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.

Category Archives: Misophonia Symptoms

Symptoms of Misophonia

symptoms-of-misophonia-top-specialist-01Misophonia is a neurological auditory (sometimes visual) condition that causes extreme irritation and annoyance towards sounds produced by ordinary human actions like chewing. The central nervous system of a misphoniac’s brain tends to misinterpret and has trouble processing specific sounds.

An Understanding of What Is Misophonia

Misophonia is not a psychiatric disorder, it is a form of anxiety. It causes one to panic and become anxious. It is mostly auditory but sometimes it even involves visual triggers. Meaning,not being able to resist the sight of constant and repetitive actions.

For example, nodding of head or jiggling of foot. It can also be both audio-visual. As in, looking at someone snapping their fingers non stop and hearing the sound of the snaps at the same time. People who have this condition typically have excellent hearing skills and are very sensitive to sound and its volumes.  To sum up what it feels like, imagine someone scratching the wall with their sharp finger nails. The sound produced by this action makes the sufferer’s blood boil and gives them goose bumps.

Common Symptoms of Misophonia

Some of the most common signs and symptoms of misophoniainclude not being able to toleratethe sound at all and wanting to flee the scene. Aggression towards the origin of the sound and expressing discomfort by angrily telling them to stop. Mimicking the same sound in an attempt to block it out. The intensity of reactions can vary tremendously; some may try to sit through it and distract themselves by listening to songs.

Some can even go the extent of skipping parties, important social gatherings and avoiding any social contact altogether, which can make it harder for them to achieve goals and enjoy interpersonal interactions.

When Symptoms Are Evident

symptoms-of-misophonia-annoying-sound-specialist-02People usually start showing symptoms in their late childhood or early teenage.  However, it can be developed in both males and females at any age. People with Misophonia know that the intensity of their reactions is excessive and sometimes they also feel like everything is falling apart and that they are losing control. Another major symptom that can be prominently seen in individuals with Misophonia is the fact that when they try to look for solutions and simply think about encountering the triggering sounds, they feel stressed out and anxious. Just the thought of it gets them all sweaty.

Moreover, individuals suffering from misophonia also experience physical reactions including, immense pressure throughout the body, mainly the chest. Muscle tightness and fluctuating blood pressure, rapid heartbeat, and high body temperature are the reactions that can be very dangerous if not taken care of at the right time. If the heart rate and blood pressure stays high frequently and nothing is done to lower it down, then there are high chances of cardiac problems.


Cognitive behavioral therapy is a good option for misophoniacs. It helps individuals identify thought patterns that lead to certain unpleasant behaviors. If they become more self aware, they would be able to handle their emotions and triggers in a better manner. For instance, not expressing rage and  explaining the problem to the noise maker instead.  This will have a direct effect on their heart rate as well. Since now they would know how to be calm and avoid outbursts.

Therefore, if you have noticed these symptoms in yourself and you are not able to manage the emotional or physical reactions of misophonia on your own, then you must seek medical help as soon as possible.

To schedule and book your appointment with the best Misophonia specialist in NYC, contact us today!

Steven Geller Katz LCSW

Can You Reduce the Symptoms of Misophonia?

Misophonia is a rare condition which is often mistaken for OCD or depression. Several doctors have failed to come up with proper solutions to get rid of this frustrating problem. However, the good news is that Dutch researchers seem to have found an answer to it! Which means it is possible to reduce the symptoms of Misophonia!

Cognitive Behavioral Therapy

Cognitive Behavioral Therapy has clinically proven to be pretty successful for many. It is a special kind of psycho-therapy which mainly involves analyzing of one’s thoughts and feelings. Thoughts that influence and regulate your behavior.  There is a whole thought process behind your actions. If you behave in an unpleasant manner or you say something harsh to someone for no apparent reason, there is a high possibility that you have spent a lot of time thinking negatively about things.

CBT is used to treat many other disorders like depression and addiction as well. Firstly, you will be asked by your therapist to be completely vocal about your thoughts, voice them out openly and then examine them. Then you will be asked to look at evidence from reality to see whether your thoughts are in support of reality or against it. By doing this exercise, you will be able to look at things rationally and objectively. This way your thought patterns can be identified and fixed.

It helps with Misophonia to a great extent.It will make you realize that your irritation and frustration is justified but it can be taken care of in a less violent way. Initially, you will struggle with your thoughts but eventually you will get there.

The ultimate goal of CBT is to teach patients that while you cannot control every little aspect of the world, you can take care of your own thoughts and emotions. You have complete control over how you interpret and deal with things in YOUR world. This behavioral therapy is highly goal oriented and if you are lucky enough to have a supportive therapist working with you, then they will make sure that you get through it until your goal has been reached.

Music Therapy

Music Therapy is a newly discovered option to cope with Misophonia. It is not the same as listening to therapeutic songs. Your therapist will recommend you a certified clinician who is especially trained to select music for you. This therapy aims to enhance better responses to your problems. Furthermore, it will help you relax and reflect on your thought patterns, cope with stress and enhance your concentration levels. This special therapy often involves meditation exercises that will help you get calm and clear your mind.

