Neural Repatterning Technique

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This treatment seems to only be effective when a person has specific triggers.  For example, if a person is triggered only by his brother or husband, then this treatment may work for you.  If you are triggered by sniffing by anyone and anywhere, then this treatment will not work or will take a long time.

Also, when treating children, any behavioral issues must be addressed simultaneously, which is the primary career focus of Tom Dozier.

NRT Treatment ProviderI (Tom) want to preface this page with a big success!  I gave the first treatment to a 10-year-old girl last week, and she and her mother did the homework each day.  Today (7/3/13) when I tested her for sensitivity to the trigger sound, she had no reaction – none!    This does not mean that she is cured, just that she is not responding to the recorded trigger sound (which is a big improvement).  I also provided treatment to an 8-yr-old.  She is making great progress, but much of the treatment is actually provided by her parents.

This new treatment for misophonia ( patent pending) was developed by Tom Dozier and is based on the fundamental science and research of human reflexes.   This treatment helps you in the following areas.

1. Understand what your body does when you hear a trigger and why.
2. Deal with your existing triggers to prevent strengthening them and to minimize pain, anguish, and guilt.
3. Prevent the development of new misophonia triggers.
4. Reduce or eliminate specific triggers through “repatterning” the neural connections in your Autonomic Nervous System.

This treatment system may provide significant relief to the pain and anguish of one misophonia trigger in a few weeks (or it may take a few months).  The complete treatment takes longer.  Some respond to this treatment better than others.  One person seemed to show no improvement for 6 weeks, but then observed some very positive improvement.

This treatment is a POSITIVE EXPERIENCE your you.  It is not painful.  It is not distressing.  It is appropriate for the most timid of people.  It is appropriate for both children and adults.  But it only seems to be appropriate if you have something that makes you happy or relaxed.  Otherwise you cannot create the “Happy Time” needed for the treatment.

The treatment is a “happy treatment” method.  It is a “NO PAIN” method.  In fact, our motto is “Pain Means No Gain.”  This may be hard to believe, but it is true.

Misophonia appears to be an acquired involuntary reflex reaction to specific sounds.  This form of reaction (called respondent behavior)  has been shown to develop through an experience process.  The process is a pairing on the specific sound with the distressed physiological condition.  A neurological connection is formed between the sound and the emotional/physiologicaVideos about Misophonia, light blue, smallerl condition.  This is actually neural wiring in the  the Autonomic Nervous System of the brain stem (the lizard brain, or the type of brain that a lizard has).   The treatment Tom Dozier developed “repatterns” the neural connection that controls the misophonia reaction.  This is done by creating a pairing between the trigger sound and a positive physiological/emotional condition.  After repeated pairings, the neural wiring changes.  The misophonia reaction to the trigger decreases and can even completely go away.   The actual repatterning treatment is delivered via the Trigger Tamer app.  The “repatterning” treatment takes about 30 minutes.  These can be divided into smaller treatment sessions.  The individual is expected to do these treatments as homework most days.

Treatment results vary greatly with individuals.  One happy college student eliminated 2 triggers with her mother in just 3 weeks of treatments.

The initial results are VERY exciting.  For example, one person had a reduction in the severity of his reaction to the trigger sound from 9 to 4 after 2 treatments.  Another person had a reduction in reaction from a 6 to a 2.  The person with the most treatments so far had a drop in her overall rating on the Misophonia Assessment Questionnaire  as follows:

  • Before treatment – 41
  • After 2 treatments – 17
  • After 4 treatments – 7 (Misophonia is no longer a debilitating condition for her!)
  • After 6 treatments – 9
  • After 15 treatments – 9
  • 8 months after treatment started – 5

This new treatment has been used successfully with children as young as 8 years old and with adults of all ages.  If you would like to try this treatment, contact a provider on the “Treatment Providers” page.  This treatment can be provided by Skype (VSee actually) or in person.

The Treatment:  The first session is designed to understand the patients unique misophonia experience and determine how to provide the “repatterning” treatment.  The time and cost of the first session can be greatly reduced by the patient watching the “Overcoming Misophonia” webinar or the new videos by Tom Dozier about misophonia.

