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

Abstract There is preliminary evidence that CBT may be helpful for improving symptoms of misophonia, but the key mechanisms change are not yet known this disorder decreased tolerance to everyday sounds. This detailed case study aimed describe delivery intensive, formulation-driven an individual with misophonia and report on session-by-session outcomes using a multi-dimensional measurement tool (SFive). The patient was offered 12 hours treatment over five sessions, transdiagnostic misophonia-specific interventions. Reliable clinically significant found from baseline one-month follow-up. Visual inspection outcome graphs indicated occurred ‘outbursts’ ‘internalising appraisals’ SFive subscales following assessment, ‘emotional threat’ subscale after first session. other two started remained below level. biggest symptom appeared have second session, which included interventions engaging trigger results demonstrated individualised nature supporting use individually tailored highlighting importance tool. Key learning aims (1) To understand misophonic distress perspective. (2) learn approach misophonia. (3) apply (4) about (5) consider value measure