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Misophonia Explained: Causes, Triggers, and Real Life Solutions

Misophonia Explained: Causes, Triggers, and Real Life Solutions

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 Curious if OT could help your child's struggles? Download Why Choose OT to find out! Tom breaks down what misophonia really is, how it differs from simple sound sensitivity, and why it’s so crucial for families to recognize the signs early. They discuss current research, the lack of mainstream resources, and practical, real-world strategies families can use to support children struggling with these intense sound triggers. Tom also highlights the importance of creating supportive environments at home and the need for professional guidance when self-help strategies aren’t enough. In this episode you'll hear about: Tom’s background as a behaviorist and parenting coachHow Tom was introduced to misophonia through a personal family storyUnderstanding MisophoniaDefinition of misophonia as a reflex condition, not a hearing defectTypes of triggers: auditory, visual, and olfactoryTypical misophonia sounds (chewing, talking, birds, lawnmowers, repeating sounds)The inappropriately strong emotional reaction to common soundsReflex pathways and the concept of the “lizard brain”/brain stemThe process by which misophonia develops (pattern recognition, Pavlovian conditioning)Relationship between physical reflex and emotional responseThe lack of misophonia coverage in medical and psychology textbooksPractical Strategies and Supports for MisophoniaImportance of adding background noise (fans, noise machines) at homeBehavioral experiments and increasing body awareness in childrenCase of a young girl displaying unconscious physical reactions to triggersThe analogy to fingernails on a chalkboard as a common non-misophonia sound aversionHow physical reflexes can be more important than initially perceived emotional responsesTechniques to increase body and emotional awareness as a means of reducing triggersThe role of family dynamics and inherited patterns in misophoniaMisophonia’s prevalence in the general population (estimated 5-15%)Differentiating between normal sensitivity and a clinical level of misophoniaImpact on daily life and family relationshipsExamples where sound sensitivity expands to more triggers or worsens over timeWhen and How to Seek HelpIndicators that professional support is neededHow to test simple relaxation strategies and track changes over timeGuidance on working with children and adapting interventions to their developmental levelEncouraging early intervention to prevent escalationThe importance of family support and teamworkThe Role of Environment and Life StagesHow environment (school vs. home) changes trigger severity and coping responsesInfluence of life stress and transitions on misophonia intensityOccupational Therapy (OT) and MisophoniaOT perspective: modifying environment, activities, and body awarenessDiscussion on not altering foods, but instead targeting tolerance to normal soundsGradual reintroduction to triggering environments as part of therapyDifferent therapeutic philosophies and methods (core response vs. tolerance training)Audiologist role in providing ear-level sound generators and alleviating triggers Links and Resources From Today's Show Why Should I Seek Occupational Therapy? Misophonia InternationalMisophonia InstituteSo Quiet The International Misophonia FoundationEpisode 1: Unveiling the role of OT in HomeschoolingEpisode 2: Decoding Behavior in homeschooling- sensory overwhelm, emotional control, perseverance Episode 13: Beyond the Five Senses: Understanding Your Child's Interoceptive World with Cara KosinskiEpisode 29: Parenting with Co-RegulationMisophonia TreatmentConnect With Sarah On Instagram Connect with our Guest, Tom Dozier Tom Dozier, MS, BCBA, is a behaviorist who has researched and provided treatment for misophonia as a reflex behavior condition since 2012 and is a pioneer in misophonia research. He is author of Understanding and Overcoming Misophonia, A Conditioned Aversive Reflex Disorder and 10 journal articles. His research indicates misophonia includes both physical and emotional reflexes and explains how misophonia develops and often progresses with time. With this understanding of misophonia, Tom developed Relaxation and Counterconditioning Therapy as a behavioral treatment for misophonia. He has provided this treatment to hundreds of individuals in-person and by telehealth. Tom founded the non-profit Misophonia Institute in 2016 to promote misophonia awareness, research, and professional training, and he serves as president.

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