I am pretty sure S20 has misophonia. A lot of sounds and repetitive motions people drive him really bonkers - things like a heavy sigh, chew noises, a pen clicking, someone jiggling a knee, tapping a finger on a steering wheel, etc. Whatever triggers him is usually something the other person isn't even aware they're doing, and sometimes can't help doing. His usual means of dealing with a trigger is to ask the person to stop (whether he does that depends on who the person is and if he thinks the person is likely to cooperate) or to remove himself from the situation. But removing himself is not always a good option for the classroom or other places he has to be, and it's to a point now that it is impacting him socially. At home, the other three of us do the best we can to avoid what we know triggers S20, but there always seems to be some new trigger. I know it's frustrating for S20 to deal with sounds that seem magnified to him. But it's also frustrating (and hard to relax) when you're constantly worried about doing something that might bother someone else. And if that's how we feel, I am really worried about what will happen in a few years when he has a college roommate.
Does anyone have experience with treatment for misophonia? If so, did you start with a doctor or a psychologist? (I am hoping for a doctor because I know from previous experience S20 will resist treatment with a psychologist - took him previously for irrational fears of dogs, birds, insects, etc. and he just would not participate in the therapy). What is the treatment like, and do you think it helped?
Appreciate any thoughts.