Moderate misophonia represents a middle ground in the severity spectrum where trigger sounds cause significant distress but haven’t yet led to extreme life disruptions.

Key characteristics of moderate misophonia include:

• Strong emotional responses to trigger sounds (irritation, anger, anxiety, or disgust)
• Difficulty remaining in situations where trigger sounds are present
• Regular use of coping mechanisms (headphones, white noise, avoidance)
• Notable impact on social functioning and relationships
• Consistent avoidance of certain situations where triggers are likely
• Physiological reactions such as increased heart rate, muscle tension, or sweating
• Difficulty concentrating or completing tasks when exposed to trigger sounds
• Possible verbal responses like asking people to stop making sounds
• Internal struggle to control reactions that are recognized as disproportionate
• Reduced spontaneity in social planning due to trigger concerns

At this level, professional help like cognitive behavioural therapy, sound therapy, or counselling may become beneficial for developing more effective coping strategies and preventing the progression to severe misophonia.​​​​​​​​​​​​​​​​