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Jastreboffs argument against Misophonia as a mental condition

in there 2025 review, the Jastreboffs argue that misophonia should not be categorized as a mental disorder, instead  conceptualizing it as a neurophysiological condition driven by learned, conditioned reflexes that link auditory stimuli to limbic and autonomic responses, which can develop in otherwise normally functioning brain systems, with any accompanying anxiety or depression arising secondarily from these reactions rather than reflecting a primary psychiatric pathology. They support their claim primarily with clinical observations, reports that many individuals with misophonia lack comorbid mental disorders, and evidence that anxiety and depression typically arise after onset, suggesting these are secondary effects rather than causes. They also cite inconsistent neuroimaging findings and argue that a conditioned reflex model sufficiently explains the condition without invoking a psychiatric classification. (Jastreboff & Jastreboff, 2025)