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Schneider & Arch, 2017 case of Misophonia using mindfulness

In a 2017 case study of a 17-year-old male, Schneider and Arch implemented a 10-session mindfulness- and acceptance-based treatment for misophonia integrating ACT (values, cognitive fusion, acceptance) and DBT (chain analysis, non judgmental-ness, and opposite action through physical relaxation), along with psychoeducation, trigger monitoring, and relapse prevention. Treatment led to significant reductions in misophonia severity, decreased emotional reactivity and behavioral urges, and maintained or further improved outcomes at 6-month follow-up, with improved distress tolerance even when one trigger’s intensity returned to baseline. The authors concluded that ACT- and DBT-derived strategies are feasible, efficient, and tolerable for misophonia, with improvements driven by increased psychological flexibility, reduced cognitive fusion, reduced avoidance, and particularly the use of opposite action via physical relaxation.(Schneider & Arch, 2017)