Researcher (MA, PhD)
APPROACH: Dr. Fox-Thomas uses an audiological approach to managing misophonia that includes a combination of counseling (including tenets of cognitive behavioral therapy), sound therapy, and biofeedback. She embraces a person-centered, holistic approach to patient care that recognizes each individual’s unique needs and preferences.
TESTIMONIALS: Dr. Fox-Thomas has treated over 100 children and adults with misophonia since 2010. Anecdotal and survey results of her clinical work have been presented regionally and nationally and accepted for presentation at the 2nd International Misophonia Symposium. Although data collection is ongoing, preliminary findings of survey data indicate the majority of survey respondents (61%) reported their misophonia is “better.” They reported less awareness and disturbance of triggers.
Subjective comments included “emotional regulation has somewhat improved with regard to misophonia triggers” and “can take short sessions of triggers.” Scores on the Misophonia Assessment Questionnaire (MAQ) also improved for the majority of respondents. Nearly 80% of the patients who participated in the survey reported using sound therapy. Several patients reported the “breathing exercises” (biofeedback) were helpful. In response to the question, “What was most and/or least helpful about the services you received…?,” patients commonly referred to validation of their condition (e.g., ““Being able to talk to someone who validated what I was feeling was the most helpful thing. I no longer felt alone.”
CREDENTIALS: State-licensed Audiologist (NC, VA, and SC); Certified by the American Speech-Language Hearing Association (CCC-A), Fellow of American Academy of Audiology (FAAA), Certified Healthcoach (CHC), Certified HeartMath Practitioner; Certified Integrated Listening Systems (iLs) practitioner including the Safe and Sound Protocol (SSP)
UNC Greensboro Speech and Hearing Center offers both online consultations and in-person evaluations as well as follow ups via telecare as needed. Telepractice laws usually require licensure in the state where the patient is located. At present, Dr. Fox-Thomas is licensed in North Carolina, Virginia, and South Carolina.
APPROACH: I treat misophonia with a form of cognitive-behavioral therapy (CBT) which utilizes acceptance-based approaches that help the individual learn how to respond to sound triggers so that they are less aversive and more acceptable. I also directly target the emotional response of anger/rage to enable one to feel greater control over their reactions to triggers. Additionally, I offer to integrate counseling into the treatment for secondary emotional concerns that result from misophonia such as relationship difficulties and/or other life stressors.
Group therapy is an ideal way to engage in an environment that is supportive, collaborative, and therapeutic. I am proud to offer one of the only therapy groups for misophonia in the entire world! This innovative group serves as a place for learning about misophonia, developing more effective ways of handling its symptoms and as a place for people to support each other. Misophonia is very lonely – come and join us!
I use pre/post measures to track progress in therapy.
I also offer my services over telehealth so I treat people over video conference for patients who are out of traveling distance.
CREDENTIALS: Doctorate in Clinical Psychology (Psy.D.)