A 23-year-old anticipates spending time with her relatives over the holidays, but admits a primary method she'll endure is by relying on her earplugs - especially during Christmas dinner.
For her, Christmas is a especially challenging time as the auditory triggers of people eating, drinking noisily and breathing heavily trigger extremely uncomfortable.
"There's this wave of immediate anxiety, my every muscle will just tighten and it feels like I'm in peril, and I need to manage these triggers."
Lottie has suffered from sound sensitivity since she was 16 and for her that renders the festive season "deeply taxing".
Misophonia is an intense sensitivity to particular auditory triggers, especially noises made by those around you.
It is prevalent across the population. Experts reported almost one in five people suffer from it.
Typically it's noises linked to eating or drinking that lead to discomfort, along with things like crunching, breathing, and foot tapping.
Lottie says: "There are so many different triggering sounds at Christmas and that can be anxiety inducing and make you fear it.
"My family are supportive, but I'm very mindful that I don't want to make other people feel uncomfortable. It's like a internal conflict of sacrificing my own sanity to guarantee everyone else is happy."
So it's obvious why the most wonderful period can transform into a source of agony for sufferers.
Noises that may seem harmless, like someone slurping a Buck's fizz, unwrapping gifts, or eating the holiday meal can cause a strong emotional response that can even cause them skipping events entirely.
Jenna, a young adult, who has struggled with sound sensitivity since aged 10, states the approach she intends to use is to use headphones to manage the meal. Typically, she would frequently go in a quiet area to avoid triggering sounds.
She notes her misophonia is more intense around people she's most comfortable with, so the holidays is always "difficult".
"There's an expectation to socialize with family, and I desire to, but it's physically and mentally challenging.
"It's like this intense irritation comes over me, which can feel awkward, or I'll feel panicked and burst into tears and then fight-or-flight will kick in.
"It can come across as if I'm being difficult and overreacting, but it's difficult to convey unless you've experienced it."
If it's an issue then there are various strategies you can use to handle the situation, according to experts.