Anyone else get misophonia so bad it makes them want to hurl

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I have a neighbour whose voice is like a cat getting strangled by a violin, torchure

People chewing or whispering, torchure

A silent room at night, one mosquito = Meltdown.

As opposed to hurling, I want to scream, break dishes, and simultaneously burn the house down.
I get that livid. Immediately.
I have, twice, tried to remain still, talking myself through it, staying with the 'pain,' telling myself I am safe, that the only awful things that are happening are my feelings.
It was almost impossible to get through those two minutes. I did but at great cost to my energy level.

I recently went on a low dose of Gabapentin for insomnia and in reading up on it (first time user) I found that some misos actually find relief on higher doses than what I am on. I am SO TEMPTED to try it.
But.... the low dose I am on brings awful, awful nightmares and I am currently too afraid to take the plunge and ask my doc to up the meds. I can't figure out which is the lesser of two evils.
My daughter has miso. My brother has miso. I believe it is partly genetic.

I never truly had misophonia. Never had misophonia as a primary thing.

And if I had at one point, it's temporary at best just like anxiety is to me.

Probably I did during pubescent years and leading up to puberty during my worst years. Around ages 10.

Then suddenly it's gone. Up to ages 16.
It was because I actually overcame the common plague of anxiety itself.


My hearing didn't changed, just how I take it and how I ended up reacting to noises.

However, that changed in recent years.

Ended up with auditory processing issues, likely from a workplace burnout.
I got hyperacusis whenever my sinus issues got bad enough after 20+ years of dealing with chronic rhinitis.

But no misophonia.
Because there's no real anxiety involved. When I truly am dealing with anxiety, I tend to end up with misophonia.

I still deal with sensory overload and the stress that came with it. But no anxiety. No anxiety means no misophonia for me.

The painful hyperacusis doesn't give me anxiety nor misophonia either.
No psych triggers, just painful, distracting and annoying.

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Yes, there's certain noises I find to be unbearable triggers but that I'm obliged to tolerate regardless.