Applying the <i>Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Children and Adolescents</i> to Misophonia: A Case Example
Niza A. Tonarely-Busto, Dominique A. Phillips, Estefany Saez-Flores, Ashley R. Karlovich, Kelly Kudryk, Adam B. Lewin, Jill Ehrenreich–May
Abstract
Misophonia is a condition in which individuals suffer a wide range of intense emotions in response to sound triggers. Emotions such as anxiety, irritability, and disgust may lead individuals to engage in avoidance behaviors to escape or suppress sound triggers. Transdiagnostic treatment may serve as a practical intervention for misophonia as it addresses a broad scope of emotions and physiological sensations. This paper presents the first reported case example of misophonia treated with a transdiagnostic treatment protocol, the Unified Protocol for Emotional Disorders in Adolescents (UP-A). In this case, the UP-A was efficacious in treating a client with autism spectrum disorder, comorbid misophonia and anxiety symptoms. The client evidenced reliable change in misophonia and related problems. Future research should investigate the efficacy of the UP-A in a larger sample of youth with misophonia, as well as assess mechanisms of change in transdiagnostic treatment of this disorder in youth.