A Case Report on Early-Onset Misophonia in a Bangladeshi Pediatric Patient
Bibliographic record
Abstract
This case report describes a nine-year-old Bangladeshi boy with misophonia symptoms beginning at three years old, an underreported condition in children. He exhibited strong emotional reactions to specific sounds made by his mother, such as yawning and breathing, which later extended to visual triggers, including her nose-scratching. He attempted to stop these triggers through physical actions. Autism was ruled out. A brief trial of sertraline, risperidone, and behavioral therapy showed minimal benefit and was discontinued. In the fifth year, compulsive hand-washing emerged. Family history revealed parental OCD. On reevaluation, he was diagnosed with misophonia and emerging OCD. Treatment included selective serotonin reuptake inhibitors, cognitive behavioral therapy with exposure and response prevention, relaxation techniques, and follow-up. This case underscores the potential for early-onset misophonia with auditory and visual triggers, its overlap with OCD, and the need for early diagnosis, attention to comorbidities, and individualized, ongoing care.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.002 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.002 | 0.001 |
| Scholarly communication | 0.001 | 0.002 |
| Open science | 0.001 | 0.002 |
| Research integrity | 0.003 | 0.002 |
| Insufficient payload (model declined to judge) | 0.003 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".