APPROACH: Relaxation training and counterconditioning therapy
I usually provide this treatment by video-chat. I teach the patient about misophonia and exercises that allow them to develop the skill of relaxing on demand. With this skill, I then teach them what to do around misophonia triggers that will change their fundamental reflex responses of misophonia. This causes their misophonia severity to gradually decrease. In some cases, very positive activities are planned so that the response to the trigger can be "counterconditioned" and fade away. We regularly measure misoponia severity and plot the data so we can adjust the treatment as needed. For examples, see https://youtu.be/z_jaLCvZHYU
CREDENTIALS: BCBA, Board Certified Behavior Analyst
Recent data shows the treatment is beneficial for 70-80% of people and those that respond well to the treatment have an average of over 70% reduction in misophonia severity.
Here is a recent, unsolicited testimonial: "Tom has been a tremendously positive force for our family. One of my children suffered tremendously from misophonia. She found Tom online and from his writings immediately self-diagnosed with misophonia. We contacted Tom, who ran his own analysis and agreed that she did indeed suffer from misophonia. We embarked on treatment with Tom, and within weeks, she substantially improved. We looked forward to our sessions, as he is kind, gentle, encouraging, positive, and data-driven, which creates a perfect combination. I can't recommend Tom more highly. His work is truly life-changing." (mother of a 12-year-old daughter with misophonia)