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Session-by-session change in misophonia: a descriptive case study using intensive CBT.

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  • 1Department of Experimental Psychology, University of Oxford.

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Cognitive Behavioral Therapy (CBT) shows promise for misophonia symptom relief. This case study highlights individualized CBT

Keywords:
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Area of Science:

  • Clinical Psychology
  • Neuroscience
  • Audiology

Background:

  • Misophonia, a disorder characterized by decreased tolerance to everyday sounds, has preliminary evidence suggesting Cognitive Behavioral Therapy (CBT) may be beneficial.
  • However, the specific mechanisms driving therapeutic change in misophonia remain largely unknown.
  • This underscores the need for detailed investigations into CBT delivery and outcome measurement for this condition.

Purpose of the Study:

  • To describe the application of intensive, formulation-driven CBT for a single individual diagnosed with misophonia.
  • To report on the session-by-session treatment outcomes using a comprehensive multidimensional measurement tool, the S-Five.
  • To explore the temporal relationship between interventions and symptom changes.

Main Methods:

  • A case study design was employed, delivering twelve hours of CBT across five sessions.
  • Interventions integrated both transdiagnostic principles and misophonia-specific strategies.
  • Outcomes were tracked using the S-Five, a multidimensional tool assessing various facets of misophonia symptoms.

Main Results:

  • Reliable and clinically significant improvements in misophonia symptoms were observed from baseline to one-month follow-up.
  • Specific S-Five subscales, including 'outbursts,' 'internalizing appraisals,' and 'emotional threat,' showed change patterns correlating with treatment phases.
  • The most substantial symptom reduction occurred after the second session, which involved interventions directly addressing trigger sounds.

Conclusions:

  • The findings support the individualized nature of misophonia, advocating for tailored treatment approaches.
  • This case study highlights the utility of multidimensional measurement tools like the S-Five for capturing nuanced treatment effects.
  • Intensive, formulation-driven CBT appears effective for managing misophonia symptoms, with specific interventions showing distinct impacts.