The Sound of Obsession: An Unusual Case Report of Misophonia and Obsessive–Compulsive Disorder

Misophonia a condition is typically characterized by an intense emotional response of hatred, anger, rage, or disgust toward sounds associated with eating or breathing. In this article, we will be discussing a young male who presented himself complaint of persistent and distressing thoughts about contamination, and on further evaluation, it was found that besides having those thoughts, he was also experiencing strong negative emotional responses to specific sounds, such as chewing, swallowing, and tapping. He was started on a selective serotonin reuptake inhibitor and showed a good response on fluoxetine, along with cognitive behavioral therapy, and various coping strategies that were taught to him. This case brings into focus the distress associated with misophonia which is a less understood topic and discussion of its presentation, underlying mechanisms, and treatment which are still ambiguous and require further research.