A systematic review of treatments for misophonia

Clinical characteristics of treatment‐seeking youth with misophonia

“…Youth were only included if they had not previously received treatment for misophonia, were willing to enroll in an exposure-based treatment, and identified misophonia as the primary treatment target, and thus, it is likely that youth with more complex clinical presentations (e.g., nonresponse to prior treatment, treatment refusal, severe comorbid disorders) are not reflected in this study's results. to sound triggers, exposure-based cognitive behavioral interventions may be effective (Mattson et al, 2023), although more research is needed in this area, as exposure alone may not be sufficient for some youth with misophonia. As misophonia is a heterogenous clinical condition with a range of triggers and emotional and behavioral responses, evidence-based treatment approaches will need to be tailored to the unique symptoms of the individual to maximize likelihood of response.…”

“…In particular, transdiagnostic cognitive‐behavioral interventions such as the Unified Protocols for Transdiagnostic Treatment of Emotional Disorders in Children and Adolescents (Ehrenreich‐May et al, 2017) may improve emotion regulation skills as to reduce the strong emotional responses that characterize misophonia. For individuals who respond with anxiety and avoidance to sound triggers, exposure‐based cognitive behavioral interventions may be effective (Mattson et al, 2023), although more research is needed in this area, as exposure alone may not be sufficient for some youth with misophonia. As misophonia is a heterogenous clinical condition with a range of triggers and emotional and behavioral responses, evidence‐based treatment approaches will need to be tailored to the unique symptoms of the individual to maximize likelihood of response.…”

The unified protocol for transdiagnostic treatment of emotional disorders for misophonia: a pilot trial exploring acceptability and efficacy

“…Patients in the treatment group reported improvements in mental and physical dysfunction, suggesting the possibility that CBTs might improve areas of functioning in patients with misophonia. A number of case studies also suggest various CBTs could effectively target symptoms of misophonia (Mattson et al, 2023). Findings from these studies indicate promise for the use of cognitive-behavioral approaches to increasing control over attention and affective responses to triggers in treatment of misophonia.…”

“…Furthermore, people with functional impairment due to misophonia report higher psychopathology symptoms, lower interpersonal emotion regulation, and lower quality of life than individuals without impairment (Möllmann et al, 2023). Even though misophonia only appeared in the clinical literature as recently as 2001 (Jastreboff and Jastreboff, 2001), research suggests that close to 20% of individuals experience at least moderate symptoms of the condition (Wu et al, 2014;Mattson et al, 2023;Vitoratou et al, 2023). This research suggests that a notable portion of the population may suffer from impairing symptoms of misophonia, highlighting the pressing need for more treatment and prevention efforts.…”

“…Despite its prevalence and impact, there are few treatment studies examining how to best help those suffering with misophonia. Recent reviews of misophonia identified only three open trials and one randomized controlled trial (Mattson et al, 2023;Rosenthal et al, 2023). The remaining studies were case studies.…”