If you have Misophonia, the first thing you need in a counsellor is someone who understands the condition. Tom understands it as well as anyone in the world. I read his book first and then, realising that not being a US resident didn’t prevent me from getting treatment from Tom, I immediately contacted him. Online sessions with Tom were easy to understand – and to book or postpone if needed – and I learnt some excellent techniques for managing my Misophonia. As with any treatment, progress comes when you commit to the processes. I have no doubt that Tom’s processes are the best available and if you have Misophonia I highly recommend Tom as someone who can help you.