One young woman anticipates seeing her family during the festive period, but notes one of the only ways she'll endure is by using her noise-cancelling devices - particularly at the holiday meal.
For her, this time of year is a especially challenging period as the noises of people eating, sipping loudly and breathing heavily make her feel profound anxiety.
"There's this wave of immediate anxiety, my whole body will just tense up and it as though I'm in danger, and I need to manage these triggers."
She has lived with misophonia from a young age and for her that renders the holiday period "incredibly overwhelming".
Misophonia is an intense sensitivity to specific noises, notably sounds coming from those around you.
It's surprisingly common across the population. Researchers reported nearly 20% people are affected by it.
Frequently it's noises connected to bodily functions that trigger a reaction, as well as things like chewing, heavy breathing, and foot tapping.
She explains: "You encounter so many different triggering sounds at the holidays and that can be daunting and make you dread it.
"Those close to me are aware, but I'm very mindful that I don't want to make other people feel uncomfortable. It's like a constant struggle of sacrificing my own sanity to make sure everyone else is happy."
So it's clear why the supposedly joyous time of the year can quickly turn into a source of agony for those with the condition.
Noises that may seem harmless, like someone sipping a beverage, opening presents, or tucking into a Christmas dinner can trigger a powerful reaction that can even lead to them withdrawing from gatherings.
She, a 21-year-old student, who has experienced sound sensitivity for over a decade, explains currently her plan is to use headphones to cope. On any other day, she would frequently go in a different room to avoid problematic noises.
She says her misophonia is more pronounced around people she's closest to, so the holidays is always "challenging".
"There's an expectation to spend time with family, and I want to, but it's physically and mentally challenging.
"I feel as if this intense irritation washes over me, which can feel shameful, or I'll feel stressed and begin to weep and then the stress response will kick in.
"To others it appears as if I'm being oversensitive and overreacting, but it's hard to explain unless you've experienced it."
If it's an issue then there are a few methods you can attempt to manage the situation, as suggested by clinical psychologists.
Elara Vance is a technology strategist with over a decade of experience in IT consulting, specializing in digital transformation and cybersecurity solutions.