Lottie anticipates seeing her family this Christmas, but says a primary method she'll manage to get through it is by relying on her hearing protection - especially during the holiday meal.
For the 23-year-old, this time of year often feels like a especially challenging period as the sounds of family members munching, drinking noisily and sniffling cause her intense distress.
"I get this sensation of sudden panic, 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 lived with misophonia since she was 16 and for her that causes the festive season "incredibly overwhelming".
Misophonia is a decreased threshold to particular auditory triggers, especially noises produced by individuals.
The condition is widespread in the UK. A study discovered almost one in five people are affected by it.
Often it's sounds associated with mouth, throat or facial movements that trigger a reaction, along with examples such as chewing, heavy breathing, and foot tapping.
She explains: "I face so many different triggering sounds at Christmas and that can be stressful and make you dread it.
"My family are supportive, but I'm very mindful that I don't want to upset others. It's like a really big battle of sacrificing my own sanity to make sure everyone else is happy."
So it's easy to understand why the traditionally happy period can transform into a stressful ordeal for those with the condition.
Triggers that may appear innocuous, like someone drinking champagne, rustling a roll of wrapping paper, or enjoying festive food can trigger a powerful reaction that can even cause them avoiding social settings altogether.
The student, a university student, who has dealt with sound sensitivity for over a decade, states her strategy is to use headphones to get through dinner. Typically, she would frequently go in a quiet area to escape problematic noises.
She notes her condition is worse around people she's most familiar with, so the holidays is always "difficult".
"There is pressure to socialize with loved ones, and I wish to, but it's exhausting on all levels.
"I feel as if this intense irritation washes over me, which can feel embarrassing, or I'll feel stressed and begin to weep and then fight-or-flight will take over.
"It can come across as if I'm being unreasonable and dramatic, but it's difficult to convey without firsthand experience."
If you suffer then there are some different techniques you can use to handle the situation, based on advice from clinical psychologists.
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