Treatment Options

New Treatment Being Developed – Hypnotherapy

Chris Pearson has made excellent progress in treating misophonia, and we are working to prove and share this information with other hypnotherapists.  See the page on Hypnotherapy for Misophonia.

Existing Treatments

The most commonly used treatment for misophonia is sound.  This is a primary component of the Misophonia Management Protocol (MMP) developed by Dr. Marsha Johnson.  Filling the auditory channel with sound (such as waterfall sound) reduces the strength of the reflex reaction to the misophonic trigger sound.  This does not eliminate the trigger or the reaction to the trigger, but it reduces the reaction so it is not so upsetting.  The sound can be provided best with a behind-the-ear sound generator.  The device is virtually invisible.  Many devices have a remote control and can even be connected by bluetooth to an iPod or other device.  These devices can be purchased through some audiologists.  The cost can range from $2.000 to $4,000 for a pair.

An iPod and headphones can be used to provide the same effect, but is far more visible and can cause difficulties in public (especially for children or in the workplace).  A smartphone or iPod Touch can run a sound app, such as White Noise or Simply Noise.  These apps, costing only $1.99, can provide a variety of different sounds that will reduce the strength of the misophonic response.  It is best to use an open-ear headphone, such as the Sony Sport (which seems to be going out of production, but can easily be purchased online).  These headphones do not plug the ear, as does an earbud headphone.  So a person can still hear conversation and set the noise level to block the trigger sounds.

Filling the home with sound is also an option, using devices such as a box fan or white noise machines.  The more background noise there is, the less problematic the trigger sounds.

Along with the sound generator, the MMP treatment recommends 6 to 12 weeks of Cognitive Behavioral Therapy (CBT) or similar therapy focused on the area of misophonia.  (A recent study on using CBT alone to treat misophonia showed a significant reduction in the impact of the misophonia on the person’s life).  The MMP treatment should be very compatible with the NRT treatment (see below), which works to reduce the strength of the reflex to the trigger sound.

Pawel and Magaret Jastreboff provide a treatment which they say uses the Tinnitus Retraining Therapy.  This technique uses the sound generator as one of the components, and also works to reduce the strength of the misophonic reaction through controlled exposure to the trigger stimulus.  There is not much published on this, but the rumor is that there is a peer reviewed journal article on this treatment which will be released soon.

More Work on New Treatments Methods

There are exciting new treatments being developed for misophonia.  The neural “repattering” technique developed by Tom Dozier has been effective when a person has specific triggers, such as sounds from one or two people.  It has generally not been effective for trigger sounds where anyone making the sound causes the trigger response.

Click here for the Neural “Repatterning” Technique page.

Dr. Scott Sessions developed a treatment called PRT that he uses for emotional issues.  Until Dr. Session and Tom Dozier got together on October 21, 2013, this treatment had never been applied to misophonia.  Well, what happened was almost unbelievable.  The first 2 individuals treated for misophonia had a complete elimination of symptoms.  The next person, who had/has extremely severe misophonia, had no effect.  Recently, 2 more individuals were treated with PRT, and both had a complete elimination of misophonia symptoms.  A 6th person, treated on 1/4/14, had moderate improvement from the treatment.  In April 2014, we treated 31 people.  about half show a reduction in symptoms, but is seems that the treatment effect is not lasting.  See the page on the PRT Seminar.
Click here for the PRT Treatment page.

There have also been some reports of benefit from hypnotherapy (mostly short term), neurofeedback, biofeedback, and muscle relaxation.  Some have benefited greatly from neurofeedback, and even had a complete elimination of triggering.  Neurofeedback takes 10, 20, 80 (or more) sessions.  There have also been many who have reported it helped in other areas, but had not effect on their misophonia.

Progressive Muscle Relaxation (PMR) has also shown to be very beneficial in both reducing the anger/rage after a trigger and the strength of the trigger.  PMR also has many other health and well-being benefits.  It should be practiced daily.

Treatment options – a father’s perspective.  This information was written by the father of a child with misophonia.  I think he gives a good summary of the treatments that are available for misophonia.  With his permission, I include it here.
Click here for the Treatment Options: One Person’s Perspective page.