For Millions, Ordinary Sounds Turn Into Excruciating Ordeals - Newser

A Poe classic has turned out to be an accidental case study: For people with misophonia, "The Tell-Tale Heart" reads less like madness and more like a man exercising enormous restraint, until a sound finally breaks him. Writing for the New Yorker, Sloane Crosley, a self-described misophonia patient (though she says her case isn't severe), digs into a condition defined by an intense fight-or-flight reaction to specific everyday noises—chewing, gulping, sniffing, tapping—that an estimated 4.6% of American adults may experience. It's not about loudness, doctors say, but about how certain brains tag particular human-made sounds as threats. When those who have misophonia hear such noises, "they share a dysregulating visceral response, a cognitive and physiological—chest-tightening, heart-racing, sweating—spiral of alertness and exhaustion," Crosley writes. The author follows patients whose lives have been reshaped by misophonia—students eating alone in their rooms, a teacher hiding his condition at work, a family switching to plastic cutlery—and the clinicians and advocates pushing to get the disorder its own code in the World Health Organization's disease manual. That recognition could unlock insurance coverage, as well as basic validation. Others warn it's too soon, however, to codify something that still straddles both psychiatry and audiology. The piece also explores experimental "semantic hearing" headphones that might one day mute triggers selectively. Crosley wonders, however, "if people should be able to do this. ... Should we be able to tailor our immediate environments more than we already do? So much of today's technology is built for self-siloing." More here on this under-recognized condition.