Speaking of Psychology

When sounds are unbearable: Understanding misophonia, with Heather Hansen, PhD

Nov 19, 2025
In this episode, Dr. Heather Hansen, an assistant professor at the College of William & Mary and director of the Misophonia Research Network, dives into the curious world of misophonia, a condition where everyday sounds trigger profound emotional responses. She explores brain mechanisms behind these reactions, linking them to anxiety and distinct cognitive impacts. Dr. Hansen also discusses trigger sounds, assessments, and effective coping strategies. Plus, she sheds light on the social challenges and relationship dynamics often faced by those living with misophonia.
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INSIGHT

Impairment, Not Just Irritation

  • Misophonia causes significant impairment beyond normal annoyance; it forces people to change behavior or avoid situations.
  • Heather Hansen emphasizes impairment in relationships, work, or daily functioning as the defining difference from mere irritation.
INSIGHT

Not Rare: Around 5% Estimate

  • Population estimates vary but representative studies place clinically impairing misophonia around 5% of adults.
  • Hansen notes measurement differences across studies because standardized diagnostic tools are still lacking.
INSIGHT

Triggers Vary Widely Beyond Chewing

  • Triggers often include mouth/nose sounds but also extend to typing, clocks, water dripping and animal or nature sounds.
  • Hansen found people with misophonia differ individually and triggers aren't explained solely by acoustic features or health-disgust.
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