Key points

Misophonia involves conscious and nonconscious responses to triggers.

Most people explain misophonia as a conscious emotional experience.

Understanding the difference between conscious emotions and nonconscious responses is helpful.

Understanding how emotions and cognitions relate to each other can also be useful.

What exactly is happening when an individual with misophonia is triggered? Well, we don’t know everything about misophonia’s underlying mechanisms, but we do know some things that are certain. Misophonia is a complex condition involving the body, the brain, and the conscious mind. That is, there is a neurological (brain) response that we are unaware of accompanied by physiological (body-based) changes, which are connected to cognitions (thoughts) and emotions (w

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