My primary career is that of a parenting coach and a parenting skills trainer. I would love nothing more than to be able to be of help to you with your parenting challenges, including those brought on by misophonia.  Misophonia is a significant factor in parenting and family dynamics and is often the source of serious conflict.  This conflict and upheaval can be drastically reduced with good behavioral interventions.  3LParenting.com has free parenting videos, but applying the principles and skills often requires professional help for difficult situations, such as a child with misophonia and siblings that are less than 100% cooperative.  I routinely work with parents by internet video-chat.  Contact me if you want to try this ([email protected]).

2. Family Misophonia Management Plan.

A family misophonia management plan is critical with a young child.  It takes advanced planning and decisions on who will eat where and when, is food allowed in the car.  Should your miso-child wear noise canceling headphones with a noise app.   Note that only Bose and Parrott Zik offer good cancelling of trigger sounds, except for sniffing.  As a family, you need to decide how to not force your miso-child to hear triggers.  This is not a one-way sacrifice – everyone should share the burden.  But it is imperative that your miso-child cooperate with this plan. (See the section above for cooperation issues.)

3. Neural Repatterning Technique (NRT) to Reduce Misophonic Reflex.

Neural Repatterning is a method of changing the brain response to triggers.  This works best when there are specific triggers by specific family members.  For adults, this treatment is often provided using the Trigger Tamer app, but for children, it is accomplished with games such as pillow fights, tickling, and wrestling.  Tom Dozier can teach you these techniques so that you , the parent, can provide the treatment session for your child.  It is also advisable to develop a treatment plan and have professional guidance by Tom Dozier or another competent professional.  This treatment reverses the progression of the misophonic reflex, so that when your child hears a trigger, the response is greatly reduce (and perhaps eliminated).

I hope that if you have a young child with misophonia, that you take action to reduce the typical progression of this condition.  Generally triggers become more severe, spread from one family member to others in the family, then spread to non-family members, and new triggers develop.  I work with individuals and families by internet video-chat.  It is not quite as good as meeting in person, but it is close.  If you would like help with your child’s misophonia, please email me at [email protected] or call me at 925-322-5100.  I am happy to help, and I offer a satisfaction-money-back guarantee.

4. Trigger Games for Children

Trigger Games: Pillow Fights, Wrestling, and Tickling for Children

This is a way of blocking most initial physical reflexes. The basic requirement for this technique is for the child to hear a trigger, and immediately be engaged in an activity that consumes them physically and emotionally. For example, one person can make the trigger (or it could be a recorded trigger played with the Trigger Tamer app) and another person has an immediate, positive interaction with the child, such as a brief pillow fight, wrestling, or ticking. The goal of the interaction after the trigger is to cause many muscles to be in use in a way that is drastically different from the typical action of muscles after a trigger. When this is achieved, it creates a classical conditioning event that slightly changes the established trigger response.

One family called this game a “cage match” when the child and father were playing. They would face off, and the trigger was the signal to wrestle. The father would attack as quickly as physically possible. After 10-20 seconds, they would pause and wait for the next trigger. When mom played the game, they had pillow fights. This game eliminated the misophonic response for this child. Classical conditioning occurs in the first seconds after the stimulus. For a child, the timing that produces the strongest conditioning is for the response to occur a half second after the stimulus. In middle aged adults, the reflexes have slowed and maximum conditioning occurs at 1 second. If the parent waits a few seconds, then it is too late to have a classical conditioning effect.

The theory behind this treatment is the same as for blocking a reflex. In the 2 seconds immediately following a trigger, the lizard brain is observing the body responses. The theory is that if the lizard brain sees the muscle tightening that is activated by the initial misophonic physical response, then it creates a conditioning event that makes the initial physical response stronger in the future. If the lizard brain sees that muscle relaxing, then it creates a conditioning event that makes the response weaker in the future.

You want this activity to be very positive for the child. You should never coax the child to play this game. If you say, “Do you want to play the Trigger Game?” and your child says, “Maybe later.” Then let it go. This activity needs to be very positive for the child. If the child says he is tired and wants to quit after 2 triggers then it is time to quit.

I recommend playing the game once a day for 10 minutes, where the child hears about 20 triggers. But there is no research behind this recommendation. As long as it is a very positive experience for the child, then you can play it as often and as long as you have the energy and enthusiasm.

You need to be sensitive to the strength of your child’s response to the trigger, and make it appropriate for the game. Start with a stimulus that triggers the child only slightly, and work up from that point. You are better off to waste a few sessions building up the trigger strength (volume, length) than to start too high and have your child run off screaming.

If you can use a recorded trigger as with the Trigger Tamer, then you will have precise control of the trigger strength, and you can tell the treatment is working by having the child rate the severity of the trigger response on a scale of 0-10 where 0 is no misophonic response. I would recommend having a response around 5 on this scale for playing the Trigger Game.

You should focus on one category of triggers (e.g. eating sounds). You will likely need to eliminate at least 3 specific triggers before you would see any real-life improvement. I would appreciate your feedback on how this treatment works for your child.

I am sure there are ways that this treatment can be used for adults. Use your creativity to develop ways to immediately engage in an activity that is all-consuming. I would love to hear successful ways you have adapted this methods for adults.