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A brief course of cognitive behavioural therapy for the treatment of misophonia: a case example

  • Rosemary E. Bernstein (a1), Karyn L. Angell (a1) and Crystal M. Dehle (a1)


Misophonia is a condition of unknown cause characterized by atypically intense negative physiological and emotional reactions to hearing certain sounds – most often those associated with oral functions. Individuals with misophonia often report high levels of psychological distress and avoidance behaviours that seriously compromise their occupational and social functioning. As of yet, no effective treatment of misophonia has been identified, and health care providers often struggle when they encounter clients who have it. This case report describes the assessment, case formulation, and treatment of a client with misophonia using cognitive behavioural therapy (CBT), and serves as an initial contribution to the evidence base for the efficacy of CBT in the treatment of misophonia.


Corresponding author

*Author for correspondence: Ms. R. E. Bernstein, Department of Psychology, University of Oregon, 1227 University of Oregon, Eugene, Oregon 97403, USA (email:


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Misophonia, UK (2012). Frequently asked questions (
Schröder, A, Vulink, N, Denys, D, (2013). Misophonia: diagnostic criteria for a new psychiatric disorder. PLoS ONE 8: e54706.
APA (2013). Diagnostic and Statistical Manual of Mental Health Disorders: DSM-5 (5th edn). Washington, DC: American Psychiatric Publishing.
Beck, AT, Steer, RA (1993). Manual for the Beck Anxiety Inventory. San Antonio, TX: Psychological Corporation.
Beck, AT, Steer, RA, Brown, GK (1996). Manual for the Beck Depression Inventory – II. San Antonio, TX: Psychological Corporation.
Beck, AT, Weissman, A, Lester, D, Trexler, L (1974). The measurement of pessimism: the Hopelessness Scale. Journal of Consulting and Clinical Psychology 42, 861865.
Berman, MR (2011). Kelly Ripa diagnoses herself with mysterious neurological disorder. Medpage Today, 12 September 2011 (
Carroll, L (2011). When annoying sounds spark major rage: driven to distraction, and worse, by noise, misophonia sufferers seek a solution. Today Health, (
Cohen, J (2011). When a chomp or a slurp is a trigger for outrage. The New York Times, 5 September 2011 (
Cohen, J (2012). Rare sensitivity triggers undue rage, Hamden audiologist explains. New Haven Register, 29 March 2012 (
Deutsch, G (2012). Do you have misophonia? ABC News, 17 May 2012 (
First, MB, Spitzer, RL, Gibbon, M, Williams, JBW (2002). Structured Clinical Interview for DSM-IV-TR Axis I Disorders, Research Version, Patient Edition With Psychotic Screen (SCID-I/P W/ PSY SCREEN). New York: Biometrics Research, New York State Psychiatric Institute, November 2002.
Gaab, J, Blättler, N, Menzi, T, Pabst, B, Stoyer, S, Ehlert, U (2003). Randomized controlled evaluation of the effects of cognitive-behavioral stress management on cortisol responses to acute stress in healthy subjects. Psychoneuroendocrinology 28, 767779.
Huffington Post Healthy Living (2011). Misophonia: when annoying noises send you into a rage. Huffington Post Healthy Living, 8 September 2011 (
Jastreboff, MM (2001). Hyperacusis (
Jastreboff, PJ, Gray, WC, Gold, SL (1996). Neurophysiological approach to tinnitus patients. American Journal of Otology 17, 236240.
Jastreboff, PJ, Hazell, JWP (2004). Tinnitus Retraining Therapy: Implementing the Neurophysiological Model. Cambridge University Press.
Jastreboff, PJ, Jastreboff, MM (2003). Tinnitis retraining therapy for patients with tinnitus and decreased sound tolerance. Otolaryngologic Clinics of North America 36: 321336.
Kivi, R (2011). Misophonia in the classroom: students with a decreased sound tolerance disorder. Bright Hub Education (
Leaker, G (2012). Misophonia. Cosmos, 5 April 2012 (
McConnaughy, EA, Prochaska, JO, Velicer, WF (1983). Stages of change in psychotherapy: Measurement and sample profiles. Psychotherapy: Theory, Research & Practice 20, 368375.
Misophonia, UK (2010). A Misophonia UK information leaflet (revised April 2010). (
Møller, AR (2010). Misophonia, Phonophobia, and ‘Exploding Head’ Syndrome. In: Textbook of Tinnitus. New York: Springer, 2010.
Robertson, AE, Simmons, DR (2013). The relationship between sensory sensitivity and autistic traits in the general population. Journal of Autism and Developmental Disorders 43, 775784.
Schwartz, P, Leyendecker, J, Conlon, M (2011). Hyperacusis and misophonia: the lesser-known siblings of tinnitus. Minnesota Medicine 94, 4243.
Smith-Squire, A (2011). Eat quietly or mum will lose her lunch. The Sun, 21 April 2011 (
Tinnitus and Hyperacusis Clinic (2010). What is misophonia? (


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A brief course of cognitive behavioural therapy for the treatment of misophonia: a case example

  • Rosemary E. Bernstein (a1), Karyn L. Angell (a1) and Crystal M. Dehle (a1)


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A brief course of cognitive behavioural therapy for the treatment of misophonia: a case example

  • Rosemary E. Bernstein (a1), Karyn L. Angell (a1) and Crystal M. Dehle (a1)
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