Misophonia

Misophonia Treatment in London

Misophonia causes strong emotional and physical reactions to specific everyday sounds, such as chewing or breathing. Many people experience this sensitivity, and it does not indicate ear damage. Prompt audiovestibular medicine review is needed if reactions escalate suddenly, affect safety, trigger severe anxiety or aggression, or occur with neurological symptoms or imbalance.

Sound-Trigger Reactions

An Overview of Misophonia

Misophonia is a condition where specific sounds trigger intense emotional or physical reactions that feel automatic and difficult to control. Common triggers include chewing, breathing, tapping, or repetitive noises. Hearing itself is usually normal, but the brain assigns an exaggerated threat or distress response to particular sounds, leading to irritation, anxiety, or anger.

The condition often begins in childhood or adolescence and varies in severity. Misophonia does not reflect intolerance of all sounds and is not a hearing disorder in the traditional sense. Instead, it involves altered sound processing and emotional regulation. With our appropriate assessment, people can better understand triggers and develop strategies to reduce distress and improve daily functioning.

OUR REVIEW

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Discover how our expert care has transformed the lives of individuals struggling with hearing and balance issues. These testimonials reflect our unwavering commitment to clinical excellence and patient satisfaction.
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Soydan Osman
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I was seen by audiologist and Dr Arun, they were attentive, caring and took time to listen and adaptations were made throughout the appointment to support my anxiety and claustrophobia. This made a significant difference and genuinely helped me through the audiology testing. I gave an explanation of my current symptoms to Dr Arun he displayed great listening, compassion and understanding. The treatment I received on the day has greatly improved my symptoms, the one reassuring thing is any follow up is required is knowing that I will be in safe hands. I received my clinic letter promptly. After care queries handled by the admin team was exceptional, prompt and helpful. Overall the service was impeccable.
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Diana Granados
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I had an outstanding experience with Harley Street Vestibular Clinic and cannot recommend them highly enough. I developed severe vertigo while visiting London, and it was an incredibly frightening experience as it was my first time ever experiencing dizziness like that. I called the clinic on a Saturday, fully expecting to leave a voicemail since they were closed. To my surprise, the office manager, Preeti, returned my call that same day. I was so grateful. She was kind, reassuring, and went above and beyond to arrange an appointment for me first thing on Monday. From the moment I arrived, the entire team was professional, efficient, and compassionate. They understood how urgent and distressing my symptoms were and made every effort to see me as quickly as possible. The vestibular audiologist was exceptional—she took the time to thoroughly evaluate me, clearly explain everything she was doing, answer every one of my questions, and perform the appropriate treatment. I never felt rushed, and her expertise immediately gave me confidence that I was in the right hands. The clinic was incredibly responsive, organized, and genuinely caring throughout the entire process. They turned what was a very scary situation into one where I felt supported and well cared for. I am truly thankful to Preeti and the entire team for their kindness, professionalism, and outstanding care. If you are experiencing vertigo, dizziness, or balance problems, I would not hesitate to recommend Harley Street Vestibular Clinic.
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erika thomazi
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Great positive experience!
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Carol Bunyan
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I could not fault my follow up appointment with Dr Aran and his team. He really does take the time to listen to your questions and really puts himself out to set you on the road to recovery . He genuinely seems interested in getting you better. I would highly recommend this practice.
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Ged Robinson
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Dr Benjamin Shaw was extremely thorough in his assessment of my recent attacks of vertigo. I have total confidence in his ability, once I have completed the further tests he has arranged at the Wimbledon clinic, to diagnose what is causing this issue with my health.
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Adrian Lowe profile picture
Adrian Lowe
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I thoroughly recommend the Harley Street Audio Vestibular Clinic. I had an appointment with Dr Rudy Palaniappan who listened carefully to me, conducted a brilliant examination and explained everything to me with a future plan very clearly. I was really impressed!
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Evan
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Dr Arun provided an excellent virtual consultation, took the time to understand symptoms and history and provided an initial diagnosis and treatment plan. It did not feel rushed or with any bias. Received comprehensive notes and summary promptly after the appointment. Would fully recommend.
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shahram zarafshan
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Dr. Arun Pajaniappane is a brilliant and expert doctor. He was also incredibly friendly, making for a truly excellent experience.
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Vasile Baltac
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I had an excellent consultation where both the doctor Arun Pajaniappane and the audiologist were highly professional, attentive, and genuinely responsive to my concerns. They listened carefully to my problems and explained everything clearly throughout the appointment. The procedures carried out were handled with great care and efficiency, which made me feel comfortable and well looked after. I very much appreciated their professionalism and patient-centred approach.

Pinpointing the Cause

Diagnosing Misophonia

When to Get Checked

Misophonia can become more disruptive over time, especially when reactions begin to affect relationships, work, or emotional wellbeing. Early review helps clarify triggers and reduce escalation.

You should get assessed if reactions intensify suddenly, lead to panic, anger, or avoidance, affect concentration or sleep, interfere with daily activities, or are accompanied by anxiety, mood changes, neurological symptoms, or sound sensitivity following illness, head injury, or significant stress that alters behaviour or safety.

HarleyAVM Harley Street Clinic Audiogram, Misophonia Assessment & Sound Sensitivity Test in London, UK

How We Assess Misophonia

At Harley AVM, our physicians prioritise in-depth conversations about sound triggers and emotional responses. We explore which sounds cause distress, how reactions develop, and how symptoms affect relationships, work, and daily routines. We also discuss stress levels, sleep, mental wellbeing, and any associated hearing or balance concerns to build a complete picture of how misophonia presents for each individual.

Testing is used selectively to rule out overlapping auditory conditions. It may include pure-tone audiometry, tympanometry, acoustic reflex threshold testing, eustachian tube function assessment, otoacoustic emissions, speech audiometry, and speech-in-noise tests. Our senior audiovestibular professional oversees the assessment, ensuring findings are interpreted within a behavioural, neurological, and auditory framework.

Audiologist performing a tympanometry test on an elderly patient at Harley Street AVM London
Harley Street AVM clinic reception and waiting area for audiovestibular patients

Major Insurance Providers Accepted

Insurance partner health insurance accepted at Harley AVM (9)
WPA
AXA PPP health insurance accepted at Harley AVM
Cigna
Insurance partner health insurance accepted at Harley AVM (12)
Healix
Bupa
Allianz

DIAGNOSTIC TESTS

Specialist Tests to Assess Hearing, Balance and Inner Ear Health

Harley Street Specialists in Hearing, Dizziness & Balance

Specialist Care for Misophonia

Every Misophonia case is different. Your consultant will create a tailored plan to address your specific symptoms and lifestyle – when it started, how it affects your day, and which tests and treatments are right for you.

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