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Warning-sign checks

Misophonia: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Call emergency services or go to an emergency department if there is an immediate danger that you may harm yourself or someone else.

    Move away from triggers and weapons or other means of harm if you can do so safely, and involve a trusted person.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Seek urgent help if you feel unable to control aggressive impulses, are thinking about self-harm or suicide, or cannot safely eat, sleep, attend school, or care for yourself because of distress.

  3. 3

    Does any of this apply?

    Book an appointment

    Arrange a routine appointment if sound-triggered reactions regularly interfere with daily life, cause significant conflict, or lead you to avoid important activities.

    You can also seek help if you have painful hearing, tinnitus, unusual sensitivity to loudness, anxiety, low mood, or symptoms of another condition.

The article also says

A primary care clinician may help assess your general and mental health.

Depending on your symptoms and local services, assessment may involve a mental health professional, audiologist, or ear, nose, and throat specialist.

Every sign above is quoted from the sofidex article on Misophonia. If you are not sure, err upward — it is always reasonable to be checked.