What is Misophonia?

Posted on November 6, 2025 by Patrick Hercules

Misophonia is a sensory condition that causes a person to have extreme sensitivity to specific sounds or stimuli, also known as triggers, resulting in them experiencing intense emotional, physical, and behavioral responses to those triggers.

The symptoms of misophonia revolve around how a person reacts to trigger sounds. The reactions are a part of the body’s natural “fight-or-flight” instincts.

When a person experiences an emotional reaction to a trigger, the feelings can be intense or overwhelming. These feelings escalate rapidly, causing irritation or annoyance to quickly turn into anger or rage. Emotional reactions can include:

· Anger

· Anxiety

· Disgust

· Fear

· Irritation

If a person experiences a physical reaction to a trigger, the self-protective process automatically kicks in, similarly to what happens when a person is in a dangerous or frightening situation. Physical reactions can include:

· Increase in blood pressure

· Chest pressure or tightness

· Goosebumps

· Increase in heart rate

· Sweating

When a person experiences a behavioral reaction to a trigger, the reaction is usually impulse- or instinct-driven. This means that a person may not have full control over those reactions. Violent reactions, towards either people or objects, are possible but not common. Behavioral reactions can include:

· Avoiding situations where trigger sounds can happen

· Leaving the area when a trigger sound happens

· Verbal or vocal reactions, such as talking or yelling at who/what made the sound

· Non-violent action to stop the sound

· Violent action to stop the sound

This phenomenon of misophonia affects people differently. Some people may only have one trigger that causes those responses. However, some people can have several trigger sounds.

Additionally, they can have responses that are more or less severe. Some may not be able to control the emotions they feel, but can control their responses. Others may not be able to control either, causing them to react impulsively. In the most severe cases, people may not be able to do certain things or be in specific environments.

There is research that shows that misophonia can affect anyone, but it seems to be more common in women. Estimates on how it affects people based on sex vary, ranging from 55%-83% of cases happening in women.

Misophonia can develop at any age. However, research indicates that it is most likely to develop in the early teenage years.

More research is necessary to determine if other factors can affect who is most likely to develop misophonia, but available research indicates misophonia may affect approximately one in five people during their lifetime.

Experts aren’t sure what causes misophonia. However, they suspect it may be a combination of factors, including:

· Brain structure differences

· Other conditions such as neurodivergence, mental health conditions, and hearing-related conditions or symptoms

· Family history or genetics

The American Psychiatric Association hasn’t recognized misophonia in the fifth and most recent edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), yet. However, in 2022, an expert committee created a consensus definition for research, diagnosis, and treatment purposes.

A healthcare provider can recognize the most common features of misophonia by asking questions about what you experience. Based on your answers, they can tell you if you seem to have the condition. However, that is not the same as a formal diagnosis.

Although misophonia isn’t an officially recognized condition, that doesn’t mean its effects are untreatable. The similarities and links between misophonia and other conditions, such as obsessive-compulsive disorder (OCD) or post-traumatic stress disorder (PTSD), indicate that people with this condition may benefit from various forms of mental health therapy.

While mental health therapies can’t cure a condition such as misophonia, they can help with the following:

· Identifying triggers

· Finding ways to minimize or prevent trigger sounds

· Developing coping strategies and techniques to avoid impulsive reactions to trigger sounds

· Reducing sensitivity to existing triggers

Treatments for misophonia-related conditions, such as anxiety or OCD, can also help with misophonia symptoms. A healthcare provider is the best person to tell you if treating related conditions can help and what treatments they recommend.

Many people with sound sensitivity conditions, including misophonia, can adapt to or manage this condition using common items, technology, or adaptation techniques, including:

· Earplugs or noise-canceling headphones/earbuds

· Listening to something to keep the brain’s hearing-related processes focused on something other than listening for a trigger sound

· Noise generator sounds, especially white, pink, or brown noise sounds

If you need the assistance and support of a mental health professional at Jamaica Hospital Medical Center, please call 718-206-5575 to schedule an appointment.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Benefits of Yoga for Heart Health

Posted on October 31, 2025 by Patrick Hercules

There are many aerobic exercises that can increase the heart rate and help prevent or manage heart disease. However, calming exercises such as yoga are good for the heart as well.

