MDMA for the treatment of misophonia, a proposal

Misophonia is a disorder characterized by negative physical and emotional reactions to certain trigger sounds, such as chewing food. Up to 50% of population samples endorse some symptoms of misophonia, with about 20% having symptoms that impair normal life functioning. Most misophonia patients exhib...

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Main Authors: Jadon Webb, Shannon Keane
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-11-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2022.983285/full
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author Jadon Webb
Shannon Keane
author_facet Jadon Webb
Shannon Keane
author_sort Jadon Webb
collection DOAJ
description Misophonia is a disorder characterized by negative physical and emotional reactions to certain trigger sounds, such as chewing food. Up to 50% of population samples endorse some symptoms of misophonia, with about 20% having symptoms that impair normal life functioning. Most misophonia patients exhibit intense negative emotions and autonomic arousal (the fight-flight-freeze response) in response to a trigger, similarly to how someone with post-traumatic stress disorder (PTSD) might respond to a trauma trigger. Curiously, misophonia trigger sounds are often most distressing when coming from a specific person, suggesting the disorder may be responsive to interpersonal relationship factors. Treatment of misophonia is currently limited to the use of hearing modifications (e.g., earplugs or headphones) and psychotherapy, but many patients continue to suffer despite these best efforts. Phase 3 clinical trials suggest that MDMA is efficacious at treating the symptoms of autonomic arousal, negative emotions, and interpersonal suffering found in PTSD. As such, we propose that MDMA may represent an ideal treatment for some suffering from severe misophonia. In this perspective article, we review the symptoms of misophonia, and outline how MDMA may be uniquely suited for treating it, perhaps using a protocol analogous to the MAPS Phase 3 studies for PTSD.
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spelling doaj.art-54359f8222a74240adef78ef646fad2b2022-12-22T03:36:35ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402022-11-011310.3389/fpsyt.2022.983285983285MDMA for the treatment of misophonia, a proposalJadon Webb0Shannon Keane1Bloom Mental Health LLC, Littleton, CO, United StatesYale Child Study Center, New Haven, CT, United StatesMisophonia is a disorder characterized by negative physical and emotional reactions to certain trigger sounds, such as chewing food. Up to 50% of population samples endorse some symptoms of misophonia, with about 20% having symptoms that impair normal life functioning. Most misophonia patients exhibit intense negative emotions and autonomic arousal (the fight-flight-freeze response) in response to a trigger, similarly to how someone with post-traumatic stress disorder (PTSD) might respond to a trauma trigger. Curiously, misophonia trigger sounds are often most distressing when coming from a specific person, suggesting the disorder may be responsive to interpersonal relationship factors. Treatment of misophonia is currently limited to the use of hearing modifications (e.g., earplugs or headphones) and psychotherapy, but many patients continue to suffer despite these best efforts. Phase 3 clinical trials suggest that MDMA is efficacious at treating the symptoms of autonomic arousal, negative emotions, and interpersonal suffering found in PTSD. As such, we propose that MDMA may represent an ideal treatment for some suffering from severe misophonia. In this perspective article, we review the symptoms of misophonia, and outline how MDMA may be uniquely suited for treating it, perhaps using a protocol analogous to the MAPS Phase 3 studies for PTSD.https://www.frontiersin.org/articles/10.3389/fpsyt.2022.983285/fullMDMAPTSDmisophoniatrauma responsepsychedelic
spellingShingle Jadon Webb
Shannon Keane
MDMA for the treatment of misophonia, a proposal
Frontiers in Psychiatry
MDMA
PTSD
misophonia
trauma response
psychedelic
title MDMA for the treatment of misophonia, a proposal
title_full MDMA for the treatment of misophonia, a proposal
title_fullStr MDMA for the treatment of misophonia, a proposal
title_full_unstemmed MDMA for the treatment of misophonia, a proposal
title_short MDMA for the treatment of misophonia, a proposal
title_sort mdma for the treatment of misophonia a proposal
topic MDMA
PTSD
misophonia
trauma response
psychedelic
url https://www.frontiersin.org/articles/10.3389/fpsyt.2022.983285/full
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