Steroids for the Treatment of Misophonia and Misokinesia

Misophonia and misokinesia are disorders characterized by intensely negative physical and emotional reactions to specific auditory and visual stimuli. The availability of effective treatments, especially pharmacological ones, is limited. This report presents a case of a 35-year-old male with severe...

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Main Authors: Jadon Webb, Afton Williamson
Format: Article
Language:English
Published: Hindawi Limited 2024-01-01
Series:Case Reports in Psychiatry
Online Access:http://dx.doi.org/10.1155/2024/3976837
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author Jadon Webb
Afton Williamson
author_facet Jadon Webb
Afton Williamson
author_sort Jadon Webb
collection DOAJ
description Misophonia and misokinesia are disorders characterized by intensely negative physical and emotional reactions to specific auditory and visual stimuli. The availability of effective treatments, especially pharmacological ones, is limited. This report presents a case of a 35-year-old male with severe misophonia and misokinesia who experienced nearly complete resolution of symptoms while undergoing high-dose steroid therapy for an unrelated muscular injury. Two days after starting a 20 mg oral prednisone taper pack (in which the steroid dose is reduced by 4 mg daily), his Amsterdam Misophonia Scale (A-Miso-S) score drastically reduced from a baseline of 23 (i.e., extreme symptoms) to 1, with symptom relief persisting for approximately 2 weeks after completing the taper. Months later, a daily dose of prednisone (4 mg) was reintroduced. This again resulted in a marked reduction in symptoms (A-Miso-S of 6), enabling him to resume working in an office setting despite his triggers. Symptom improvement remained stable over several months. This case raises the possibility of the steroid prednisone as a novel treatment for misophonia and misokinesia. However, further investigation is needed to determine the generalizability of this observation.
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spelling doaj.art-4267bcadf56c4757b42ff02ca40868042024-01-24T00:00:03ZengHindawi LimitedCase Reports in Psychiatry2090-68382024-01-01202410.1155/2024/3976837Steroids for the Treatment of Misophonia and MisokinesiaJadon Webb0Afton Williamson1Bloom Mental Health, LLCBloom Mental Health, LLCMisophonia and misokinesia are disorders characterized by intensely negative physical and emotional reactions to specific auditory and visual stimuli. The availability of effective treatments, especially pharmacological ones, is limited. This report presents a case of a 35-year-old male with severe misophonia and misokinesia who experienced nearly complete resolution of symptoms while undergoing high-dose steroid therapy for an unrelated muscular injury. Two days after starting a 20 mg oral prednisone taper pack (in which the steroid dose is reduced by 4 mg daily), his Amsterdam Misophonia Scale (A-Miso-S) score drastically reduced from a baseline of 23 (i.e., extreme symptoms) to 1, with symptom relief persisting for approximately 2 weeks after completing the taper. Months later, a daily dose of prednisone (4 mg) was reintroduced. This again resulted in a marked reduction in symptoms (A-Miso-S of 6), enabling him to resume working in an office setting despite his triggers. Symptom improvement remained stable over several months. This case raises the possibility of the steroid prednisone as a novel treatment for misophonia and misokinesia. However, further investigation is needed to determine the generalizability of this observation.http://dx.doi.org/10.1155/2024/3976837
spellingShingle Jadon Webb
Afton Williamson
Steroids for the Treatment of Misophonia and Misokinesia
Case Reports in Psychiatry
title Steroids for the Treatment of Misophonia and Misokinesia
title_full Steroids for the Treatment of Misophonia and Misokinesia
title_fullStr Steroids for the Treatment of Misophonia and Misokinesia
title_full_unstemmed Steroids for the Treatment of Misophonia and Misokinesia
title_short Steroids for the Treatment of Misophonia and Misokinesia
title_sort steroids for the treatment of misophonia and misokinesia
url http://dx.doi.org/10.1155/2024/3976837
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