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Metacognitive Interpersonal Therapy for Misophonia: A Single-Case Study.

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Metacognitive Interpersonal Therapy (MIT) effectively reduced misophonia symptoms by addressing maladaptive interpersonal schemas. This approach improved social relationships and sound tolerance in a patient with co-occurring personality disorders.

Keywords:
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Area of Science:

  • Psychiatry
  • Psychology

Background:

  • Misophonia is a chronic condition characterized by intense negative emotions triggered by specific sounds.
  • Maladaptive interpersonal schemas, involving beliefs of being mistreated or exploited, are hypothesized to be linked to misophonia.
  • Individuals with these schemas often perceive themselves as inadequate or fragile.

Observation:

  • This study details the Metacognitive Interpersonal Therapy (MIT) for a young man with misophonia, obsessive-compulsive personality disorder (OCPD), and avoidant personality disorder (AvPD).
  • The patient had normal hearing but exhibited narcissistic traits.
  • Data were collected pre-intervention and at a 2-year follow-up.

Findings:

  • Therapy focused on increasing awareness of maladaptive interpersonal schemas and fostering a healthier self-concept.
  • Significant reductions in misophonia severity were observed.
  • Behavioral experiments enhanced social relationship quality and tolerance to trigger sounds.

Implications:

  • Metacognitive Interpersonal Therapy (MIT) shows promise as an effective treatment for misophonia.
  • Addressing underlying interpersonal schemas may be crucial for managing misophonia.
  • This case highlights the potential of MIT in complex cases with comorbid personality disorders.