The “repatterning” treatments start the 2nd week, and require the Trigger Tamer app.  The second session includes a short  “repattering” treatment using the Trigger Tamer to make sure you have the process set up correctly.  You will also have daily homework that takes 30 minutes.  After the 2nd week, the sessions are 15-30 minutes.  It is expected that treatment will require 9-15 sessions.  If this treatment is right for you, you should see positive results during the treatment after 2 weeks.  Depending on how well you respond, real-world improvement may be a few weeks or a few months.

This treatment is best for a person who has a few serious triggers, and the triggers are limited to specific individuals.  If you are triggered by a sound with a lot of variety (like any chewing sound) that is made by anyone, then the treatment is not recommended for you.

Cost: The cost of the treatment is set by each provider, but is now lower because of the TriggerTamer app.  The app automates the treatment process, reducing therapist time required for treatment.  For example, Tom Dozier charges $100 per hour.  The first week is usually 1 hour, but can be less if you watch the Overcoming Misophonia webinar.  The second week is also anTrigger Tamer app hour, which includes a treatment session.  After that, each weekly session is 15-30 minutes ($25-$50).  The app costs $40 on iTunes and Google Play.

Guarantee:  Tom Dozier provides an unconditional money-back guarantee for this treatment.  The guarantee is a satisfaction or money back guarantee.  There are no specific conditions for the guarantee.  Ask other providers if they provide any guarantee for their treatments.

For more information about starting treatment, contact a treatment provider today.

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47 Responses to Neural Repatterning Technique
  1. yes! yes! yes!!! I so agree with this information… Neural Repatterning is totally the answer !!!
    thank you! thank you! thank you!
    this is what Dr Caroline Leaf calls Neuroplasticity – the ability to rewire your brain
    and her techniques are so similar to yours – the same science!!!
    We SOOO need to get this word out to the Misophonia community!!!

  2. Dear Tom, How can I access treatment in the UK. I would be very grateful for advice/ information

  3. Hi, my name is Susan, I never knew that this “condition” had a name, I was always told that I was just being stupid.I have a hard time with people smacking when they eat or just smacking their lips, pen clicking is a bad one, gum snapping will send me through the roof. someone on a key board that has to beat it to type or the girl with the finger nails on the key board kills me I have to leave. I am in school now and I am having a really hard time staying focused. I sware in one class just about every young man in there is a pen clicker, I make some what funny comments about it but they just laugh and keep going. Help me PLEASE, my boyfriend is a smacker, a foot scooter in his slippers, I have asked him so nice to not do these things, but still does these things, someone sniffing snot back into their head makes me sick I hate hearing that too..omg I’m a basket case.

  4. Hi Ya:

    i am losing my sanity. I have had Misophonia for over 15 years and my biggest trigger is vibrations from neighbors music – that incessant bass beat. I am to the point it is literally sending me into a rage as this has been going on for nearly 4 years now.

    We own our house but the semi-detached next to us is fully rented by scuzballs. The newest ones moved in on the 2nd and 3rd floors which are in line with our bedrooms and it goes on day and night. I am to the point of I feel losing my mind as I can’t take this anymore.

  5. Hi! I’m 18 and I just started college this year. I’ve known I’ve had misophonia for a while, but it used to be exclusive annoyance towards my family and the occasional loud gum chewer in public, but recently it has been incapacitating. It’s very difficult for me to sit in class if people are constantly sniffling, chewing, or making other discreet, repetitive sounds. If the perpetrator is very close to me, it triggers a panic and it becomes very hard to breathe and even harder to focus on lecture to the point where I need to start digging into my arm with a pen, which has been leaving scars, but it’s the only way I can distract myself, which I feel is very unhealthy. I feel my misophonia may have stemmed from the fact that I am autoimmune and when I hear someone sniffle it not only aggravates me, but it terrifies me. It’s becoming harder and harder for me to go out in public. :( Do you know of anything I could do as an alternative to the pen during lecture? I know this specific solution is for extremely narrow triggers from a certain person. Any hope for someone who feels the same towards most people’s sounds?

