Lottie is looking forward to being with her family this Christmas, but admits a key strategy she'll endure is by relying on her noise-cancelling devices - notably for the main festive feast.
In her case, this time of year is a particularly difficult season as the sounds of family members munching, sipping loudly and sniffling cause her extremely uncomfortable.
"There's this wave of immediate anxiety, my entire being will just freeze and it as though I'm in a threatening situation, and I need to stop these triggers."
She has experienced this condition for several years and for her that renders the Christmas time "deeply taxing".
Misophonia is an intense sensitivity to particular auditory triggers, notably sounds made by those around you.
The condition is widespread in the UK. Researchers discovered almost one in five people are affected by it.
Frequently it's sounds associated with eating or drinking that trigger a reaction, including examples such as crunching, heavy breathing, and repetitive finger tapping.
Lottie says: "I face so many assorted problematic noises at Christmas and that can be anxiety inducing and make you fear it.
"My family are understanding, but I'm very conscious that I don't want to spoil the mood. It's like a really big battle of enduring my distress to make sure others enjoy themselves."
So it's clear why the traditionally happy time of the year can transform into a source of agony for sufferers.
Triggers that may appear innocuous, like someone drinking champagne, unwrapping gifts, or eating the holiday meal can cause a visceral feeling that can even result in them skipping events entirely.
The student, a university student, who has dealt with misophonia since aged 10, says currently her plan is to use headphones to cope. Typically, she would frequently go in a quiet area to escape distressing triggers.
She notes her sensitivity is more pronounced around people she's closest to, so Christmas is always "hard".
"There's an expectation to socialize with family, and I wish to, but it's exhausting on all levels.
"It's like this sudden rage washes over me, which can feel awkward, 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 unreasonable and overreacting, but it's tough to describe if you haven't felt it."
If it's an issue then there are various strategies you can attempt to manage the situation, according to clinical psychologists.
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