Re: A new Article from Dr. Jastreboff on Descreased Sound Tolerance and MISO

[Guest guest]

Thanks for posting this Dr. as I don't go to that website anymore, I am quite pleased if this now resolves that contentious point.I did get the impression from this article that Dr. Jastrebof still sees our form of misophonia as a conditioned reaction based on past negative life experience?

[Guest guest]

Yes there is still work to do for sure....everyone might have different

assumptions or guesses but no one really 'knows'.

The article is here:

http://www.chat-hyperacusis.net/post/Decreased-sound-tolerance-(DST)-hyperacusis\

-and-misophonia-by-Dr.-Pawel-Jastreboff-5870424

>

> Thanks for posting this Dr. as I don't go to that website anymore, I

am quite pleased if this now resolves that  contentious point.

>

> I did get the impression from this article that Dr. Jastrebof still sees our

form of misophonia as a conditioned reaction based on past negative life

experience?

>

[Guest guest]

Has anyone here experienced Dr Jastreboff's treatment protocols for misophonia,

and if so, what was your experience? He certainly sounds positive about his

ability to treat it. However, I have yet to read any description of his

protocols that sounds sensible. So I would love to know more.

Liesa

>

> Decreased sound tolerance (DST): hyperacusis and misophonia

> Pawel J. Jastreboff, Ph.D., Sc.D., M.B.A. and Margaret M. Jastreboff, Ph.D.

>Treatment of misophonia with TRT is much more complex and takes longer time.

Misophonia should be treated simultaneously with hyperacusis /tinnitus. In

addition to specific counseling, patients are advised to follow one of 4

categories of protocols which attempt to create an association between variety

of sounds with something positive. Protocol (1) has been published in our 2002

paper. These protocols are further modified to fit the needs of individual

patients and typically more than one protocol is used. Note, that while

misophonic patients frequently benefit from the use of ear level sound

generators, they are not necessary for successful outcome of the treatment.

Sound generators alone without specific protocols for misophonia have very

limited usefulness. Duration of treatment is generally similar to duration of

tinnitus treatment, but success rate is very high and in majority of cases it is

possible to achieve a cure. Interestingly, successful treatment of misophonia

restores habituation of external sounds and somato sounds and typically removes

tensor tympani syndrome.

>

> The main points to remember:

>Special protocols for misophonia are necessary

>Misophonic patients commonly benefits from sound generators as well, but it is

possible to treat misophonia without any devices

>In majority of cases it is possible to achieve the cure for both hyperacusis

and misophonia