Body 

Misophonia's executive deficits may stem from the cognitive load of managing responses rather than underlying dysfunction, echoing chronic-pain research on resource depletion.

in there 2025 literature review, Savard and Coffey discuses how when considering the relationship between abnormal executive functioning and Misophonia and important thing to consider is what causes what. while it is easy to assume that abnormal executive functions are the root of the issue, it could be the inverse. it is possible that executive functions are normal in Misophonia, but the added cognitive load from mitigating Misophonia responses could be taking cognitive resources that in turn cause the impaired cognitive functions. this is similar to an idea in pain research that those with chronic pain use more cognitive resources for self regulation and attention then healthy people. (Savard & Coffey., 2025)