Yoga is a mind-body activity that involves moving through a series of body poses and breathing exercises that can improve strength, flexibility, balance, and relaxation. There are dozens of different formats, or practices of yoga, such as hatha, anusara, and ashtanga, that emphasize different focuses, such as toning, strength training, or meditation.

One of yoga’s clearest benefits to the heart is its ability to relax the body and mind. Emotional stress can cause several physical effects, including the release of hormones such as cortisol and adrenaline, which can narrow the arteries and increase blood pressure. The relaxation response that yoga provides not only slows the heart rate and lowers blood pressure; it may also reduce inflammation and promote favorable changes in blood vessel function that protect the heart.

Additionally, practicing yoga can help lower blood cholesterol and blood glucose levels.

As mind-body practices, yoga encourages people to slow down and be more mindful about heart-healthy behaviors, such as eating well and getting enough sleep. These habits, along with positive emotions that some forms of yoga aim to inspire, such as compassion and gratitude, may also help foster cardiovascular health.

Recent studies support the benefits of yoga for heart health. One study has shown that blood measurements and waist circumference, which are signs of heart disease, improved in middle-aged adults with metabolic syndrome who practiced yoga for three months.

Another study has shown that attending slow-paced yoga classes twice a week reduced the frequency of atrial fibrillation episodes in patients with that condition. Additionally, in another report, patients with heart failure who went through an eight-week yoga program showed improvement in exercise capacity and quality of life. They also had lower blood levels of markers for inflammation, which contributes to heart disease.

Research has also indicated that yoga may be a useful tool in helping smokers quit, as smoking is one of the biggest risk factors for heart disease.

If you would like to learn about other ways to be heart healthy, you can schedule an appointment at Jamaica Hospital Medical Center’s Cardiology Department by calling (718) 206-7100.

How to Care for a Loved One Who Has Dementia

Posted on October 23, 2025 by Patrick Hercules

Caring for a loved one with dementia comes with many emotional and physical challenges. Whether you are providing round-the-clock care at home, or visiting them at a homecare facility a couple or few times a week, understanding how to better care for a loved one with the condition can have a transformative effect on your relationship with them.

Dementia is a general term that represents a group of diseases and illnesses that cause the loss of cognitive functioning to the point that it interferes with a person’s daily life and activities.

Cognitive changes they may experience include:

Memory loss, usually noticed by someone else
Problems communicating or finding words
Trouble with visual and spatial abilities, such as getting lost while driving
Problems with reasoning or problem-solving
Trouble performing complex tasks
Trouble with planning and organizing
Poor coordination and control of movements
Confusion and disorientation

Some people with dementia can’t control their emotions, and they may also have psychological changes, such as:

Personality changes
Depression
Anxiety
Agitation
Inappropriate behavior
Hallucinations

Dementia is caused by damage to your brain, affecting its nerve cells and destroying the brain’s ability to communicate with its various areas. Dementia can also result from blocked blood flow to the brain, depriving it of oxygen and nutrients. Without oxygen and nutrients, brain tissue dies.

