review of clinical implications across Misophonia CBT studies

Reviewing seven CBT-for-misophonia studies, Aazh (2026) concluded that CBT may be considered as a treatment option across a range of settings and delivery formats, including individual, group, telehealth, and audiologist-delivered interventions. Clinicians should be aware of high psychiatric comorbidity in some populations and use comprehensive assessment and individualized formulation; for patients who remain impaired after CBT, broader strategies may be needed, including support for educational, occupational, and family accommodations and clinical documentation of misophonia impact. The author concluded that a balanced approach is required, pairing appropriate accommodations with evidence-based intervention so that reliance on avoidance does not inadvertently maintain symptoms (Aazh, 2026).