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possible miso treatment based off symptom provocation procedure used in OCD using dTMS

One potential treatment approach, adapted from existing OCD protocols, would be to intentionally expose misophonic individuals to trigger sounds immediately before applying neurostimulation. (Neacsiu et al., 2022) rationale is that activating the circuits implicated in misophonia may make them more amenable to modulation during stimulation. A follow-up strategy could involve applying excitatory stimulation to regions that help downregulate the amygdala, insula, or ACC, or alternatively using inhibitory stimulation over areas such as the SMA, PMv, STG, or vmPFC. Another variation of this paradigm would be to present trigger sounds during the stimulation session itself.