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.

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.

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.

Social Anxiety

Posted on August 28, 2024 by Patrick Hercules

Social anxiety disorder is a medical condition that causes intense fear of being judged or watched by others in social situations.

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.

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 a 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.

Anxiety Triggers

Posted on August 29, 2022 by Xavia Malcolm

Anxiety is defined by the National Library of Medicine as, “a feeling of fear, dread, and uneasiness.” Having these feelings occasionally is normal; however, they become a health concern when they are excessive and interfere with the ability to live a normal life.

The exact cause of anxiety is still not fully understood, but it is believed that the following factors play a role:

Genetics
Environmental stress
Brain chemistry
Certain medical conditions

Although the exact cause of anxiety is unknown, there are certain triggers such as life events, lifestyle changes, or daily habits that can lead to or worsen this response. These include:

Financial insecurity
Traumatic experiences
Caffeine consumption
Alcohol consumption
Meeting new people
Stress
Relationship problems
Exposure to violence
Taking certain medications
Substance misuse
Loneliness or isolation

Anxiety triggers are unique to each individual. However, the most important steps anyone affected by anxiety can take is identifying what their triggers are and learning how to cope with them. Here are a few tips for coping with anxiety:

Limit alcohol and caffeine consumption
Exercise
Use stress management or relaxation techniques such as yoga, meditation, or deep breathing
Maintain good sleep health
Try to minimize negative thoughts and think positively
Journal or write down your thoughts
Speak to someone about how your feeling
Adhere to your treatment plan

Anxiety affects many people, and no one should feel ashamed if they struggle with the disorder or other mental health disorders. If you or someone you know is affected by anxiety, consult a mental health professional to explore possible causes and treatments. Your mental health provider may recommend lifestyle changes, psychotherapy, or medication.

To schedule an appointment with a mental health provider at Jamaica Hospital Medical Center, please call 718-206-5575.

How COVID-19 Can Affect Your Mental Health

Posted on July 16, 2021 by Michael Hinck

Many people who were diagnosed with COVID-19 over the past year and a half have reported a variety of long-term symptoms. The conditions that have received the most attention focus on either the physical effects of the virus, such as shortness of breath or fatigue or cognitive deficits, such as confusion or memory loss. For some, however, there are other lingering symptoms that can affect their mental health.

Recent research has concluded that nearly one person in five diagnosed with COVID-19 now also suffers some form of a mental health disorder. This can include:

Anxiety
Depression
Insomnia

Other patients may experience Post Traumatic Stress Disorder (PTSD). Patients experiencing PTSD typically have spent time in a hospital, more specifically in an intensive care unit, or were on a ventilator.

While it is difficult to determine is if these mental health symptoms emerge in patients as a result of neurological reaction to the virus or are due to the stresses of contracting the virus, it is important to raise awareness of the issue and provide resources to get these individuals the necessary help.

Jamaica Hospital Medical Center’s Post-COVID Care Center, located in our MediSys Hollis Tudors Center at 2001-16 Hollis Avenue, offers comprehensive range of services for those living with lingering effects of the virus, mental health services delivered by highly qualified psychiatrists. To make an appointment, please call 718-736-8204.

Worry vs. Anxiety- What Is The Difference?

Posted on November 12, 2019 by Xavia Malcolm

Although many use the words worry and anxiety interchangeably; the two are very different psychological states.

According to Psychology Today, “Worry tends to be more focused on thoughts in our heads, while anxiety is more visceral in that we feel it throughout our bodies.”

When we worry, our thoughts are often caused by realistic or specific concerns we can resolve by problem solving. An example of a worrying thought is “If I don’t study hard enough, I will not pass my test.” Once you have identified the problem and arrived at the solution- which is to study hard; you are likely to move on from this thought and diminish worry.

On the other hand, when we are experiencing anxiety, our thoughts can be irrational or vague. They can linger for extended periods of time and can impact our lives in a negative way. An example of this is persistently thinking something will go wrong every time you take a test. As a result, you may experience fear or other emotions that will cause your body to react negatively.

Worry and anxiety affect our bodies in different ways. Because worrying tends to be temporary, the effects are mild. You may experience short-term emotional distress or tension. The physical reactions caused by anxiety, however, can be more intense. Someone with anxiety may experience symptoms such as tightness in the chest, an increased heart rate, rapid breathing, headaches, trembling, gastrointestinal problems or trouble sleeping.

The symptoms of anxiety can serve as warning signs of serious health conditions such as anxiety disorder, panic attack or depression. You should speak with a doctor if symptoms are persistent and interfere with daily activities.

