Lottie anticipates spending time with her loved ones this Christmas, but admits a primary method she'll cope is by wearing her noise-cancelling devices - particularly at the main festive feast.
For her, this time of year often feels like a especially challenging time as the auditory triggers of people eating, slurping and nose-blowing make her feel intense distress.
"There's this feeling of instant dread, my whole body will just tense up and it as though I'm in peril, and I need to manage these sounds."
She has suffered from misophonia since she was 16 and for her that causes the Christmas time "incredibly overwhelming".
Misophonia is a decreased threshold to specific noises, particularly those made by other people.
It is prevalent amongst adults. A study reported almost one in five people are affected by it.
Often it's noises connected to bodily functions that cause distress, including things like chewing, breathing, and foot tapping.
Lottie says: "There are so many different triggering sounds at Christmas and that can be anxiety inducing and make you dread it.
"My relatives are understanding, but I'm very mindful that I don't want to upset others. It's like a constant struggle of sacrificing my own sanity to ensure others enjoy themselves."
So it's clear why the supposedly joyous time of the year can quickly turn into a source of agony for affected individuals.
Sounds that may be considered normal, like someone sipping a beverage, opening presents, or enjoying festive food can provoke a visceral feeling that can even lead to them avoiding social settings altogether.
Jenna, a 21-year-old student, who has dealt with misophonia for over a decade, says her strategy is to put her earphones in to get through dinner. Usually, she would often retreat in a different room to minimize problematic noises.
She says her misophonia is more pronounced around people she's most comfortable with, so Christmas is always "hard".
"People assume you to socialize with family, and I wish to, but it's exhausting on all levels.
"It's like this intense irritation washes over me, which can feel shameful, or I'll feel anxious and burst into tears and then fight-or-flight will kick in.
"It may seem as if I'm being difficult and overreacting, but it's hard to explain without firsthand experience."
If it's an issue then there are a few methods you can try to cope the situation, according to clinical psychologists.
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