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Those with misophonia may make lifestyle changes that challenge their sense of the "right" way to do things.

Misophonia sufferers may need to adapt their expectations, focusing on adaptability and resilience.

Misophonia can be hard on individual and family identities.

Coping with misophonia can often mean living your life in a way that you didn’t expect. This can impact individuals with misophonia, or their entire family. Family dinners are one example: For many families, this is the pivotal part of family time, but with misophonia, these dinners can lead to frustration, distress, and a dysfunctional family unit. This can be painful for the person with misophonia and their loved ones.

There are numerous ways that living with misophonia can mean doing things differently—for example, wearing earphones and earbuds in public, work, or school; choosing not to attend events that are too stressful; and even managing and organizing your life in a way that challenges your own expectations of the "right" way to do things.

My book Cognitive Behavioral Therapy (CBT) for Misophonia focuses on using cognitive behavioral therapy to manage these expectations and ideas. The emotional aftermath of living your life in a way that may not be congruent with your ideals and values can be its own form of grief. Through grief work, reframing, and having a compassionate approach to one’s own needs, this........

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