Clinical characteristics, impairment, and psychiatric morbidity in 102 youth with misophonia

•Misophonia was associated with substantial functional impairment in this sample•Anger/irritation, avoidance behavior, and impact to family life were nearly universal•Anxiety disorders were common (45%) as were current or past depressive disorders (46%)•Other common comorbidities were attention-deficit/hyperactivity disorder (21%) and tic disorders (13%)•Youth with misophonia had elevated internalizing symptoms and autism features (though less than youth with anxiety)