A 23-year-old anticipates spending time with her loved ones this Christmas, but admits a key strategy she'll manage to get through it is by wearing her earplugs - particularly at the main festive feast.
For the 23-year-old, the holidays can be a particularly difficult season as the auditory triggers of other people chewing, sipping loudly and nose-blowing trigger intense distress.
"I get this wave of sudden panic, my entire being will just freeze and it seems as if I'm in peril, and I need to manage these triggers."
Lottie has experienced misophonia from a young age and for her that causes the festive season "exceptionally stressful".
Misophonia is a reduced tolerance to certain sounds, notably sounds made by individuals.
It's surprisingly common across the population. Experts reported nearly 20% people are affected by it.
Often it's noises associated with eating or drinking that cause distress, including things like chewing, breathing, and pen clicking.
She explains: "I face so many assorted problematic noises at the holidays and that can be anxiety inducing and make you want to avoid it.
"My relatives are supportive, but I'm very mindful that I don't want to spoil the mood. It's like a internal conflict of enduring my distress to guarantee others enjoy themselves."
So it's easy to understand why the supposedly joyous season can quickly turn into a living nightmare for affected individuals.
Triggers that may be considered normal, like someone sipping a beverage, rustling a roll of wrapping paper, or eating the holiday meal can provoke a powerful reaction that can even cause them avoiding social settings altogether.
The student, a university student, who has experienced sound sensitivity since aged 10, says the approach she intends to use is to put her earphones in to cope. Typically, she would frequently go in a separate space to escape problematic noises.
She explains her condition is more intense around people she's closest to, so Christmas is always "hard".
"There is pressure to be around loved ones, and I want to, but it's exhausting on all levels.
"I feel as if this uncontrollable anger takes hold, which can feel awkward, or I'll feel stressed and immediately start crying and then the stress response will take over.
"To others it appears as if I'm being oversensitive and overreacting, but it's tough to describe without firsthand experience."
If it's an issue then there are some different techniques you can use to handle the situation, based on advice from experts.
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