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As the misophonia symptoms listed previously show, when someone with misophonia hears the triggering noise, it can affect them both mentally and physically. Not everyone with misophonia is impacted to the same degree or in the same way; it is a spectrum, says Dr. Jaffe.
“For people on the severe end of the spectrum, they describe feeling physical pain when they hear the noise, like someone is attacking their body or they’re being punched or stabbed,” she says. Dr. Fox-Thomas adds to this, saying that some people with misophonia may feel tingly and hot, have a racing heart, be sick to their stomach or have tension throughout their body.
Both experts say that it’s common for someone with misophonia to become extremely angry when they hear a triggering noise. “Their fight-or-flight response is kicking in and they need to either obliterate the sound or run away from it,” says Dr. Fox-Thomas. Recovery time can vary from minutes to hours, depending on the sound and how long it lasts, she explains.
“Often, people with misophonia tell me they think the sounds are unnecessary, rude, gross and sometimes intentional,” says Dr. Fox-Thomas. “Importantly, these emotional and physiological responses can occur in the presence of triggers, in anticipation of sounds or even when thinking or talking about sounds.”
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