Misophonia (or selective sound sensitivity syndrome, sound-rage) is a neurobehavioral phenomenon associated with an intolerance of specific sounds or their associated stimuli, whose medical name and assessment vary over authors and methods. It can adversely affect the ability to achieve life goals and enjoy social situations. It was first recognized in 2001, though it is still not in the DSM-5 or any similar manual. Reactions to sounds range from annoyance to anger, with possible activations of the fight-or-flight response. Common triggers include oral sounds (loud breathing, chewing, swallowing), clicking sounds (keyboard tapping, finger tapping, windshield wipers), and sounds associated with movement (fidgeting). Hated sounds are often repetitive in nature. Misophonia is not an auditory or psychiatric disorder. It also differs from phonophobia (fear of sound). There are no standard criteria for diagnosing misophonia. As of 2019, there were still no evidence-based methods to efficiently treat the condition.