Natural Remedies

Natural Remedies are also helpful in this regard. In addition to behavior and music therapy, you can add healthy foods to your diet. Your therapist may recommend you a sensory diet which is a blend of calming and energizing foods. These may help with misophonia regulation and auditory over sensitivity. Also, drink plenty of water and avoid GMO foods. Switch to a healthy and organic diet. Other than that, you must engage in physical activities such as swimming. Swimming will help you relax and has been known to assist regulate the sensory system. Spending time with nature is another excellent idea. Inhale exhale exercises and deep breathing after a good morning walk at the neighborhood park will surely make you feel fresher and lighter than usual.

For details about the intensity of your Misophonia, more tips and tricks and other related information, book your appointment with the best Misophonia specialist in NYC today!

Are Misophonia and Anxiety Related?

anxiety-and-misophonia-info-01If you are one of the rare individuals who suffer with the noise syndrome known as misophonia, you are probably aware of the torment that patients go through in their daily life. Any small sound could trigger a big reaction. This syndrome can lead to significant anxiety, consistent overwhelming emotions and feelings, and even depression and suicidal thoughts. No matter how severe or mild your symptoms are, misophonia is a strongly displeasing issue to deal with every day. Living your life in fear of sound and in constant panic is no way to spend your time. If you’re new to misophonia and are wondering if your syndrome is directly connected to the development of anxiety, or vice versa, we can help you understand the nitty and gritty of the illness. The better you understand misophonia as a whole, the more you can improve your daily life and future.

What is Misophonia?

misophonia-anxiety-similar-compare-info-03The syndrome of misophonia strictly relates to the irritation and negative reactions that come after hearing or experiencing a certain noise, which we call a trigger. These sounds can be different for all individuals and usually depend on the way you were raised or what you have been classically conditioned to dislike. This means people who are affected by misophonia are likely not born with the syndrome. Because of this, it is harder to identify or pinpoint specific events that may have led to the cause of your misophonia. Undergoing therapeutic courses of treatment may help alleviate symptoms and possibly find the reason for your irritations or phobias. Dealing with misophonia is a very difficult process that should be addressed as soon as symptoms are apparent for the best results.

What is Anxiety?

Anxiety is defined as a disorder characterized by fears or irritants that negatively affect how a person can regularly go about their day. Most of the time, anxiety is a normal and healthy emotion, as it regulates the body’s alertness. However, some people may have more advanced stages of anxiety that cause symptoms to appear consistently throughout the day. Anxiety is a very common disorder in the world, there being over 3 million cases in the United States alone. Anxiety is a difficult illness to deal with and may be related to symptoms of misophonia.

Are they Related?

misophonia-symptoms-management-nyc-specialist-01After studies were completed examining patients who show signs of both anxiety and misophonia, psychologists and medical providers have determined they are two separate disorders with separate triggers and symptoms. Regardless of them being different conditions, this doesn’t mean they can’t go hand in hand with another. Similar studies depicted that misophonia can lead to anxiety. Because misophonia may trigger heightened sensory states and lead to panic, it can be identified that anxiety can be a symptom of misophonia, but it is unlikely the opposite. Misophonia begins with external stimuli, while anxiety typically occurs internally. If you have misophonia and are being treated like you have anxiety, there may be better solutions to your daily suffering.

Get Treatment Today

In order to feel as good as you possibly can in life, it is important to visit a doctor or misophonia specialist to discuss symptoms and potential treatment options. Steven Katz LCSW is one of the best misophonia treaters in New York City and can significantly improve your symptoms.

Contact the Misophonia Cognitive Center to set up an appointment and start managing your Misophonia today.

Physical Symptoms Associated with Misophonia

Physical Symptoms Associated with Misophonia

nyc-specialist-for-misophonia-symptoms-01Paying attention to how your body responds to certain irritants and things you perceive as triggering is important if you want to figure out whether you’re really dealing with misophonia or a different condition. The list of symptoms typically associated with misophonia includes not only a sense of irritation – which is the most commonly reported issue – but also an array of additional, more physical symptoms. These can vary from person to person but knowing what the typical list looks like can make it easier to identify the condition in your own body.

Sensations of Pressure

You might feel like your body is getting squeezed in certain points when you get your misophonia triggered. The chest is the most commonly reported area, although you might also feel like some of your limbs are getting clamped down on. The pressure may or may not increase with each triggering incident, although those who do experience this particular symptom usually report that it’s present during most attacks.


symptoms-of-misophonia-02Your muscles might also feel tight all over the body all of a sudden, especially in the limbs. This is usually accompanied by the aforementioned sensation of pressure, but the two might come separately during different incidents of misophonia attacks. The feeling of tightness can be particularly troubling to some sufferers of the condition, as it can interfere with their daily lives and can make it difficult to go about their tasks while the attack is ongoing. Learning to manage these sensations is a good step towards treating misophonia and identifying the triggers for the condition can make that significantly easier, as you’ll know when to expect an attack coming on.

Check Your Blood Pressure

Blood pressure, and issues with the cardiovascular system as a whole, is something else to pay attention to when trying to diagnose misophonia. Many people report an increase in their blood pressure during an attack, and it may be accompanied by a rapidly beating heart and a general sensation of discomfort and unease.

These are just some of the most commonly reported physical symptoms associated with misophonia. The condition can manifest itself in many different forms among people with varying backgrounds, and it’s important to get professional help if you’re not sure what you’re dealing with exactly.

Give us a call today and the most knowledgeable misophonia specialists in NYC will guide you through the process and assist you in determining exactly what’s troubling you.