title: Hatred of sounds: misophonic disorder or just an underreported psychiatric symptom?
abstract: BACKGROUND
  Misophonia, or selective sound sensitivity syndrome, is a preoccupation with or aversion to certain types of sounds that evokes feelings of irritability, disgust, or anger. Recently, it has been suggested that misophonia is a discrete clinical entity deserving of its own place in psychiatric diagnostic manuals. In this paper, we describe 3 patients whose misophonia could be attributed to different underlying primary psychiatric disorders.
  
  
  METHODS
  Case series report.
  
  
  RESULTS
  In these patients, we argue that misophonia is better described as a symptom of a) obsessive-compulsive disorder, b) generalized anxiety disorder, and c) schizotypal personality disorder.
  
  
  CONCLUSIONS
  The nosological status of misophonia remains a matter of debate. Patients who exhibit misophonia as a major complaint should be assessed for other conditions. Further studies on the prevalence, natural history, and additional features of misophonia are needed.
authors.affiliation: Programa de Ansiedade e Depressão, Instituto de Psiquiatria, Universidade Federal do Rio de Janeiro, Rio de Janiero, Brazil. E-mail: lfontenelle@gmail.com.
authors.forename: Gabriela M
authors.initials: GM
authors.lastname: Ferreira
authors.forename: Ben J
authors.initials: BJ
authors.lastname: Harrison
authors.forename: Leonardo F
authors.initials: LF
authors.lastname: Fontenelle
mesh_terms: D000328:Adult; D001008:Anxiety Disorders / Q000145:classification*; D005260:Female; D006311:Hearing Disorders / Q000145:classification*; D006801:Humans; D012001:Hyperacusis / Q000145:classification; D008297:Male; D008875:Middle Aged; D009771:Obsessive-Compulsive Disorder / Q000145:classification*; D012569:Schizotypal Personality Disorder / Q000145:classification*; D014012:Tinnitus / Q000145:classification