One young woman anticipates spending time with her relatives this Christmas, but admits one of the only ways she'll cope is by relying on her earplugs - especially during the holiday meal.
For her, this time of year can be a notably tough period as the sounds of family members munching, sipping loudly and sniffling make her feel intense distress.
"There's this wave of sudden panic, my whole body will just tighten and it feels like I'm in danger, and I need to stop these noises."
She has experienced sound sensitivity since she was 16 and for her that renders the festive season "deeply taxing".
Misophonia is a reduced tolerance to particular auditory triggers, notably sounds coming from individuals.
It's surprisingly common across the population. Researchers discovered nearly 20% people are affected by it.
Typically it's sounds associated with bodily functions that trigger a reaction, as well as examples such as crunching, heavy breathing, and foot tapping.
She explains: "You encounter so many different triggering sounds at the holidays and that can be anxiety inducing and make you fear it.
"My family are aware, but I'm very aware that I don't want to spoil the mood. It's like a internal conflict of enduring my distress to guarantee everyone else is happy."
So it's obvious why the supposedly joyous period can rapidly become a living nightmare for affected individuals.
Triggers that may seem harmless, like someone sipping a beverage, unwrapping gifts, or eating the holiday meal can cause a strong emotional response that can even cause them withdrawing from gatherings.
The student, a university student, who has dealt with sound sensitivity from childhood, explains the approach she intends to use is to use headphones to manage the meal. On any other day, she would usually isolate herself in a different room to escape distressing triggers.
She says her misophonia is more intense around people she's most familiar with, so the holidays is always "difficult".
"There is pressure to be around family, 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 fight-or-flight will take over.
"It can come across as if I'm being oversensitive and overreacting, but it's hard to explain if you haven't felt it."
For those affected then there are a few methods you can attempt to manage the situation, as suggested by clinical psychologists.
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