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AbilityBench

Sound tolerance

Misophonia test where nothing plays until you say so

Rate twelve trigger situations — eating, breathing, clicking, ticking, and one you only see — and get back a profile by family rather than a severity score. Eleven of them carry a synthesized sample that sounds only when you press that item’s own button; answer the whole thing from the written descriptions instead and the profile comes out the same.

  • 12 triggers, 5 families
  • Every sample opt-in
  • Works with sound off

Two ways through, and both produce the whole profile

12 trigger situations, each rated on a five-point scale, then six questions about what the reaction feels like and what it costs. 11 of the 12 have a 4.5-second synthesized sample attached. Nothing plays until you press a named button for that one specific sound, and the button says what the sample is made of before you press it.

You can switch to descriptions at any point without losing the ratings you have already given.

Three gates in front of every sound

  1. The route. The first screen asks whether you want samples at all. The descriptions route never creates an audio context and draws no play buttons, so there is nothing on the page that could make a noise.
  2. The level check. Before the inventory appears, you set your volume on pink noise — a hiss, deliberately, because setting the level on a trigger would mean being ambushed by one to find out how loud they are.
  3. The item’s own button. Each item says what its sample is built from before there is anything to press, one press plays it once for four and a half seconds, and a Stop control stays at the top of the inventory the whole time.

The samples are built, not recorded: band-passed noise in bursts on a jittered clock, and one low pulsed tone where noise cannot go that low. A recording carries a person — their microphone, their room, their rhythm — and a rating of it is partly a rating of them; synthesized bursts are the same item for every visitor. The price is stated on each button: a burst train has the acoustic shape of a trigger, not the trigger, so the result counts which ratings were given after listening and which from the sentence alone. The twelfth item, a bouncing knee, has no animation for the same reason the others have buttons — a looping picture would already be running before you chose to see it.

Why the result is a profile and not a score

The definition this page works from is the consensus one — Swedo et al. (2022), Consensus definition of misophonia: a Delphi study — and it is narrower than the everyday word. It describes a decreased tolerance of specific sounds, typically oral, nasal and repetitive ones, and of sights tied to them; reactions of anger, irritation, disgust or distress out of proportion to the sound; and consequences in the person’s life. Being annoyed by chewing is not the condition. Changing where you sit, what you eat and who you eat with is the part the definition is about.

That is why intensity and cost are asked separately and never added. People rate every eating item at the top of the scale and have arranged their lives so it almost never comes up; others give middling ratings and have stopped eating with their family. A single total would hide exactly that difference, and the five families hold different numbers of items, so one sum would also weigh eating sounds three times as heavily as the visual item. No prevalence figure is printed either. Published estimates span a wide range because the field only recently agreed on a definition, and the figure depends heavily on whether the criterion requires significant distress or merely annoyance at trigger sounds.

This is a measurement exercise, not a clinical assessment. It reports what you did on this page against a stated reference and nothing more — it cannot establish misophonia. Only a qualified professional, working with more than a browser, can make that judgment.

Questions about the reaction itself

Is this the same thing as hyperacusis?

No — they are separated by whether loudness is what matters. Hyperacusis is an intolerance of sound level: ordinary volumes are physically uncomfortable, and turning them down helps. Misophonia is an intolerance of particular sounds, often quiet ones, and turning the volume down does not help, because the reaction is to what the sound is rather than how much of it there is. Someone can be untroubled by a passing motorbike and undone by a person eating an apple nearby. Telling the two apart is one of the first things a clinician does.

Why is one of the twelve items something you see rather than hear?

Because triggers are not confined to sound. Seeing a knee bounce or a finger tap at the edge of vision produces the same rising reaction in many people who report sound triggers, and it has a name of its own, misokinesia. Leaving it out would make the inventory quietly wrong for those people, so it is in — described in words rather than shown.

Does it mean anything that only my family sets me off?

It is common enough that the inventory asks about it directly. Reactions that are much stronger when the sound comes from a partner, a parent or a sibling are part of the usual picture rather than an oddity of yours, and they are one reason misophonia is understood as being about meaning and context as well as acoustics — the same chewing from a stranger in a cafe and from across your own kitchen table are not the same event. The page reports your answer on its own and draws no conclusion from it.