Misophonia is a disorder of decreased sound tolerance in which everyday sounds, known as “trigger” sounds, can cause intense negative emotional, behavioral, and physiological reactions (Swedo et al., 2022). These reactions, ranging from anxiety and anger to physical distress, can significantly impact quality of life for those with misophonia as well as those around them. Misophonia is complex and personal, and many people with misophonia also report having sensory sensitivities beyond sounds (Andermane et al., 2023; Woolley et al., 2026).
Importantly, misophonia is not uncommon: Research suggests that about 5 percent of people experience misophonia at a level where symptoms are severe enough to disrupt daily life (Jakubovski et al., 2022; Dixon et al., 2024). Awareness of misophonia is growing, but many people are still unfamiliar with how profoundly debilitating it can be.
As Executive Director of the Misophonia Research Fund (MRF)—launched in 2019 by Steve and Diane Miller, whose daughter has misophonia—I’ve had the privilege of working with researchers, clinicians, families, and individuals living with misophonia. Misophonia research is relatively new, and I come from the epilepsy field—a field of study that has had the benefit of many years of scientific discovery. Yet in my time in the field, I’ve witnessed exponential growth in research that is shaping our understanding of why misophonia happens, and what we can do about it.
Here is just a snapshot of five of the most important advances unfolding right now:
Advance 1: Partnership with the Lived Experience Community Leading to Treatments that Help Now
Scientific discovery only matters if it matters to the people who need help. One of the most meaningful shifts is the increasing focus on the partnership between those impacted by misophonia (those with “lived experience”) and the research community. This partnership between researchers and people with lived experience has helped us to identify the need for therapies that can help those suffering now.
This partnership has also helped inform recent research suggesting that certain behavioral therapies—including cognitive behavioral therapy (CBT) and acceptance and commitment therapy (ACT)—might help improve symptoms of misophonia (Jager et al., 2020; McMahon et al., 2024; Lewin et al., 2026; Twohig et al., 2026). Together, these studies point to emerging evidence-based options for people seeking help today, with more advances on the horizon.
Advance 2: Studying Brain Mechanisms of Misophonia at a Deeper Level
Once upon a time, I conducted laboratory research looking at how neurons in the brain communicate, and how changes in that communication might lead to different disorders. For this reason, I am especially excited to see our increasing understanding of the brain mechanisms underlying misophonia—an understanding that is growing rapidly.
For example, recent research has shown that misophonia is associated with changes in brain biology, activity, and connectivity in the auditory cortex as well as brain areas that help determine how important certain sounds feel (Shröder et al., 2019; Eijsker et al., 2021; Ajmera et al., 2026; Hansen et al., 2026).
Now, exciting new research has begun to explore these processes at an even deeper level, where scientists are studying the specific neural circuits that may contribute to misophonia. Researchers are also uncovering possible neurostimulation techniques to treat misophonia (Neacsiu et al., 2024) and the important role of context and perception in shaping reactions to trigger sounds (Mahzouni et al., 2024; Heller et al., 2025).
As our knowledge continues to grow, so will our options to develop treatments that precisely target underlying brain mechanisms.
Advance 3: Ways to Objectively Measure Misophonia
Researchers are developing objective markers of misophonia: standardized ways to measure the body’s reaction to triggering sounds and to diagnose misophonia.
Misophonia Essential Reads
Why is an objective measure of misophonia important? Objective measures can help us to distinguish misophonia from other disorders, help us understand how the body reacts to trigger sounds, and may eventually help clinicians to diagnose and treat misophonia in a standardized way. Physiological changes such as shifts in heart rate and pupil dilation may be amongst the measurable signatures that add an essential tool to our misophonia toolbox.
Advance 4: Using Machine Learning to Reveal What Makes a Sound Triggering
What if we could understand the exact features that can make an everyday sound triggering? This fourth area of advancement focuses on just that: using machine learning and artificial intelligence to understand what it is about trigger sounds that makes them so upsetting.
Scientists are using computational tools to chip away at this question (Kazasis et al., 2024; Clonan et al., 2025), as well as examining possible devices and technologies to eliminate triggering properties through AI and machine learning approaches. These studies are poised to have a significant real-world impact on individuals with misophonia.
Advance 5: A New Era of Collaboration
Perhaps one of the most transformative properties I’ve witnessed within the misophonia field is its collaborative nature. Collaboration in science is essential to speeding progress towards discovery.
At the first-ever Misophonia Collaboration Forum, a meeting recently hosted by the MRF, more than 75 in-person attendees and 450 virtual registrants—comprising researchers, clinicians, and members of the lived experience community—came together to talk about the future of misophonia research, clinical care, and quality of life. Our team at the MRF, along with collaborators including the patient advocacy group soQuiet, the Misophonia Research Network, and the Duke Center for Misophonia and Emotion Regulation, are already working on new educational initiatives and collaborative projects resulting from this Forum—with more to come.
The result of these collaborations and conversations is a field that is moving forward, towards an understanding of misophonia and ways to treat it, together.
What Do These Advances Mean for People Living with Misophonia?
For people with misophonia, these advances are leading to changes that I believe will ultimately improve lives—a better understanding of the disorder, the development of personalized treatments, and innovative technologies to increase quality of life.
It’s true that the pathway from scientific study to real-world therapies and treatments can be a long one. Though we aren’t at the finish line yet, these advances provide us with hope that widespread understanding and awareness of misophonia is not far off on the horizon.