Progressive dementias get worse over time. Types of dementias that worsen and aren’t reversible include:

Alzheimer’s disease (the most common cause of dementia)
Vascular dementia
Lewy body dementia
Frontotemporal dementia
Mixed dementia

As your loved one may be experiencing changes in thinking, remembering, and reasoning in ways that affect their daily life and activities, they will need more help with simple, everyday tasks. Here are some ways you can care for a loved one to ensure they are provided with compassionate and effective support:

Establish a consistent daily routine that offers a sense of security for your loved one. Schedule their meals, medications, and activities at the same times each day. This can help reduce confusion and anxiety and make the caregiving process smoother.
Communicate clearly and calmly with your loved one. This can be achieved by doing the following:
- Using simple words and short sentences
- Maintaining eye contact and speaking slowly
- Being patient and giving them time to process and respond
Making your loved one’s environment dementia-friendly to ensure the home is safe and easy to navigate. You can do this by:
- Removing tripping hazards
- Labeling drawers and rooms with words and pictures
- Using night lights to reduce nighttime disorientation
Encourage their independence and dignity by allowing them to do as much as they can on their own, breaking tasks into manageable steps, and offering gentle guidance when needed
Avoid arguing and correcting a misstatement or memory error. Use validation therapy by acknowledging their feelings and redirecting the conversation gently, as this can reduce their agitation
Engage in meaningful activities that stimulate the mind and body, which can boost their mood and cognitive function. These activities can include:
- Listening to music
- Looking at old photos
- Simple puzzles and crafts
Watch for signs of discomfort as individuals with dementia may not always clearly express their pain or discomfort. Watch for non-verbal cues, such as restlessness, facial expressions, or changes in behavior
Take care of yourself. As a caregiver of a loved one with dementia, burnout is common. Prioritize your own health by taking breaks, seeking emotional support, and joining caregiver support groups
Plan for your loved one’s future by making early decisions about legal documents, long-term care options, and financial planning
Use assistive technology and tools such as reminder clocks, GPS trackers, and medication dispensers

If your loved one is experiencing any of these dementia symptoms, you can schedule an appointment with a neurologist at Jamaica Hospital Medical Center’s Ambulatory Care Center by calling (718) 206-7001. If they are experiencing an emergency, call 911.

ADHD Awareness Month

Posted on October 13, 2025 by Patrick Hercules

October is ADHD Awareness Month, a time dedicated to raising awareness, challenging stigma, and celebrating the unique strengths that often come with a neurodivergent brain.

Adult attention-deficit/hyperactivity disorder (ADHD) is a mental health disorder that includes a combination of persistent problems, such as difficulty paying attention, hyperactivity, and impulsive behavior. Adult ADHD can lead to unstable relationships, poor work or school performance, low self-esteem, and other problems.

Some people with ADHD have fewer symptoms as they age, but some adults continue to have major symptoms that interfere with daily functioning. Adult ADHD symptoms include:

Impulsiveness
Disorganization and problems prioritizing
Poor time management skills
Problems focusing on a task
Trouble multitasking
Excessive activity or restlessness
Poor planning
Low frustration tolerance
Frequent mood swings
Problems following through and completing tasks
Hot temper
Trouble coping with stress

Symptoms can range from mild to severe. Many adults with ADHD aren’t aware they have it.

The exact cause of ADHD is not clear, but research efforts continue. Factors that may be involved in the development of ADHD include:

Genetics
Environment
Problems during development

Factors that may increase the risk of ADHD may include:

You have blood relatives, such as a parent or sibling, with ADHD or another mental health disorder
Your mother smoked, drank alcohol, or used drugs during pregnancy
As a child, you were exposed to environmental toxins such as lead, found mainly in paint and pipes in older buildings
You were born prematurely

Signs and symptoms of ADHD in adults can be difficult to spot. However, the core symptoms of ADHD start early in life, before the age of 12, continuing into adulthood, creating major problems.

There is no single test that can confirm an ADHD diagnosis. A diagnosis will likely include:

A physical exam
Questions about your current medical issues, personal and family medical history, and the history of your symptoms
ADHD rating scales or psychological tests

Standard treatments for ADHD in adults typically involve medication, education, skills training, and psychological counseling. A combination of these is often the most effective treatment as they can help manage many symptoms of ADHD, but they won’t cure it.

If you need the assistance and support of a mental health professional at Jamaica Hospital Medical Center, please call 718-206-5575 to schedule an appointment.

Why Do We Eat When We Are Stressed?