    • Talk to your disability office. The solution is to apply the same treatment as a person who is hard of hearing, which is a lapel microphone for the instructor and an FM receiver for you with headphones (Bose QC20i).

  6. think I have had this since teens, I am 45 causes problems getting along with other people can’t come to California what medicine could my doctor give me

    • There is no medication for misophonia treatment. But there are treatment methods that help. These can be provided by the Misophonia Treatment Institute by internet video chat.

  7. I am a Mental Health Practitioner Social Work background. I have recently seen two clients who certainly appear to have the condition of Misophonia. Do you know if there are any people who is able to treat Misophonia in Australia. We live in the Sydney area in the State of New South Wales. Many Thanks for this consideration. Kind regards Marie Novella-McMahon (612 0408214441)

  8. Tom,

    I’m not sure if I have misophonia, but I am having a hard time controlling my reactions to a family member with Tourette’s syndrome. I’d like to train myself not to be irritated by the vocal tics in particular. Is it possible you could help me with this?



    • Stephen, This could be misophonia. If it causes you unreasonable irritation, then it is misophonia.

      We can provide treatment for this, and it has a good chance of being very beneficial. We would know more once you have an assessment.

  9. Hi tom
    I live infront of an open park which is a home for 20 streetvdogs, and that is problem 1, my second and worst issue is most of the houses around have some very big ignored on the roof dogs not even in their yards, they are lonely, ignored and irritated, they bark at Anything that moves, talking to the neighbours is very insulting, they r really obnoxious. And of course street dogs bark back at them everytime, which results in a 24/7 barking contest and its driving me nuts.
    I am going crazy I feel like screaming madly. I have considered hypnotherapy but it is way to expensive to just try it and see what happens, I need a definite solution
    Please tell me something usefull am desperate and am losing my mind.
    Thank you, Christine.

    • Christine,
      1. Block the trigger sounds. Use the Bose QC20 or QC20i headphones.
      2. Muscle Relaxation – Practice Progressive Muscle Relaxation every day to build this skill (see
      3. Identify your physical reflex to the trigger sounds. If it is an easy muscle to relax, work on relaxing that muscle while being triggered.

      We wish you well.

  10. Hi Tom, I have been suffering my whole life and I am now 30 years old. My triggers started out just being my father who breathes very loud but now it’s become all people who sniffle, breathe loud, or crack their gum. Its extremely debilitating and I would love to start treatment if you think you can help me. I am relieved to know I am not alone but feel hopeless in overcoming this.

    Please let me know how to proceed if you think you can help me.


    • Julie (and others), I would love to help. The internet makes it possible to work together face-to-face. Please fill out the forms ( and lets get started.

  11. Hi tom, I’m 15 years old, and over the past few years I have noticed I pay lots of attention to chewing noises and breathing noises. Over the past year I have started to become annoyed and angry when I hear the sounds, especially from my mum. These days. I tend to get very angry and emotional when I hear her chew because I really can’t stand it. I haven’t been diagnosed with misonphonia, but I haven’t seen anyone about it either, but it sounds like I do have it.
    It’s really destroying my life as I find I am avoiding my mum and going out places (e.g movies with people, out to dinner) and I really hate having it. Plus, everyone criticises me for it and just tells me to “get over it”, but I just can’t. I really need help, and I feel as if no one understands.

  12. Hallelujah! I’m not on my own! I can’t tell you how happy I am, here at 1am having been kept awake by my husbands breathing noises, like every night. I have always had a thing about peoples eating noises, something my close friends find funny, and which I’ve joked about too. But as I’ve gotten older I have found that my husbands breathing at night and him scratching fabric enrages me to a point that I find totally unreasonable but cannot control. I’ve downloaded the app and REALLY hope it works. I’m just so happy to find our there’s a name for this and it’s an actual condition, not just me being nasty! I feel so guilty as I love my husband so much but find these noises are driving us apart because of my unreasonable reaction to them

    • Cathy, Start with a single trigger, that is distinct. You need to feel a slight physical sensation when you hear the trigger on the app. If you don’t feel anything physical, the app will not give the desired result. The app reduces the physical response. It is the physical reflex that makes it impossible for you to ignore the sound. For sleeping, I recommend good earplugs, like the E.A.R. brand by 3M.

