Scoping Review of CBT for Misophonia- Feasibility Established, Efficacy Not Yet

In a 2026 study, Detroy conducted a focused scoping review of CBT applications to misophonia by synthesizing 14 in-depth studies and summarizing 16 additional reports drawn from a PRISMA-ScR-guided search yielding 30 included publications. They found that CBT-family interventions, spanning ERP, counterconditioning, inhibitory-learning-informed procedures, standardized group packages, and service-based repertoires, were generally feasible to deliver and often associated with reductions on misophonia-specific measures, though designs were mostly uncontrolled with small samples and heterogeneous measurement. From this they concluded that CBT-family procedures are deliverable and potentially helpful for misophonia while falling short of firm efficacy claims, and that future studies should adopt core outcome batteries, specify procedures at a granular level, and test which components contribute uniquely to clinically meaningful change (Detroy & Norena, 2026).

CBT studies need to strengthen methods to confirm efficacy in misophonia

In a 2026 study, Detroy conducted a focused scoping review of CBT applications to misophonia by synthesizing 14 in-depth studies and summarizing 16 additional reports drawn from a PRISMA-ScR-guided search yielding 30 included publications. They concluded that CBT-family procedures are deliverable and potentially helpful for misophonia while falling short of firm efficacy claims, and that future studies should adopt core outcome batteries, specify procedures at a granular level, and test which components contribute uniquely to clinically meaningful change (Detroy & Norena, 2026).