Posted on October 2, 2025 by Patrick Hercules

Stress can impact our health in various ways, including our eating behaviors. It can influence our appetite, how much we eat, and the types of food we choose. Studies show that stressful events activate systems associated with metabolism, cognition, and reward.

When a person is stressed or overwhelmed, their body produces cortisol, the hormone that creates the body’s fight-or-flight response to help protect itself. When a person has elevated cortisol levels for a prolonged period of time, such as during repeated and constant stressors, this can lead to fat storage, weight gain, and increased consumption of foods that are energy-dense and high in sugar and fat. These types of foods are “comfort” foods that can seem like they are counteracting stress; however, they may contribute to a person’s stress-induced craving for those foods.

There are several ways to manage stress eating, including:

Practicing mindful eating
Finding healthier options for your sweet or savory cravings
Watching your portion sizes
Meditating
Exercising
Finding sources of social support

If you need the assistance and support of a mental health professional at Jamaica Hospital Medical Center, please call 718-206-5575 to schedule an appointment.

International Overdose Awareness Day

Posted on August 31, 2025 by Patrick Hercules

August 31^st is International Overdose Awareness Day. It is the world’s largest annual campaign to end overdose, remember those we have lost to an overdose, acknowledge the grief of the family and friends left behind, and renew our commitment to end overdose and related harms.

An overdose occurs when the body is overwhelmed by a toxic amount of substance or a combination of substances, including alcohol, illicit drugs, and even prescribed medications.

The physical and psychological signs of a drug overdose can vary depending on the type of drug taken and whether the drug was taken in combination with other substances.

The common signs and symptoms of a drug overdose can include:

Dilated pupils, nausea or vomiting, headache, and chest pain
Seizures, convulsions or tremors, blue lips or fingers, and abnormally high body temperature
Severe difficulty breathing, shallow breathing, or complete cessation of breath
Gurgling sounds that indicate the person’s airway is blocked
Violent or aggressive behavior, paranoia, and agitation
Disorientation or confusion, unresponsiveness, and unconsciousness
Death

The International Overdose Awareness Day campaign raises awareness of overdose, which is one of the world’s worst public health crises. It stimulates action and discussion about evidence-based overdose prevention and drug policy.

Back to School Health Tips

Posted on August 27, 2025 by Patrick Hercules

As children prepare for the school year, it is important for them to return to school healthy.

Here are some tips to make sure your child is healthy before they go back to school:

Make sure they are up to date on their vaccinations. Vaccinations are essential for protecting children and others against various diseases.
Make sure they get their flu and COVID-19 shots. Every child six months or older should get their yearly flu shots, as flu season typically starts in the fall and peaks between December and February.
Make sure they get vision and hearing tests done. Children should have their hearing and vision tested with their doctor from infancy through high school. Watch for signs of hearing or vision loss and talk to your child’s healthcare provider if you notice any changes.
Help your child make healthy food choices, even at school. Encourage them to eat plenty of fruits and vegetables. When eating bread or pasta, choose 100% whole-grain products. Encourage them to choose water, not juice or soda.
Make sure to take care of their mental health. Managing school stress, relationships, and friendships can be overwhelming. Encourage them to talk about their emotional health.
Make sure to limit their screen time. Children under the age of two years old should have no screen time. Limit screen time to one to two hours a day for children two years old and over. Parents are encouraged to delay access to smartphones until at least 14 years old.
Be sure to monitor their social media use. Social media use starting during childhood can play a significant role in the relationships and experiences that impact children’s and teens’ growth, development, and mental health. Parents are encouraged to set aside time to discuss social media use, including setting privacy limits on who can see and interact with them.
Make sure your child gets a good night’s sleep. Adequate sleep helps kids focus each day at school and is important for their health. Children between the ages of three and five should sleep 10 to 13 hours (including naps). Children six to 12 years of age should sleep nine to 12 hours a night. Teenagers 13 to 18 years of age should sleep eight to 10 hours a night.