  13. Since my childhood I’m suffering from misophonia, which had a great impact on my early life as well as my adult life. I’m now 33years old en still haven’t managed to overcome this disorder. I’m from the Netherlands and don’t have any treatment facilities nearby which offer treatment for misophonia. Is there something you can offer? By Skype perhaps?
    My misophonia concerns specific triggers and mostly from one (my mother) or two (my husband, but less severe).

  14. Hi Tom,
    I’m desperate for help because it is ruining my life. Ill be going to college this fall. I have misophonia and my triggers are the sounds of chewing, breathing, hands sliding on paper, and “S’s” (not all people, but a lot). I’m concerned because you say your treatment only helps if I am triggered by only a few people. I am triggered by a lot and I never know when I’ll meet someone new and they’re S’s will bother me. Please help..I don’t know what to do. I need to get better but I can’t do it myself, I need some sort of treatment.

    • Brittany, There are several things you can do.
      1. Practice Progressive Muscle Relaxation for 14 days. You can use the audio on the downloads page. Relaxing muscles is a skill. Then, relax your muscles when you are triggered.
      2. Add white noise (or other sound) to reduce the severity of the trigger.
      3. The PRT treatment may provide great relief.

      • Hi, Mr Dozier,
        My son is suffering from similar symptom, which has not been diagnosed as misophonia, but we suspect it could be, as his strong reaction to the sound that he doesn’t like several times. Currently he works in a Technology area. He thinks one of his colleagues’ typing keyboard is annoying him. He tried not to react. Sometimes he goes to the internet bar to let his anger off.

        Just wonder whether there is any treatment or any tablets he can take to release the anger, as I am very worried that he could jepodise his job because of this symptom.

        • We wish there was a pill that would make misophonia go away, but there is not. This site discusses several treatments, and we will be adding more as fast as we have knowledge and time.

          DBT can be a big help to manage the reaction to the misophonia (see the Provider page). I also provide assessment and management sessions that can help the individual.

  15. Hi Tom, thanks first of all for this very informative article, it’s great to know that people are working on curing this.

    I’m 23 and have been suffering from misophonia (although I only just now discovered it had a name) since around age 10. Eating noises make me so angry, and I have never understood why they gave me such a negative reaction.

    I am very close with my parents and do not wish to offend them so I never discussed this with them, but they are my biggest triggers. My dad more, although my mum eating nuts or liquorice makes me want to scream and cry and shout all at the same time.

    I managed to repress it throughout my adolescence, albeit with several arguments, and now I am moving out I thought I would be ok. But now I’ve discovered my girlfriend to be an even worse trigger than my dad – she eats impossibly loudly! Which is what brought me to Google the problem and find you.

    I’m very interested in having treatment over Skype (I’m in the uk) – how do I enquire further?



    • My contact information is on bottom of the left column on the home page, or on the About page (see the very bottom of any page). I am happy to work with you. The NRT process has been very successful for specific triggers (one person triggers).

      Take care,

  16. I noticed while reading through your website that you say your method is not sucessful or less sucessful for people whose condition causes a reaction to a sound from all people. For example, my nephew (he’s 18) has a reaction to coughing and he never wants to sit at the table when people are eating. Currently he wears headphones with white noise almost every waking hour. Do you think your treatment could help with his condition?

    • He would likely be helped best by CBT/DBT from someone who is experience with misophonia. It may be that he is keepig the noise so loud that it totally blocks out the trigger. It can be better to have a very slight trigger reaction. That said, there are other things that he can do in addition to white noise that could help. Also, understanding that is happening when he hears a trigger can help him improve the way he manages the misophonia. Finally, to my NRT treatment and Dr. Sessions’ PRT treatment. PRT treatment could totally eliminate the triggering, but it is not a sure thing. We had a lower trigger elimination rate at the Anaheim seminar that he hoped. The NRT treatment could eliminate a specific trigger that he experiences at home. It is only 1 trigger at a time, but it is empowering to see that a misophonia trigger can virtually go away.

