MISOPHONIA 4S Provider Network USA

What is Misophonia/4S?

Misophonia and 4S are both terms used to describe abnormal symptoms of an auditory nature.  In misophonia, there is a strong dislike for sound, this can be all sounds or only some sounds.  The term 4S, Selective Sound Sensitivity, was created to describe a condition in which a person experiences rage or extreme emotion related to very soft particular sounds, like breathing, chewing, lip or mouth sounds, or other very soft noises.  Both terms have been used in the past to describe these symptoms, with misophonia gaining more recognition in recent years in the medical community.  People who suffer from misophonia or 4S, experience difficulty with everyday living due to extreme and persistent negative reactions to simple noises.  The onset of the symptoms often begins in childhood and persists through a lifetime.  There can be one trigger sound or many trigger sounds.  Sometimes there are also tactile or visual triggers.

Qualified and experienced medical providers can help you with managing the symptoms and suffering associated with misophonia.  Please contact one of these professionals in our provider network for assistance and information.  

We credit Dr. Pawel Jastreboff for his foundational work in the fields of tinnitus and hyperacusis, for introducing the term misophonia to the world in 2002.   Dr. Marsha Johnson, AuD, coined the term Selective Sound Sensitivity in the late 1990s for the same symptoms.  This is the reason for two terms that describe the same condition. 

What we know about  misophonia is that it typically has onset in pre-puberty or  puberty, is mostly observed in females, persists for a lifetime, and most often includes strong aversion to oral sounds like eating, breathing, speaking, lip smacking, or gum chewing.  The vast majority of these individuals have perfectly normal development in childhood, do not have diagnoses of other significant sensory issues for the most part, who appear to have higher iQs, and often there is a genetic or family connection with others having misophonia.  There can be mild to profound expressions of the disorder.  We believe this is a physiological condition that is linked to abnormal central nervous system function and not a purely imaginary or created condition like phobias.  Exposure therapy does not appear to work well for most of these patients, based on case history and report from the clinics.

In early 2017, Dr. Kumar published the first major study that showed using fMRI machinery, data that showed significant brain structural changes in those with misophonia compared to normal controls.  This exciting research is now very supportive of the fact that this is a real change in the construction of the brain and its function rather than a personal choice or attitude.  This is very important for our field.

Please do contact your primary care physician and report your symptoms.  Referrals to psychologists, psychiatrists, audiologists, neurologists may follow.  Alternative medical providers are also very interested to try out treatments for these symptoms, be very careful about your choices.

We endorse a multi-specialty provider team to care for you and your misophonia. If this site has been helpful to you, please consider visiting the Misophonia Association Website and donating funds for research, which can be awarded directly to a scientist currently working on this area.  All donations are tax deductible.
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