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Misophonia: When Certain Sounds Make You Crazy

misophonia

Hate the sound of people chewing, breathing or speaking? You may have misophonia.

Misophonia, which literally means hatred of sound, is linked to a super-sensitised brain connection, a new study finds.

What is misophonia?

People with misophonia find certain trigger noises to be so irritating they can promote avoidance, annoyance, anger or even losing control and lashing out.

Typical examples include the sound of breathing, chewing or even speaking.

The sounds most likely to irritate people with misophonia are repetitive and usually involve the mouth, throat or facial area.

People with misophonia may avoid social situations or use headphones to avoid the triggering sounds.

Misophonia is thought to affect between 6 and 20 percent of people to some degree.

It can cause significant distress and interfere with daily life.

Causes of misophonia

A new study finds that there is a unique connectivity between the brain’s auditory and motor cortices in people with misophonia.

Dr Sukhbinder Kumar, the study’s first author, said:

“Our findings indicate that for people with misophonia there is abnormal communication between the auditory and motor brain regions — you could describe it as a ‘supersensitised connection’.

This is the first time such a connection in the brain has been identified for the condition.”

Other possible causes of misophonia are:

  • A dysfunction in the central auditory system.
  • Other mental health conditions: people with anxiety disorders, such as OCD and Tourettes, are more likely to have misophonia.
  • Genetics: it runs in families.

Treatment

Being a relatively newly recognised condition, misophonia has no established treatments.

However, some approaches may be effective, including:

  • Cognitive-behavioural therapy: has been found to help around half of people with misophonia. This focuses on changing negative thoughts related to the condition (Schröder et al., 2017).
  • Tinnitus retraining therapy: using relaxation training plus wearing devices that produce attention-diverting noises.
  • Relaxation techniques

Coping

People typically cope with misophonia in a variety of ways:

  • Wearing headphones
  • Using earplugs
  • Stress management
  • Music or background noise
  • Planning ahead for when an outburst is coming (then use relaxation, visualisation, deep breathing).

More about this study

The study included 33 people with misophonia whose brains were scanned.

Compared with a control group, those with misophonia showed a stronger response between the brain’s auditory and motor cortices.

There was also increased activation in visual regions, Dr Kumar explained:

“What surprised us was that we also found a similar pattern of communication between the visual and motor regions, which reflects that misophonia can also occur when triggered by something visual.

This lead us to believe that this communication activates something called the ‘mirror system’, which helps us process movements made by other individuals by activating our own brain in a similar way — as if we were making that movement ourselves.

We think that in people with misophonia involuntary overactivation of the mirror system leads to some kind of sense that sounds made by other people are intruding into their bodies, outside of their control.

Interestingly, some people with misophonia can lessen their symptoms by mimicking the action generating the trigger sound, which might indicate restoring a sense of control.

Using this knowledge may help us develop new therapies for people with the condition.”

The study was published in The Journal of Neuroscience (Kumar et al., 2021).

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