  17. My daughter has it and is getting worse. We had no idea of the existence of this illness. I believe this treatment will help us because I am the trigger (it started with my chewing, then any noise coming from my mouth and now my voice) and my wife is a trigger for my daughter too, but not as bad. So her triggers are specifically me and my wife. Can someone help us in MD?

    • Right now, I am the only person who provides this treatment by internet, and there is no one in your area. But with children, treating misophonia is very complex. It often takes work on the parent-child interactions, especially for young children. For older teens, who are stable, responsible, and cooperative, the parent-child interactions are not much of an issue.

      But for younger children (pre-teens), the parenting work is essential. This usually takes 5-10 weeks of work to change some basic parent-child dynamics.

  18. I am so excited to actually see that there is a name for my sound sensitivities. I have a lot of triggers, the worst would be eating or gum chewing/smacking. As a child I would get very angry at the dinner table because of all the noises. I have to either mimic the sounds or drown them out. I was rather surprised to see that mimicking and drowning out the noises are a common coping mechanism for other people as well (from what I have read so far). I am also A.D.D. I was diagnosed a few years ago, my medication has helped with not getting upset when I hear my triggers and it sometimes helps with not focusing on the sound. However, the sounds still get to me. I can’t even have a normal dinner with my husband, I have to have music on or the TV going. If what I read is correct; that it only gets worse with age, I would really like to find a treatment, before I go out of my mind! How do I find treatment?

    • I (Tom Dozier) can provide a consultation on treatment options. Most practitioners have not heard of misophonia. You can find a few leads on the Treatment Providers pages. Dr. Jaffe and I (Tom Dozier) both provide remote (video conference) treatment.

  19. Hi,
    I have suffered from misophonia and my son aged 6 is unable to see or hear his brother eat these days. I believe he can be helped and we are already working together as I have been able to overcome it – at least the worst part of it. However, we live in Geneva, Switzerland, Europe and my son speaks French and Italian. Do you have any fab advice?
    Thanks a million and well done on your work.
    Kind regards,

    • You wrote this back in March. Since then I have started creating training videos about misophonia. Go to and subscribe so that you will get an email when I release new videos. Without knowing anything about your son, I can say that Progressive Muscle Relaxation will likely be good (because is would be good for everyone). It allows a person to relax the muscles after being triggered, and even before being triggered.

  20. Omg!! To read this and know there’s a name for it is awesome.. What a relief. I also have an area on my jawbonee that if touched I hiccup maybe twice or ten times. This is nowhere near as annoying as others crunching food, chips, nuts, lettuce I become totally enraged. I wonder if the mesophonia and hiccups are experienced by any others?

  21. I am so happy after reading your website. Everything I had read so far said there is no treatment. I am 40 years old this year and have 3 children. I have been a sufferer all my life as time goes on it is getting worse. I can’t stand noises of many kinds. Especially eating noises, snoring, biting nails, and I also have visual annoyances as well. My partner sometimes shakes his leg when talking to me and I have to leave the room and continue the conversation with out looking at him. I have managed to hide alot of things that turn me into a raging lunatic but I just wish I didn’t feel the rage. Now I am prepared to put up with this but I fear for my son. He is the same. His father (my partner) does not understand and it is affecting their relationship. Please help. Ps My brother also suffers from this. We were both subjected to our fathers very noisy eating when we were young.

  22. My teenage daughter suffers from misophonia, but we can’t find anyone in our area that offers treatment. We live in Cincinnati and could also drive to Dayton, Columbus, Indianapolis, Louisville, or Lexington if possible. Do you know of anyone in this area who offers diagnosis/treatment? Thank you!

    • I provide treatment by Skype (actually VSee because it is confidential) every day. I am happy to help you. >Tom Dozier<

      • I am an Accredited Mental Health Practitioner in Camden, New South Wales. I have recently had two clients who are suffering from the condition “Misophonia”. The first client is a 38 year old male and the second client who is 17 years of age. Can you suggest any specialist who may be practicing in Australia who can offer these two people help? Both of them are also aware of several other persons who seem to be also similarly affected. Any assistance you may be able to provide would be greatly appreciated. Kind regards Marie Novella-McMahon (6102 0408214441)


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