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Misophonia: clinical aspects and case report

ABSTRACT

Misophonia refers to a condition in which there is a strong aversion to certain sounds, in response to it the person reports unpleasant emotional experiences and autonomic arousal. The objective of this paper is to present a case of misophonia carrier and discuss diagnostic features. Female, 32 years old, married. In anamnesis reported obsessive compulsive symptoms such as checking doors and windows, concerned with order and symmetry of objects; read all that lies ahead, pull the hand two or three times on furnitures. Also reported triggering situations of anger: intolerance to some noises and sounds, like chewing third, mobile keyboard, click the “mouse” computer, printer and rub hands. In the presence of these noises, she tries to move away, and already tried to attack physically relatives and coworkers. She was treated with escitalopram and reevaluation after forty five days, reported partial relief misophonia and reduction of obsessional symptoms. The condition was first described in the early 2000s by two audiologists, and has become the focus of interest in the field of psychiatry. Some reports suggest that misophonic symptoms may be part of other conditions such as Tourette’s syndrome, obsessive compulsive disorder (OCD) and Generalized Anxiety Disorder. In the case described, the patient presented comorbid condition of Misophonia, OCD and tic disorder.

Misophonia; obsessive-compulsive disorder; anxiety; tics

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