighing, and slurping. When a person suffering from misophonia hears the triggering sound, they lose control and show their aggression. They find the sound so irritating that it triggers their fight and flight response.

Misophonia symptoms are different from person to person. Some find chewing sounds more irritating than slurping sounds. Meanwhile, other finds both these sounds normal find the pen clicking sound triggering. Usually, the triggering sound for misophonia is repetitive that the patient can’t just ignore them.

People with misophonia develop a severe emotional reaction to the sound. They find the sound discomforting, anxious, and stressed. That is why they show aggression to stop that sound. The actual reason for this disorder is unknown due to a lack of research. But, many experts predict that misophonia can be a symptom of other underlying conditions that triggers their behavioral responses.

The symptoms of misophonia are mental as well as physical. For instance, a person during the triggering condition experiences increased heartbeat, slowed breathing, and excessive sweating. This indicates that there is something related to mental and physical reactors in the body.

Cognitive Behavioral Therapy CBT for Misophonia USA UK EURO

Cognitive Behavioral Therapy for Misophonia

Now let’s return to the study and how it explains the importance of CBT for misophonia:


Experts recruited participants suffering from misophonia from the outpatient clinic. They diagnosed the patients with the condition and stated the diagnostic criteria. They used the same criteria that helped with proposing Schroder et al. The criteria include taking drugs while the psychiatrists consistently diagnosed the participants. They assess their level of depression, anxiety, and other bipolar diseases such as bipolar disorder, autism, and schizophrenia.

The program includes various activities such as stimulus manipulation, concentration exercises, and stimulus management. Furthermore, the team evaluates the arousal change, develops concentration, and learns a new technique to enjoy life to the fullest.

The study continued for about seven weeks, wherein they conducted psychomotor therapy and psychotherapy. After the study, the experts contacted the participants for a three-week follow-up session.

According to the primary outcomes, the patient started to reduce misophonia symptoms. Meanwhile, the secondary result focused on mental and physical conditions.

Cognitive Behavioral Therapy CBT for Misophonia: Conclusion

Are you suffering from misophonia and think that cognitive behavioral therapy may help? If yes, then you should consult with a specialist in this type of disorder. Stephen Geller Katz is one of the top specialists in the world treating patients to reduce the symptoms of misophonia.

For more information or an appointment, contact Dr. Katz today at 646-585-2251.

Cognitive Behavioral Therapy for Misophonia

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

Cognitive Behavioral Therapy for Misophonia

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

Essential Information Regarding “Misophonia”

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

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

Comprehending Cognitive Behavioral Therapy

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

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

Process of CBT Helping with Misophonia

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

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

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

Cognitive Behavioral Therapy for Misophonia

What Else Does CBT Help With?

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

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

Cognitive Behavioral Therapy for Misophonia: Conclusion

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

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

Reference Links:

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.