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Dr. Jane Gregory
Dr. Jane Gregory
Dr. Jane Gregory

Annoying but not harmful: working with sounds in misophonia

Dr. Jane Gregory

Friday Jan 31, 2025

Pacific Time:

9:00am - 10:30am

Eastern Time:

12:00pm - 1:30pm

Can’t attend the live streamed version of this workshop? All of our workshops are also available as pre-recorded on-demand videos that you can watch when you want. All are available 10 working days after the live date presentation for up to one year. 


Misophonia is a decreased tolerance to specific sounds like eating, nose and throat sounds and repetitive environmental sounds. Affecting nearly one in five people, misophonia can include intense emotional, physiological and behavioural responses to these sounds. For those severely impacted, misophonia can cause daily distress and impairment.

Workshop Outline

This event will introduce the key features of misophonia and provide a simple cognitive-behavioural framework for understanding the distress and impairment associated with the phenomenon. This model will help you to consider transdiagnostic techniques that could be adapted for working with misophonia and to consider the potential limitations. 

Traditional exposure approaches tend not to be suitable for most individuals with misophonia, and in fact can lead to increased distress. This even will introduce alternative ideas for working with individuals to with misophonia to engage with sounds, using an inhibitory learning approach to create new associations with sounds.

Learning Objectives

  • Build a simple cognitive-behavioural formulation (case conceptualisation) of misophonia  

  • Adapt existing CBT tools to related mechanisms in misophonia 

  • Put the principles of inhibitory learning into practice with misophonic sounds and work with the client to design experiments that find novel ways of engaging with sounds

About the Presenter

Dr Jane Gregory is a clinical psychologist at the University of Oxford, researching cognitive and behavioural mechanisms of misophonia. She sees clients with misophonia and provides specialist misophonia supervision at a national psychology service in Oxford Health NHS Foundation Trust. She is co-author of the S-Five, a multidimensional questionnaire measuring symptoms of misophonia, which has been translated into multiple languages and is being used for misophonia research around the world. She created two new scales for capturing misophonic behaviours and feared consequences and is researching the longitudinal relationships between misophonia symptoms and behaviours. She is the author of a self-help book, Sounds Like Misophonia: how to stop small noises causing extreme reactions.

Training Modalities

  • Didactic content

  • Polls

  • Experiental demonstration

Who should attend

This event is an introductory session, suitable for mental health professionals with no previous experience with misophonia.

Continuing Education (CE) Credits

Bespoke Mental Health Canada is approved by the Canadian Psychological Association to offer continuing education for psychologists. Bespoke Mental Health Canada maintains responsibility for the program. 

After viewing this workshop live on January 31st, 2025, participants have the option to complete an evaluation form in order to be eligible to receive a certificate confirming the number of credits awarded. This certificate will be sent via email. 

Participants who view this workshop as a pre-recorded event will need to complete an additional workshop knowledge quiz in order to be eligible to receive CE credits.

Participants who complete this workshop are eligible to receive 1.5 CE credits.


Professionals: $60 CAD +tax

Students*: $48 CAD +tax

* Proof of student status may be required in order to qualify for a student rate.

Key References

Frank, B., & McKay, D. (2019). The Suitability of an Inhibitory Learning Approach in Exposure When Habituation Fails: A Clinical Application to Misophonia. Cognitive and Behavioral Practice, 26(1), 130–142.  

Gregory, J. and Ahmad, A. (2023) Sounds Like Misophonia: How to stop small noises from causing extreme reactions. Bloomsbury: London. 

Gregory, J., & Foster, C. (2023). Session-by-session change in misophonia: A descriptive case study using intensive CBT. The Cognitive Behaviour Therapist, 16, e18. 

Vitoratou, S., Hayes, C., et al (2023). Misophonia in the UK: Prevalence and norms from the S-Five in a UK representative sample. PLoS ONE, 18(3).

More information coming soon.

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