We were referred to Tom by our OT after our initial meeting was determined that our daughter had a sever case of misophonia. We were nervous meeting with Tom at first because we didn’t know what to expect, however, after our first few sessions with Tom we started to see slight changes in our daughter. After months of implementing the behavior tools that Tom gave us we have seen a massive change in how our daughter engages with trigger noises. We could not be happier with the outcome! We would recommend Tom to anyone who has issues with misophonia and for parents of children with this condition.