Pediatric misophonia with comorbid obsessive-compulsive spectrum disorders.

OBJECTIVE: Misophonia is a potentially debilitating condition characterized by increased sensitivity to specific sounds, which cause subsequent behavioral and emotional responses. The nature, clinical phenomenology and etiology of misophonia remain unclear, and misophonic clinical presentations are not currently accounted for by existing psychiatric or audiological disorders.

METHOD: We present a case of pediatric misophonia in the context of comorbid obsessive-compulsive disorder and Tourette's syndrome.

RESULTS: Given the interrelationships among obsessive-compulsive spectrum disorders and misophonia, these disorders may share underlying pathophysiology, particularly within the dopaminergic and serotonergic neural systems. Clinical (i.e., treatment) and theoretical implications are discussed.