These back-to-school health tips will help you and your family return to the classroom safely and be confident in your health.

Social Anxiety Disorder

Posted on August 22, 2025 by Patrick Hercules

Social anxiety disorder (SAD) is a medical condition that causes fear and anxiety when you are around people in social situations and causes an intense fear of being judged or watched by others.

Social anxiety disorder typically begins in the early to mid-teens, though it can sometimes start in younger children or adults.

Like many other mental health conditions, social anxiety disorder likely arises from a complex interaction of biological and environmental factors, which may include:

Inherited traits
Brain structure
Environment

Several factors increase the risk of developing social anxiety disorder, including:

Family history
Negative experiences
Temperament
New social or work demands
Having an appearance or condition that draws attention to them

There are many signs and symptoms of social anxiety disorder, including:

Emotional and behavioral symptoms
- Fear of situations in which you may be judged negatively
- Worry about embarrassing or humiliating yourself
- Intense fear of interacting or talking with strangers
- Fear that others will notice that you look anxious
- Fear of physical symptoms that may cause you embarrassment, such as blushing, sweating, trembling, or having a shaky voice
- Avoidance of doing things or speaking to people out of fear of embarrassment
- Avoidance of situations where you might be the center of attention
- Intense fear or anxiety during social situations
- Analysis of your performance and identification of flaws in your interactions after a social situation
- Expectation of the worst possible consequences from a negative experience during a social situation
Physical and physiological symptoms
- Blushing
- Fast heartbeat
- Trembling
- Sweating
- Upset stomach or nausea
- Trouble catching your breath
- Dizziness or lightheadedness
- Feeling that your mind has gone blank
- Muscle tension

People living with social anxiety may avoid social situations such as:

Interacting with unfamiliar people or strangers
Attending parties or social gatherings
Going to work or school
Starting conversations
Making eye contact
Dating
Eating in front of others
Using a public restroom
Taking or making phone calls
Performing in front of people

The symptoms of social anxiety disorder can change over time. They may flare up if you’re facing many changes, stresses, or demands in your life.

Although avoiding situations that produce anxiety may make you feel better in the short term, your anxiety is likely to continue over the long term if you don’t get treatment. Therefore, you should speak to your doctor about the symptoms you are experiencing. Your healthcare provider will want to determine whether other conditions may be causing your anxiety or if you have a social anxiety disorder along with another physical or mental health disorder. They may determine a diagnosis based on the following:

A physical exam to help assess whether any medical condition or medication may trigger symptoms of anxiety
A discussion of your symptoms, how often they occur, and in what situations
A review of a list of situations to see if they make you anxious
Self-report questionnaires about symptoms of social anxiety
Criteria listed in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), published by the American Psychiatric Association

Treatment depends on how much social anxiety disorder affects your ability to function in daily life. Treatments can include:

Psychotherapy (the most common treatment)
- Cognitive behavioral therapy (CBT) is the most effective type of psychotherapy for anxiety
Medications
- Antidepressants
- Anti-anxiety medications
- Beta-blockers

If you or someone you know has social anxiety disorder, you can call or schedule an appointment with a mental health provider at Jamaica Hospital Medical Center. Please call 718-206-5575.

Chronic Traumatic Encephalopathy (CTE)

Posted on August 5, 2025 by Patrick Hercules

Chronic traumatic encephalopathy (CTE) is a degenerative brain condition that happens after repeated head injuries. CTE usually affects athletes who play contact sports or military personnel.

CTE causes neurodegeneration, which means it permanently destroys nerve cells in your brain. Over time, this damage can cause changes in your behavior and mental abilities. It has been associated with second impact syndrome, when a second head injury occurs before symptoms of a previous head injury have fully resolved.

Experts are still trying to understand how repeated head injuries and other factors might contribute to the changes in the brain that result in CTE. Researchers are looking at how the number of head injuries someone experiences and how bad the injuries are may affect the risk of CTE.

