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Common repetitive sounds made by other people -- chewing, crunching, slurping, sniffing, or lip smacking, for example -- can be unbearable for people with misophonia. They may trigger a flight-or-fight response, feelings of panic, disgust, or anger. Left untreated, misophonia can make it hard to carry out activities of daily life and can lead to social isolation. Fortunately, Duke is a global leader in misophonia research and treatment. We use individualized, proven approaches to care so you can get back to enjoying life.