steven-gellar-katz-lcsw-rStephen Geller Katz LCSW-R

Misophonia Cognitive Retraining Therapy

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Misophonia Cognitive Retraining Therapy, as featured on the MTV True Life episode: “I Have Misophonia” premiering Friday, December 16th, 7:00 PM EST. See Clip >

Are you Suffering from any of these symptoms as a result of Misophonia? Call today for a Consultation.

  • Mild to severe anxiety
  • Rage or Anger
  • Triggered fight or flight
  • Depression
  • Negative thinking
  • Crying spells
  • Hopelessness
  • Suicidal thoughts
  • Avoidance of people or places
Moderate to severe anxiety triggered by chewing sounds, including:
  • Nail clipping 
  • Brushing teeth
  • Eating sounds
  • Lip smacking
  • Breathing
  • Certain voices
  • Sniffing
  • Talking
  • Sneezing
  • Yawning
  • Walking
  • Coughing
  • Chewing gum
  • Laughing
  • Snoring
  • Typing on a keyboard
  • Whistling
  • Certain consonants


You may also be affected by visual stimuli, such as repetitive foot or body movements, fidgeting or movement you observe out of the corners of their eyes. 
Intense anxiety, rage and avoidant behavior may develop as a result of misophonia.


woman-misophonia* Do you feel your family and friends don’t understand how much you suffer?

* Do you often feel you can just suffer through a social event where there is eating present only to find that you must “escape” before you have a panic attack?

* Do you find that some people are at first understanding and make some efforts not to make the triggering sounds in front of you, but soon forget and constantly have to be reminded, causing you to feel angry, anxious and depressed?

* Are you avoiding social activities that you enjoy because of the misophonia?

* Are you fearful of losing your job and/or is the misophonia effecting your job performance?


If you answered yes to 3 or more of these questions or symptoms, then we can help.


You may be a candidate for Misophonia Cognitive Retraining Therapy, or MCRT.

Stephen Geller Katz, LCSW-R, with over 20 years of clinical experience, a New York University graduate, developed Misophonia Cognitive Retraining Therapy and founded Misophonia Cognitive Center™ in response to the growing number of people with Misophonia coming to his private practice from audiologists and ENTs. He discovered that by helping people to retrain and reinterpret the thoughts around their Misophonia, anxiety and depression symptoms began to improve. But even more important so did the Misophonic trigger response.

Call us at 646-585-2251 for a consultation.

Category Archives: Support

How to Support a Loved One with Misophonia

Supporting a loved one with misophonia can be challenging, but understanding the condition and implementing effective strategies can make a significant difference. Misophonia, characterized by strong emotional reactions to specific sounds, can cause significant distress. Here are some practical ways to support someone dealing with misophonia.

How to Support a Loved One with Misophonia

Ways to Support a Loved One with Misophonia

Educate Yourself About Misophonia

Understanding misophonia is the first step in providing effective support. Misophonia involves adverse reactions to everyday sounds like chewing, tapping, or breathing. These sounds can trigger intense emotional responses such as anger, anxiety, or the urge to escape the situation. By learning about the condition, you can better empathize with your loved one’s experiences and challenges.

Communicate Openly

Open communication is crucial for supporting someone with misophonia. Encourage your loved one to share their experiences and triggers with you. Listen actively and validate their feelings without judgment. Understanding their specific triggers can help you avoid making those sounds and reduce their distress.

Modify the Environment

Making changes to the environment can significantly reduce misophonia triggers. Here are some practical steps:

  • Create Quiet Zones: Establish quiet areas in your home where your loved one can retreat if they feel overwhelmed by trigger sounds. This could be a room with soundproofing or a space equipped with white noise machines.
  • Use Noise-Canceling Devices: Encourage the use of noise-canceling headphones or earplugs to block out trigger sounds, especially in noisy environments.
  • Adjust Daily Routines: Modify daily routines to minimize exposure to trigger sounds. For example, if chewing sounds are a trigger, you could eat meals separately or play background music during meals to mask the sounds.

Encourage Healthy Coping Mechanisms

Helping your loved one develop healthy coping mechanisms can improve their ability to manage misophonia. Some effective strategies include:

  • Mindfulness and Relaxation Techniques: Encourage practices such as deep breathing exercises, progressive muscle relaxation, and meditation to help reduce stress and manage emotional reactions to triggers.
  • Engagement in Hobbies: Engaging in hobbies and activities that they enjoy can provide a distraction from trigger sounds and reduce overall stress.
  • Physical Activity: Regular physical activity can help reduce anxiety and improve overall mental health, making it easier to cope with misophonia triggers.

Ways to support family and frineds with Misophonia

Seek Professional Help

Professional help can provide additional support and effective treatment strategies. Various therapeutic approaches have shown promise in managing misophonia:

  • Cognitive-Behavioral Therapy (CBT): CBT can help individuals change negative thought patterns and develop healthier responses to trigger sounds. This therapy focuses on identifying triggers, reframing negative thoughts, and practicing relaxation techniques.
  • Mindfulness-Based Stress Reduction (MBSR): MBSR combines mindfulness meditation and yoga to help individuals develop greater awareness of their thoughts and emotions. This practice can reduce the intensity of emotional reactions to misophonia triggers.
  • Sound Therapy: Sound therapy involves gradual exposure to trigger sounds in a controlled environment to help desensitize individuals over time. Techniques such as white noise, nature sounds, and binaural beats can mask trigger sounds and create a calming auditory environment.
    For more information on CBT, visit the American Psychological Association. Learn about MBSR from the Center for Mindfulness. Explore sound therapy techniques on the Misophonia Institute.

Practice Patience and Empathy

Living with misophonia can be incredibly frustrating and isolating. Patience and empathy are essential in providing ongoing support. Recognize that misophonia is a real and challenging condition, and offer your love and understanding. Small gestures of kindness and support can make a significant difference in your loved one’s ability to cope.

How to Support a Loved One with Misophonia: Conclusion

Supporting a loved one with misophonia involves understanding the condition, communicating openly, modifying the environment, encouraging healthy coping mechanisms, seeking professional help, and practicing patience and empathy. By implementing these strategies, you can help your loved one manage their symptoms and improve their quality of life.

Dr. Stephen Katz at the Misophonia Cognitive Center™ offers specialized online treatment services to help individuals and their families navigate the challenges of misophonia.

Call today for an expert consultation.

Stephen Geller Katz, LCSW
646-598-2251

• Convenient online sessions
• Dr. Katz is multi-lingual