But creating an ASMR video isn't as simple as filming for an hour. Maria said her more complex videos take about three days to create. She'll write up a script with specific soothing words she should be using and do research into what sounds she should incorporate. She tests out the appropriate lighting and sound levels before filming. She sets up microphones positioned where a viewer's ears would be in real life, and places the lens where a onlooker's eyes would be. Then, after filming the video, she goes into post-production, which includes a special ear toward sound to remove any clap or loud noise.

While many colloquial and formal terms used and proposed between 2007 and 2010 included reference to orgasm, there was during that time a significant majority objection to its use among those active in online discussions, many of whom have continued to persist in differentiating the euphoric and relaxing nature of ASMR from sexual arousal.[citation needed] However, by 2015, a division had occurred within the ASMR community over the subject of sexual arousal, with some creating videos categorized as ASMRotica (ASMR erotica), which are deliberately designed to be sexually stimulating.[8][9]