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In a 2024 study, Woolley attempted to characterize the onset, symptom progression, triggers, and psychiatric comorbidities in treatment-seeking adults with misophonia by conducting structured clinical interviews (Duke Misophonia Interview and DIAMOND) and administering self-report questionnaires to 60 adults meeting clinical criteria for misophonia. they found that in there sample, Misophonia typically emerged between ages 6-14 (79% of sample), paralleling early-onset psychiatric disorders rather than later-onset anxiety or mood conditions. Symptoms worsened over time for 63% of participants, while only 5% reported improvement. New triggers developed across the lifespan for 85% of individuals, suggesting a progressive expansion of sensitivity. This developmental trajectory indicates misophonia is likely a chronic condition requiring long-term management strategies (Woolley et al., 2024).