Progressive Muscle Relaxation has been touted by some as the best misophonia treatment modality.  It works to help people stay relaxed no matter what trigger response occurs.  PMR is a learned skill that I recommend my patients begin using three times daily. If this is not realistic, try to do it once a day. No matter what. Do it at least one time before dismissing it.  

When I'm on vacation or relaxing on the beach, I'm not going to respond nearly the same to a trigger as I would if I were sitting in traffic after a stressful day at work.  PRM teaches our limbic system to go into vacation mode on command when it tries to react in full stress mode.

When patients do this diligently, they are able to relax immediately after about two weeks. 

Note: I didn't realize until I was in the editing process that my microphone was going bad, so you will hear periodic static during the podcast. I edited out as much as possible. I will re-record in the future. Thank you for your understanding.