A 23-year-old anticipates seeing her relatives this Christmas, but notes a primary method she'll cope is by using her earplugs - especially during the main festive feast.
For her, Christmas often feels like a notably tough period as the sounds of other people chewing, slurping and sniffling make her feel intense distress.
"I get this wave of immediate anxiety, my every muscle will just tense up and it as though I'm in peril, and I need to stop these noises."
Lottie has experienced sound sensitivity since she was 16 and for her that makes the Christmas time "incredibly overwhelming".
Misophonia is a reduced tolerance to particular auditory triggers, especially noises produced by those around you.
It's surprisingly common in the UK. A study found nearly 20% people experience it.
Frequently it's sounds associated with mouth, throat or facial movements that lead to discomfort, including things like crunching, heavy breathing, and pen clicking.
Lottie says: "There are so many different triggering sounds at Christmas and that can be daunting and make you fear it.
"My family are aware, 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 guarantee everyone else is happy."
So it's clear why the supposedly joyous time of the year can rapidly become a source of agony for sufferers.
Sounds that may appear innocuous, like someone slurping a Buck's fizz, opening presents, or tucking into a Christmas dinner can cause a visceral feeling that can even cause them avoiding social settings altogether.
The student, a 21-year-old student, who has struggled with misophonia from childhood, explains currently her plan is to put her earphones in to manage the meal. Typically, she would usually isolate herself in a separate space to minimize distressing triggers.
She notes her condition is more pronounced around people she's most familiar with, so Christmas is always "challenging".
"There's an expectation to be around family, and I wish to, but it's physically and mentally challenging.
"The sensation is this intense irritation comes over me, which can feel embarrassing, or I'll feel anxious and begin to weep and then panic will kick in.
"To others it appears as if I'm being unreasonable and overreacting, but it's tough to describe without firsthand experience."
For those affected then there are various strategies you can try to cope the situation, according to specialists.
A data scientist and business strategist with over a decade of experience in transforming raw data into actionable insights for global enterprises.
Matthew Walker
Matthew Walker
Matthew Walker
Matthew Walker
Matthew Walker