Lottie is looking forward to seeing her relatives over the holidays, but admits one of the only ways she'll endure is by using her hearing protection - notably for the main festive feast.
In her case, the holidays often feels like a notably tough period as the sounds of family members munching, drinking noisily and nose-blowing trigger intense distress.
"There's this wave of instant dread, my entire being will just freeze and it seems as if I'm in a threatening situation, and I need to stop these noises."
Lottie has suffered from misophonia since she was 16 and for her that causes the holiday period "exceptionally stressful".
Misophonia is an intense sensitivity to particular auditory triggers, especially noises coming from individuals.
It is prevalent in the UK. A study reported a significant portion of people suffer from it.
Typically it's noises connected to eating or drinking that lead to discomfort, as well as examples such as chewing, breathing, and pen clicking.
The sufferer notes: "You encounter so many assorted problematic noises at the holidays and that can be stressful and make you fear it.
"My family are understanding, but I'm very mindful that I don't want to spoil the mood. It's like a constant struggle of enduring my distress to guarantee others enjoy themselves."
So it's clear why the supposedly joyous season can transform into a living nightmare for sufferers.
Triggers that may appear innocuous, like someone drinking champagne, opening presents, or enjoying festive food can provoke a visceral feeling that can even result in them skipping events entirely.
Jenna, a university student, who has experienced sound sensitivity from childhood, states currently her plan is to listen to music to manage the meal. On any other day, she would usually isolate herself in a separate space to minimize problematic noises.
She says her misophonia is more intense around people she's most familiar with, so Christmas is always "difficult".
"People assume you to socialize with family, and I want to, but it's exhausting on all levels.
"It's like this uncontrollable anger takes hold, which can feel awkward, or I'll feel panicked and immediately start crying and then fight-or-flight will activate.
"To others it appears as if I'm being unreasonable and overreacting, but it's hard to explain unless you've experienced it."
For those affected then there are some different techniques you can use to handle the situation, according to specialists.
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