Misophonia: Coping with Annoying Sounds and Its Effects - Psychiatry

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Hearing certain sounds can be very irritating?


Hello, Doctor.
This has been a problem for me since childhood.
Whenever I hear others eating and making sounds (like chewing noises and various other sounds), my ears feel very itchy, as if there are many bugs crawling inside.
I also feel irritated, which can easily affect my mood.
This feeling can last a long time; for instance, if I hear something in the morning, I might still feel down by noon.
After realizing that I have this reaction, I avoid eating with anyone who makes sounds I dislike.
Now that I'm in college and living with roommates, I feel uncomfortable asking them not to make noise while eating.
I know it's hard to change this habit, but it frustrates me every time I hear it.
I don't know what to do...
I would like to ask the doctor if this is a medical condition.
Is there a way to improve this phenomenon?

Ruan Ruan, 10~19 year old female. Ask Date: 2011/12/21

Dr. Qiu Junda reply Psychiatry


Hello, Soft Soft: At first glance, it does not seem to reach a pathological level.
It appears that your sensitivity to auditory stimuli differs from that of others.
I wonder if you had any unpleasant experiences related to sound during your childhood that may have contributed to this.
Currently, the focus should be on addressing the emotional distress it causes you.
You might try redirecting your attention (such as listening to music) or engaging in simple relaxation techniques (which are available online) to alleviate your irritation.
If there is still no improvement, it may be more appropriate for you to visit a mental health clinic at a nearby hospital.
Thank you!

Reply Date: 2011/12/21

More Info


Misophonia is a condition characterized by strong emotional reactions to specific sounds, often leading to feelings of irritation, anxiety, or even anger. The sounds that trigger these reactions can vary from person to person, but common triggers include sounds associated with eating, such as chewing, slurping, or even breathing. For individuals like yourself, who experience intense discomfort when exposed to these sounds, it can significantly impact daily life, relationships, and overall well-being.

The symptoms you describe—such as feeling an itch in your ears or a crawling sensation, along with prolonged irritability—are not uncommon among those with misophonia. This condition is not officially classified as a mental disorder in many diagnostic manuals, but it is increasingly recognized by researchers and clinicians as a legitimate phenomenon that can cause distress.

Coping with misophonia can be challenging, especially in social situations like dining with roommates or friends. Here are some strategies that may help you manage your reactions to triggering sounds:
1. Awareness and Acceptance: Understanding that misophonia is a recognized condition can help you feel less isolated. Accepting that your reactions are valid may reduce some of the frustration you experience.

2. Sound Management: Consider using earplugs or noise-canceling headphones in situations where you anticipate encountering triggering sounds. Listening to calming music or white noise can also help mask the irritating sounds.

3. Cognitive Behavioral Therapy (CBT): This therapeutic approach can help you reframe your thoughts and reactions to triggering sounds. A therapist can work with you to develop coping strategies and reduce the emotional impact of these sounds.

4. Gradual Exposure: Some individuals find that gradually exposing themselves to their triggers in a controlled manner can help desensitize their reactions over time. This should be done carefully and ideally under the guidance of a mental health professional.

5. Mindfulness and Relaxation Techniques: Practices such as mindfulness meditation, deep breathing exercises, or progressive muscle relaxation can help you manage anxiety and irritation when faced with triggering sounds.

6. Communication: If you feel comfortable, consider discussing your misophonia with your roommates or close friends. They may be willing to accommodate your needs, such as eating in a different room or being mindful of their eating sounds.

7. Professional Help: If your misophonia significantly interferes with your daily life or relationships, seeking help from a psychologist or psychiatrist who understands this condition can be beneficial. They can provide tailored strategies and support.

While there is currently no cure for misophonia, many individuals find that with the right coping strategies and support, they can manage their symptoms effectively. It's important to remember that you are not alone in this experience, and there are resources available to help you navigate the challenges it presents.
In summary, misophonia can be a distressing condition, but understanding it and employing coping strategies can lead to improved management of your reactions to annoying sounds. If you find that your symptoms persist or worsen, consider reaching out to a mental health professional for further support.

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