Managing Misophonia in Youth: A Review

A systematic review of 21 studies published between 2013 and 2025 reveals a field in transition for misophonia treatment in young people. The analysis, led by researchers Tanya Singh and Satish Kumaraswamy, shows a clear shift from anecdotal case reports toward more structured intervention studies, with Cognitive Behavioral Therapy (CBT) emerging as the most prominent approach.

From Anecdotes to Evidence: Mapping the Research

Singh and Kumaraswamy systematically searched four major databases for studies on misophonia interventions in people aged 10 to 35. They identified 21 relevant papers, which included 15 case reports, three case series, one single-case experimental design, one non-randomized trial, and one randomized controlled trial. To assess the quality of this diverse set of studies, the researchers used specific Joanna Briggs Institute (JBI) appraisal tools matched to each study’s design. This structured approach allowed them to evaluate the strength of the existing evidence.

The collection of studies illustrates a field maturing. Early literature was dominated by individual case reports describing unique experiences. The newer studies signal a move toward methods that can be tested and replicated across different groups of people. This progression is essential for establishing which treatments are genuinely effective.

Cognitive Behavioral Therapy Leads the Treatment Field

The review’s most consistent finding is the central role of Cognitive Behavioral Therapy. CBT helps individuals identify and change the negative thought patterns and behavioral reactions associated with their misophonia triggers. The analysis indicates that family-adapted CBT models are especially common in research involving younger populations. Involving family members can help create a more supportive home environment and improve treatment adherence.

While CBT appears most frequently, the evidence for its efficacy is not yet definitive. The single randomized controlled trial included in the review is a positive step, but more large-scale, controlled studies are needed to confirm which CBT components work best. For a closer look at one specific cognitive approach, readers can explore our article on a Misophonia Treatment: Cognitive Reappraisal Pilot Study.

Supplementary Approaches: Sound and Medication

The review found that other interventions are typically used alongside psychological therapy rather than as stand-alone treatments. Audiological strategies, such as using sound generators or hearing aids to introduce neutral background noise, are sometimes employed to reduce the salience of trigger sounds. Pharmacological options, including medications used for anxiety or depression, were also reviewed but are not considered a primary solution for the core symptoms of misophonia.

This supplementary role highlights that misophonia is not simply a hearing problem but a complex condition with strong emotional and physiological components. The relationship between different sound sensitivities is an active area of study, as seen in research on how P2X2 Receptor Antagonists May Reduce Hyperacusis, a different but sometimes co-occurring condition.

Practical Implications for Patients and Clinicians

For adolescents, young adults, and their families seeking help, this review offers a realistic picture of the treatment landscape. It suggests that seeking a clinician trained in CBT, particularly someone experienced with misophonia or similar sensory-emotional conditions, is a reasonable starting point. Families should be prepared to be involved in the therapeutic process. It also tempers expectations, clarifying that quick fixes or medication-only solutions are not supported by the current evidence.

For healthcare providers, the findings underscore the importance of a multidisciplinary approach. Collaboration between mental health professionals, audiologists, and sometimes physicians may provide the most comprehensive care. The stress of managing misophonia, especially in demanding environments, is significant, a point reflected in our article on Misophonia Stress in Audiology and OT Students.

A Clear Path for Future Research

Singh and Kumaraswamy conclude that while the evidence is growing, it is still limited. The field requires more high-quality studies, particularly randomized controlled trials with larger sample sizes and longer follow-up periods. Future research must also address developmental specifics—what works for a 15-year-old may differ from what helps a 30-year-old.

This systematic review successfully charts the territory of misophonia intervention research. It identifies CBT as the current leading approach, clarifies the supporting role of other therapies, and provides a much-needed framework for scientists to build a more robust evidence base. As research continues, the goal is to transform emerging trends into established, effective protocols for the millions affected by this condition.

Source: Singh, T., & Kumaraswamy, S. (2026). A systematic review of interventions for misophonia in adolescents and young adults. DOI: 10.61096/ijamscr.v14.iss2.2026.1093-1111.