A mental health professional can diagnose anxiety by performing a psychological examination. Treatment may involve medication and psychotherapy.

To schedule an appointment with a mental health professional at Jamaica Hospital Medical Center, please call 718-206-5575.

Claustrophobia

Posted on September 24, 2019 by Joann Ariola

Categorized as a “phobia”, claustrophobia is diagnosed when the patient exhibits persistent (usually 6 months or longer) unreasonable or excessive fear due to the presence or anticipation of a specific situation. That fear will often times cause an anxiety response that may lead to a panic attack.

People with claustrophobia will go to great lengths to avoid what triggers their anxiety, such as:

Being in a small room without windows
Riding in an airplane, small motor vehicle or subway car
Being in a packed elevator
Undergoing medical testing such as a MRI or CT scan
Attending large gatherings like a concert or party
Standing in a closet

While in the throes of an episode, the person with claustrophobia may experience one or more of these symptoms:

Sweating and chills
Dry mouth
Headache and numbness
Tightness in the chest, and chest pain
Nausea
Disorientation and confusion
Lightheadedness, fainting, and dizziness
High blood pressure and an accelerated heart rate

In severe cases, claustrophobia may cause reactions that can interfere with the person’s everyday life, professional life and relationships.

If you are experiencing the signs and symptoms of claustrophobia and would like to speak with a professional at , please call to schedule an appointment.

Perinatal Generalized Anxiety Disorder

Posted on April 10, 2019 by Joann Ariola

Awaiting the arrival of your child or becoming a mother should be a time of great hope and happy anticipation, but for some, it can bring a wave of depression and anxiety. If you are experiencing depression and anxiety that occurred during or within one year after your pregnancy, you may have Perinatal Generalized Anxiety Disorder (GAD).

GAD is usually prevalent in those who have a history of depression, anxiety or substance abuse, a family history of mental illness, lack of a good support system, issues with a previous pregnancy or schedule and hormonal changes.

Some common signs of GAD are:

Feeling sad, depressed, and/or crying a lot
Diminished interest in becoming a mother
Feeling worthless or guilty, especially about not being a good mother
Strong anxiety, tension, and/or fear either about your future child or other things
Sleep problems
Thoughts of wanting to be dead or wanting to kill yourself
Having low energy
Loss of or increase in appetite or weight
Trouble focusing, remembering things, or making decisions
Feeling restless or irritable
Having headaches, chest pains, heart palpitations, numbness, or hyperventilation

Often times the new mom may experience disbelief, embarrassment, shame or guilt with GAD before seeking treatment to manage the disorder. Successful management of GAD can be done through medication and/or therapy.

If you are expecting a baby or have just become a mom and are feeling any of the symptoms listed above, you can make an appointment at Jamaica Hospital Medical Center’s Department of Mental Health for a screening.

To make an appointment, please call 718-206-7001.

Social Anxiety Disorder

Posted on March 5, 2019 by Xavia Malcolm

Social anxiety disorder or social phobia is a common type of anxiety disorder that affects approximately 15 million adults living in the United States. According to the Anxiety and Depression Association of America, it is characterized by “an intense anxiety or fear of being judged, negatively evaluated, or rejected in a social or performance situation.”

There is no exact known cause for social anxiety disorder; although, it is believed that genetics play a significant role. Social phobia is also linked to having an overactive amygdala; the part of the brain that controls our response to fear. Others factors believed to contribute to the disorder are a history of abuse or bullying.

The onset of social anxiety disorder typically begins in the early to mid –teens; however, it can also occur in young children and adults.

Those with social anxiety disorder often experience physical symptoms associated with fear or anxiety in social situations. These symptoms may include rapid heart rate, dizziness, muscle tension, sweating or nausea.

Symptoms of social anxiety disorder can profoundly affect an individual’s ability to live a normal life. Those affected often avoid or have trouble with normal, day-to-day social situations such as making eye contact, entering rooms where there are people, using public restrooms, eating in front of people or going to work or school.

These behaviors are often indicative of a more serious problem that could be developing as a result of social anxiety disorder. If left unaddressed, social phobia can lead to low self-esteem, negative thoughts, depression, substance abuse or suicide.

The best approach to treating social anxiety disorder is to receive assistance from a mental health professional. They will be able to assess your health to determine whether you have a social anxiety disorder or other mental health conditions. As part of your treatment, a mental health professional may recommend psychotherapy or medications. They may also suggest implementing lifestyle changes such as exercising, learning stress reduction skills or participating in support groups.

To make an appointment or to speak with a mental health provider at Jamaica Hospital Medical Center, please call 718-206-5575.