Misophonia for me does not give me any choice. Either the noise stops or I am leaving. If necessary I will explain later. If the noise stops I am possibly leaving anyway in case it starts again. Fortunately in my case the trigger is pretty obscure, like nails on a chalkboard type of rarity -- people don't actually do that so often.
The explanations I thought were dramatized. One of the challenges I think people with autism have is trying to explain their reactions and coming up with things that neurotypical people cannot relate to. It is more like reflexes. I'd be slack-jawed if my co-worker asked me to explain why my leg moved when the doctor hits my knee, "it just does that when you hit it that way", "probably something to do with ligaments, or tendons? IDK". Could you make an "undiagnosed" mode where your scores just go up and down?
And the options -- when the people team came through at $bigcorp and announced tiny hotdesking, I filed all the necessary paperwork, gave constructive feedback, worked with my manager etc, but started looking for new work immediately and noped out at the first opportunity. The people team was happy to close the file which was growing fat with demerits like not hanging my coat the right way, but my peers and reports were upset. well done people team! This was at a company that professed to be supportive of neurodivergence.