[albert_e]

Wow. I have no experience with therapy but that sounds pretty personalized and useful. Your articulation is also great.

That makes me wonder if in a lot of places around the world the effectiveness of care and therapy is severely handicapped by the inability to communicate / articulate these nuances -- on the part of both the patient and the therapist. (Here in India for example we pride ourselves on having so many languages. Oftentimes this causes real practical issues too. For example in metropolitan areas like Bangalore -- local residents face challenges like being unable to communicate with their bank teller due to lack of a common language between both. Non natives from elsewhere in the country are also inconvenienced if not discriminated, excluded and intimidated basis language. In such a chaotic environment having a deeply meaningful communication channel with your therapist sounds almost like an impossible ideal.)

[Balladeer]

Yeah, having a nuanced vocabulary to talk about misophonia really helped me. Even just in the context of English, the vocabulary just wasn't there back in the early 2010s when I first sought out treatment; basically all you could find as a lay-person was articles like "What is this 'misophonia' thing? Is it even real?".

Thankfully, the field has developed in the last decade, but I can only imagine that if people find themselves struggling to conduct day-to-day interactions due to language differences, then trying to talk about something as nuanced as misophonia responses would be unreasonably difficult, if not impossible.