
Misophonia. When Everyday Sounds Feel Overwhelming
Imagine sitting around the dinner table with your family. Everyone is chatting and enjoying the moment. But while everyone else seems relaxed, one person feels completely overwhelmed by the sound of chewing, tapping, or even the way someone breathes. The sound may be ordinary to everyone else, but to that person, it feels impossible to ignore. This is the reality for many people living with misophonia, a condition where certain sounds trigger intense emotional or physical reactions. These reactions are not about being “too sensitive” or simply disliking a noise. For someone with misophonia, specific sounds can create a powerful response that may include irritation, anxiety, anger, distress, or the need to escape the situation. Understanding misophonia can help individuals, families, and communities create more supportive environments. What is Misophonia? Misophonia literally means “hatred of sound,” but the experience is often more complex than simply disliking certain noises. People with misophonia usually have specific trigger sounds that create an immediate reaction. Common triggers may include sounds such as: The important thing to understand is that the response is not always connected to how loud the sound is. A quiet sound may feel much more distressing than a loud one because of the way the brain processes and responds to that specific trigger. For someone without misophonia, the sound may fade into the background. For someone with misophonia, the brain may treat it as something requiring immediate attention. How Misophonia May Look in Everyday Life An adult with misophonia may find themselves avoiding certain social situations, such as dinners, meetings, or travelling with others. They may choose where they sit in a room to reduce exposure to trigger sounds or may feel exhausted after spending time in environments where they have been trying to manage their reactions. Some people describe feeling frustrated because they know the sound itself is harmless, yet their reaction feels automatic and difficult to control. This can sometimes lead to misunderstandings. Others may think that the person is being rude, impatient, or overly critical, when in reality they are trying to manage a very real sensory response. Children can also experience misophonia, but they may not always have the words to explain what they are feeling. A child may leave the room during meals, become upset by classroom sounds, struggle to concentrate, or appear frustrated in situations where certain noises are present. Parents may notice their child reacting strongly to sounds that others do not seem to notice. The child may say things like “make that stop” or “I can’t handle that sound,” but may not be able to explain why. Supporting Someone With Misophonia Living with someone who experiences misophonia can sometimes feel confusing. The most helpful thing families, friends, and colleagues can do is approach it with understanding rather than judgment. A person with misophonia is not choosing their reaction. Their response is often automatic, and criticism or frustration can make the experience more difficult. Simple adjustments can make a meaningful difference. This may include allowing someone to move seats, using background sound such as music or a fan, or being mindful of known triggers when possible. Communication is also important. Instead of focusing on “why does this bother you?”, try asking “what can I do to make this situation easier for you?” Creating a supportive environment does not mean avoiding all sounds or changing everything around one person. It means recognising that sensory experiences can differ from person to person. Living With Misophonia: Finding Ways Forward Many people spend years believing they are the only ones experiencing these reactions, when in fact misophonia is becoming increasingly recognised. Understanding your triggers, learning how your body responds, and finding strategies that work for your lifestyle can help reduce the impact misophonia has on your daily activities. The goal is not necessarily to eliminate every trigger sound from life, as this would be unrealistic. Instead, support focuses on improving comfort and the ability to participate in everyday experiences. How Can an Audiologist Help With Misophonia? At NB Hearing and Balance, we support several patients with sound sensitivity concerns. While misophonia is not simply a hearing problem, an audiologist can assess how a person hears and processes sound, helping to identify whether there are related hearing sensitivities or other contributing factors. A comprehensive hearing evaluation can help rule out underlying hearing concerns and provide a clearer understanding of the individual’s auditory profile. Audiologists can also provide guidance and support through approaches such as sound management strategies, education about auditory processing, and recommendations for managing challenging sound environments. You Are Not Alone Sound is an important part of how we connect with the world, and misophonia can affect relationships, school, work, and quality of life. If you or someone you care about is struggling with sound sensitivity, our audiologists can help you better understand what is happening and explore ways to improve quality of life. At NB Hearing & Balance, we support children and adults experiencing hearing and sound-related concerns. We have offices located throughout Cape Town. Contact us if you need help with managing your sound sensitivities in a noisy, everyday world.






