About Sequent Repatterning

Sequent repatterning is one of a very few therapeutic techniques that has been developed specifically to treat misophonia.  At its heart is the recognotion of the elements that make misophonia what it is and an understanding of the neuroscience that underpins therapy.

A Model of Misophonia

This is the traditional perspective of misophonia. A sensory trigger causing an unwanted emotional reaction in an individual.

The commonly-held view is that a sound causes rage.Graphic showing a trigger experience causing an emaotional response

Just as we now know that the sensory experience can include any stimulus – something that is seen, heard, tasted, smelt or felt – we now know that the process involves distinct steps.  The clear model of the condition is that is has five components and of those, three are key elements.

Some of these steps occur in the subconscious domain and that means that a person’s response begins before they are even aware that it is happening.

With an awareness of how misophonia affects individuals and considering the neuroscience of its process, a new model of misophonia is proposed: a sensory experience is responsible for a physical reflex and then an emotional response follows.

Graphic showing the five components of misophoniaLike all sensory inputs, what is usually termed the trigger enters into our subconscious; the sensory signals are processed in the limbic system of the brain. The limbic system does not think – it is part of our biology and not what we consider to be our thinking self.  Through an acquired link a physical reflex is initiated – this can be a muscle jerk in the shoulders or the hand, for instance.  It might also be a much less obvious reflex but it seems the physical reflex can be identified in an overwhelming majority of those with misophonia.

At this stage the misophonia sequence enters into the conscious domain – we can be aware of the reflex but the behaviour – the way we respond – is already in process by now.

Every one of the individual components must exist before the misophonia process can be completed. But each time the sequence is experienced it becomes stronger and the links become more firmly established.  The way a person feels and behaves becomes a stronger and stronger default response.

Rapidly changing levels of tension and stress, or of calm and peace, can affect the longer-term strength of the sequence.  Feeling good and being calm and confident reduce severity.