A 23-year-old is looking forward to being with her relatives over the holidays, but admits a key strategy she'll manage to get through it is by using her hearing protection - notably for Christmas dinner.
For her, Christmas can be a especially challenging period as the sounds of people eating, slurping and sniffling make her feel intense distress.
"There's this wave of immediate anxiety, my every muscle will just tense up and it seems as if I'm in danger, and I need to somehow control these triggers."
Lottie has suffered from sound sensitivity for several years and for her that causes the holiday period "exceptionally stressful".
Misophonia is a decreased threshold to certain sounds, especially noises coming from individuals.
It is prevalent in the UK. A study reported nearly 20% people experience it.
Typically it's sounds associated with eating or drinking that cause distress, along with examples such as crunching, heavy breathing, and repetitive finger tapping.
Lottie says: "There are so many various auditory triggers at Christmas and that can be daunting and make you fear it.
"Those close to me are aware, but I'm very aware that I don't want to make other people feel uncomfortable. It's like a constant struggle of sacrificing my own sanity to ensure everyone else is happy."
So it's easy to understand why the traditionally happy time of the year can transform into a source of agony for those with the condition.
Sounds that may appear innocuous, like someone drinking champagne, unwrapping gifts, or tucking into a Christmas dinner can trigger a powerful reaction that can even result in them skipping events entirely.
The student, a university student, who has experienced sound sensitivity from childhood, states the approach she intends to use is to use headphones to cope. Typically, she would frequently go in a quiet area to escape problematic noises.
She notes her condition is more pronounced around people she's closest to, so the holidays is always "hard".
"There is pressure to socialize with loved ones, and I desire to, but it's draining.
"The sensation is this intense irritation comes over me, which can feel embarrassing, or I'll feel anxious and begin to weep and then the stress response will kick in.
"It may seem as if I'm being unreasonable and dramatic, but it's difficult to convey unless you've experienced it."
For those affected then there are various strategies you can use to handle the situation, according to specialists.
A certified nutritionist and wellness coach with over a decade of experience in holistic health practices.