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Mattson 2023 on CBT and treatment outcomes in Misophonia

In a 2023 review of existing treatment approaches to misophonia, Mattson et al. found that cognitive-behavioral therapy (CBT), particularly in group-based formats, appears to be the most promising intervention, with moderate to large effect sizes reported in the only randomized controlled trial. However, the field still lacks clarity regarding which specific components of CBT, such as exposure, relaxation training, or cognitive reappraisal, are most effective in reducing symptoms. While exposure-based approaches have shown some benefit, the authors suggest that models based on inhibitory learning may be more appropriate than traditional habituation frameworks. Additionally, there is preliminary evidence supporting the potential utility of Acceptance and Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT), and pharmacological interventions in specific clinical contexts. (Mattson et al., 2023)