The
Misophonia Activation Scale (MAS-1) is intended to guide clinicians and
patients in assessing the severity of a sufferer's condition. It
concentrates on physical and emotional reactions to a particular
misophonic trigger. It makes little reference to the status of the
trigger person, i.e., as a known trigger or otherwise. Someone with
misophonia may not necessarily exhibit all, or even many, of these
behaviours. Also, some sufferers may experience symptoms in a different
order, for instance, engaging in some "confrontational" coping
behaviours before adopting more co-operative ones.
You might like to observe your reactions and create your own misophonia scale. You may not need eleven levels!
MAS-1 is a work in progress and may be updated in the light of published research. Suggestions for amendments and improvements are welcomed. If you are not clear about any of the terms used, please refer to our glossary. Author: Guy Fitzmaurice. Last content review: 16 July 2010.
You might like to observe your reactions and create your own misophonia scale. You may not need eleven levels!
MAS-1 is a work in progress and may be updated in the light of published research. Suggestions for amendments and improvements are welcomed. If you are not clear about any of the terms used, please refer to our glossary. Author: Guy Fitzmaurice. Last content review: 16 July 2010.
Download a copy of the Misophonia Activation Scale here.
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Level 0
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Person with misophonia hears a known trigger sound but feels no discomfort.
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Level 1
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Person with misophonia is aware of the presence of a known trigger person but feels no, or minimal, anticipatory anxiety.
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Level 2
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Known
trigger sound elicits minimal psychic discomfort, irritation or
annoyance. No symptoms of panic or fight or flight response.
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Level 3
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Person
with misophonia feels increasing levels of psychic discomfort but does
not engage in any physical response. Sufferer may be hyper-vigilant to
audio-visual stimuli.
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Level 4
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Person
with misophonia engages in a minimal physical response -
non-confrontational coping behaviours, such as asking the trigger person
to stop making the noise, discreetly covering one ear, or by calmly
moving away from the noise. No panic or flight or flight symptoms
exhibited.
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Level 5
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Person
with misophonia adopts more confrontational coping mechanisms, such as
overtly covering their ears, mimicking the trigger person, engaging in
other echolalias, or displaying overt irritation.
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Level 6
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Person
with misophonia experiences substantial psychic discomfort. Symptoms of
panic, and a fight or flight response, begin to engage.
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Level 7
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Person
with misophonia experiences substantial psychic discomfort. Increasing
use (louder, more frequent) use of confrontational coping mechanisms. There
may be unwanted sexual arousal. Sufferer may re-imagine the trigger
sound and visual cues over and over again, sometimes for weeks, months
or even years after the event.
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Level 8
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Person with misophonia experiences substantial psychic discomfort. Some violence ideation.
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Level 9
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Panic/rage reaction in full swing. Conscious decision not to use violence on trigger person. Actual flight from vicinity of noise and/or use of physical violence on an inanimate object. Panic, anger or severe irritation may be manifest in sufferer's demeanour.
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Level 10
Fuente: http://www.misophonia-uk.org/the-misophonia-activation-scale.html
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Actual
use of physical violence on a person or animal (i.e., a household pet).
Violence may be inflicted on self (self-harming).
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