Your skills
A new calming or coping skill is added each module: a small library you build and keep, becoming more automatic over time.
The Guided program · for misophonia
A structured way to meet trigger sounds, with someone in your corner.
A coach-guided skills program for misophonia (strong reactions of anger, disgust, or anxiety to specific sounds), informed by CBT principles and an evolving condition-specific evidence base, translated from the clinical protocol so you can work through it at your own pace, with a coach reading your check-ins each week and writing back. The reaction is understood by many clinicians as a learned, automatic response, not a character defect, and it can change.
Early evidence: condition-specific sourcing still in progress. A note on that evidence page: misophonia-specific sourcing is still being finalized there; the program draws on the same CBT approach used for related conditions, but citations specific to misophonia aren’t complete yet.
- 8 modules
- plus a Getting ready module before you start
- Weekly reply
- a trained coach reads every check-in and writes back
- Your own pace
- no live sessions, no waiting rooms, no schedule
What “Guided” means
Not a class, not an app left alone with you
The work is strongest when a coach stays involved, so that’s how Kodama runs it: a program with someone on the other end. Every module follows the same rhythm.
- Step one
You work through a module
One module at a time. Each builds on the last, so the order matters, but the pace is yours. A module can take a week, or longer.
- Step two
You complete a short check-in
A few minutes looking back at the week: the triggers you met, what helped, and what was harder. Your answers are saved securely in Practice Better.
- Step three
Your coach writes back
They reflect what you reported, reinforce the program’s built-in guidance, and point you to the material that fits, without controlling your pace or changing the program around an individual trigger or relationship.
Three threads
Three things run through every module
Rather than starting over each week, three threads carry through the whole program and grow as you go.
Your daily trigger note
A simple note of the sounds you dealt with, who made them, where you were, and how you responded. The aim isn’t to score the person or sound but to notice the pattern.
Your check-ins
A few minutes looking back at the week. Your coach reads the saved answers and writes back.
The modules
Eight steps, in the order they work
Each module targets a specific part of the pattern (understanding, arousal, thoughts, avoidance, and relationships) and builds toward meeting triggers again, gradually and on your terms.
Part 01
Understand the reaction
Getting oriented: what misophonia is, how the conditioned chain works, and where you have the most leverage to change it.
Getting ready
What the program asks, whether now is the time, and your particular pattern of triggers.
Understanding misophonia
What’s actually happening (a conditioned alarm, not a character flaw), and your first tool, the daily trigger note.
The CBT model for misophonia
The chain between a sound and the reaction it sets off, and where you can break in.
Part 02
Settle body and mind
Bringing the physical alarm down and answering the blame and mind-reading that turn a sound into an attack.
Settling the body
Progressive muscle relaxation and slow breathing, to bring the physical alarm down before the trigger even arrives.
Working with the thoughts
Catching the blame and mind-reading that turn a sound into an attack, and answering them with evidence.
Part 03
Meet triggers again
Controlled, graded contact with trigger sounds and situations, planned by you, never sprung on you.
Beginning to meet the triggers
The first deliberate sessions with recorded trigger sounds: controlled, on purpose, staying until the wave crests and comes down.
Climbing the ladder
Graded steps back into real trigger situations and relationships, each one planned, each one yours.
Part 04
Make it durable
The beliefs underneath, the hardest hours, and a portable plan for future wobbles.
The beliefs underneath, and your hard hours
Following the hot thoughts down to the belief beneath them, and planning for the moments you know are coming.
Your coping toolkit, and staying well
Everything made portable, and your personal wobble plan: what makes a wobble a bad week instead of a relapse.
Included in the program
Support around the modules
The reading is only one part of the program. Trigger examples, measurement, and follow-up support the work from beginning to end.
Examples within the program Trigger-sound examples
Carefully chosen examples of common trigger patterns are introduced inside the relevant modules. They are used gradually and deliberately, not offered as an unrestricted public library.
Introduced inside the programAcross the program Progress measurement
Brief weekly check-ins and fuller midpoint and final measures help you see change clearly. Your coach can reflect the patterns shown in your responses.
Read by your coachAfter Module 8 Booster follow-ups
Follow-up check-ins help you maintain the gains, use your wobble plan early, and reconnect with support before a difficult stretch grows.
Included in the program
Before you start
Questions people ask
If yours isn’t here, the enrollment process answers most of it, and your coach can point you to the relevant program guidance.
How long does the program take?
Most people take about a week per module, so the full arc is usually a bit over two months, but the pace is yours, and there is no falling behind. Weekly coach guidance is included for a three-month guided period (room to spare at the typical pace), and if life intervenes, you can ask for an extension. Your module materials stay available for twelve months.
Who is reading my check-ins?
A trained coach. They read what you report and write back, reflecting the program’s guidance, helping you notice patterns, and pointing you to the material that fits what you shared.
Is the goal to make me like trigger sounds?
No. The aim is to reduce the automatic alarm and widen your ability to choose what you do next. A trigger may remain noticeable without controlling your body, relationships, or day.
Will practicing with trigger sounds make it worse?
Meeting triggers again is controlled and graded: you start with recordings you control, never live situations sprung on you, and the pacing guidance is built into each module, with clear signals for when to stay at a level, step down, pause, or message your coach. Wobbles are expected and planned for; working a step lower for a while is the protocol working, not a failure.
What if my strongest reactions are toward someone I love?
That is common in misophonia and does not mean the relationship is bad or that you are cruel. The program separates the conditioned reaction from the person and includes tools for real trigger situations and relationships.
What if the fuller eligibility review after enrollment shows it is not a fit?
You will not begin the program. Your payment is refunded in full, and Kodama points you toward the kind of care that is more appropriate: a person, not another unsuitable program.
What happens if I have a bad week?
Recovery isn’t a straight line. Good weeks and flat weeks are both normal, and a wobble is information, not failure. The program ends with your own wobble plan: what makes a wobble a bad week instead of a relapse.
Misophonia · Guided program
Join the waitlist
Enrollment isn’t open yet. Email us and we’ll reach out the moment the program opens, no commitment needed. In the meantime, the self-assessment can tell you whether this program looks like the right fit.
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