There are no specific symptoms that have been linked to CTE, as it shares symptoms with other brain conditions that cause neurodegeneration. It can affect your:

Cognitive function, which can cause:

Memory loss

Trouble solving problems or making plans

Trouble making a choice or judging what you should do next

Mild cognitive impairment

Mood and personality, which can cause:

Anxiety

Depression

Mood swings, especially acting or feeling more aggressive or impulsive

Personality changes

Thoughts of self-harm, suicide, or suicidal behavior

Motor function, which can cause:

Balance issues

Loss of coordination

Tremors, twitches, or other muscle movements you can’t control

There is no way to diagnose CTE in a living person. The only way healthcare providers can confirm CTE is by examining samples of a person’s brain with a microscope during their autopsy.

Even though a healthcare provider may not be able to definitively diagnose CTE while a person is alive, they can still make an educated assumption by building a diagnosis using a few factors, including:

A physical exam

A neurological exam

The symptoms a person is experiencing

A person’s medical history, especially if they have had head injuries

Experiencing CTE symptoms doesn’t automatically mean a person has it. There are a lot of conditions that can cause similar symptoms. A healthcare provider will use tests to help diagnose or rule out these other issues. Tests include:

Blood tests

CT scan

Lumbar puncture

PET scan

There is no treatment for CTE because there is currently no cure for it. Unfortunately, if a person has CTE, their symptoms will continue to get worse. Avoiding head injuries is the only way to lower your risk of developing CTE. Wear the right protective equipment for all activities and sports, especially helmets or protective headwear.

If you are experiencing any symptoms of CTE, you can schedule an appointment with a doctor at Jamaica Hospital Medical Center’s Ambulatory Care Center by calling (718) 206-7001. If you are experiencing an emergency, call 911.

Menopause and Memory Issues

Posted on July 18, 2025 by Patrick Hercules

Menopause occurs when a person goes 12 consecutive months without a menstrual period. Memory lapses and trouble concentrating are common symptoms of menopause and even perimenopause. These menopausal symptoms are caused by the female sex hormone estrogen, which is necessary for maintaining sexual and reproductive health.

Low estrogen levels can cause temporary bouts of brain fog and impact verbal memory, including the ability to recall words and names. However, this type of menopause-related forgetfulness isn’t the same as the early signs of dementia.

Dementia is a general term that represents a group of diseases and illnesses that cause a decline in cognitive functioning to the point that it interferes with a person’s daily life and activities. It is caused by damage to the brain, affecting its nerve cells and destroying the brain’s ability to communicate with its various areas.

The first signs of dementia are typically things like getting lost in familiar places or confusion about how to perform everyday activities, such as driving home from the store, and inability to remember names.

Another key factor in someone affected by dementia is age. Alzheimer’s disease mainly affects people over the age of 65. Less than 10% of cases occur in people younger than 65, especially those without a family history of early-onset Alzheimer’s.

Menopause, on the other hand, usually happens in your mid-40s to mid-50s, and perimenopause can start years earlier.

Midlife “brain fog” can be frustrating and worrisome at times. However, with some extra care and attention to your health, it can be managed and controlled.

Here are some ways to cope with menopausal memory issues:

Get enough sleep

Eat a balanced diet that includes brain-enhancing foods, such as cruciferous vegetables rich in color, to serve as antioxidants

Create and stick to a regular exercise routine

Stop multitasking, as it can drain the brain’s abilities

Exercise your brain by doing activities that can improve your mental fitness, such as:

Doing crossword puzzles, board games, or chess

Going for a vigorous walk

Reading a novel

Taking up a new physical activity, such as ballroom dancing or boxing

Meditating

Starting a journal about positive experiences

Learning a foreign language

Trying tai chi

If you are experiencing symptoms of menopausal memory loss, you can visit Jamaica Hospital Medical Center’s Women’s Health Center or contact us at 718-291-3276 to make an appointment.