A 23-year-old anticipates spending time with her relatives this Christmas, but notes a primary method she'll cope is by relying on her noise-cancelling devices - especially during the holiday meal.
For her, this time of year often feels like a notably tough season as the noises of other people chewing, drinking noisily and sniffling cause her intense distress.
"I get this sensation of instant dread, my whole body will just freeze and it seems as if I'm in a threatening situation, and I need to somehow control these noises."
Lottie has suffered from misophonia from a young age and for her that causes the festive season "exceptionally stressful".
Misophonia is a reduced tolerance to specific noises, notably sounds coming from individuals.
It is prevalent in the UK. Experts found nearly 20% people are affected by it.
Frequently it's noises linked to bodily functions that cause distress, including things like chewing, breathing, and foot tapping.
Lottie says: "You encounter so many different triggering sounds at Christmas and that can be daunting and make you want to avoid it.
"Those close to me are understanding, but I'm very conscious that I don't want to upset others. It's like a internal conflict of enduring my distress to ensure the event goes smoothly."
So it's obvious why the most wonderful season can transform into a living nightmare for sufferers.
Noises that may appear innocuous, like someone slurping a Buck's fizz, rustling a roll of wrapping paper, or eating the holiday meal can provoke a visceral feeling that can even lead to them withdrawing from gatherings.
Jenna, a young adult, who has dealt with sound sensitivity since aged 10, explains currently her plan is to put her earphones in to cope. On any other day, she would frequently go in a separate space to escape distressing triggers.
She notes her condition is worse around people she's most comfortable with, so Christmas is always "hard".
"There is pressure to be around family, and I want to, but it's physically and mentally challenging.
"It's like this sudden rage comes over me, which can feel embarrassing, or I'll feel panicked and immediately start crying and then the stress response will kick in.
"To others it appears as if I'm being unreasonable and dramatic, but it's hard to explain unless you've experienced it."
For those affected then there are various strategies you can use to handle the situation, according to experts.
A seasoned gambling analyst with over a decade of experience in the casino industry, specializing in game reviews and responsible betting practices.