A 23-year-old anticipates being with her relatives this Christmas, but says a primary method she'll manage to get through it is by wearing her hearing protection - particularly at the holiday meal.
For the 23-year-old, Christmas is a particularly difficult period as the sounds of family members munching, slurping and nose-blowing cause her extremely uncomfortable.
"I experience this wave of instant dread, my entire being will just tighten and it seems as if I'm in peril, and I need to stop these noises."
She has experienced sound sensitivity from a young age and for her that renders the holiday period "deeply taxing".
Misophonia is a decreased threshold to certain sounds, notably sounds made by individuals.
It is prevalent across the population. A study discovered a significant portion of people experience it.
Typically it's sounds connected to eating or drinking that trigger a reaction, including things like crunching, heavy breathing, and pen clicking.
Lottie says: "There are so many assorted problematic noises at Christmas and that can be daunting and make you fear it.
"My relatives are supportive, but I'm very aware that I don't want to spoil the mood. It's like a constant struggle of sacrificing my own sanity to guarantee the event goes smoothly."
So it's easy to understand why the supposedly joyous period can rapidly become a living nightmare for sufferers.
Triggers that may appear innocuous, like someone sipping a beverage, rustling a roll of wrapping paper, or enjoying festive food can trigger a powerful reaction that can even lead to them skipping events entirely.
The student, a 21-year-old student, who has struggled with misophonia for over a decade, explains her strategy is to listen to music to cope. On any other day, she would frequently go in a quiet area to minimize triggering sounds.
She notes her sensitivity is more intense around people she's closest to, so Christmas is always "challenging".
"There is pressure to spend time with family, and I wish to, but it's draining.
"The sensation is this intense irritation takes hold, which can feel awkward, or I'll feel stressed and burst into tears and then the stress response will kick in.
"It may seem as if I'm being oversensitive and dramatic, but it's difficult to convey without firsthand experience."
For those affected then there are some different techniques you can use to handle the situation, as suggested by clinical psychologists.
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