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appraisal style impact on treatment seeking in Misophonia

Wooly describes past work showing that Misophonics can respond to triggers with either self-blame (internalizing) or blaming others for being rude (externalizing appraisals). In clinical, treatment-seeking populations, these two styles appear at roughly equal rates, whereas community samples tend to show more externalizing appraisals. from this observation the authors suggest that internalizing responses may drive greater distress and impairment, making those individuals more likely to seek treatment. they go onto to suggest that Understanding these distinct appraisal styles could help build better cognitive models of misophonia and explain why different people follow different clinical trajectories. (Woolley et al., 2026a)