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One young woman anticipates seeing her family over the holidays, but says one of the only ways she'll manage to get through it is by using her hearing protection - notably for the main festive feast.
For her, this time of year is a particularly difficult time as the noises of family members munching, sipping loudly and sniffling make her feel intense distress.
"There's this sensation of sudden panic, my whole body will just tighten and it as though I'm in danger, and I need to manage these triggers."
She has experienced sound sensitivity since she was 16 and for her that causes the holiday period "exceptionally stressful".
Misophonia is a decreased threshold to certain sounds, especially noises coming from individuals.
The condition is widespread amongst adults. Researchers found nearly 20% people suffer from it.
Often it's sounds associated with mouth, throat or facial movements that lead to discomfort, as well as things like crunching, breathing, and repetitive finger tapping.
She explains: "There are so many assorted problematic noises at the holidays and that can be anxiety inducing and make you fear it.
"My family are understanding, but I'm very aware that I don't want to make other people feel uncomfortable. It's like a really big battle of managing my symptoms to make sure the event goes smoothly."
So it's clear why the most wonderful time of the year can quickly turn into a living nightmare for affected individuals.
Triggers that may appear innocuous, like someone sipping a beverage, unwrapping gifts, or eating the holiday meal can cause a strong emotional response that can even lead to them avoiding social settings altogether.
Jenna, a university student, who has dealt with misophonia from childhood, explains the approach she intends to use is to use headphones to get through dinner. Typically, she would usually isolate herself in a separate space to escape distressing triggers.
She explains her sensitivity is more intense around people she's most comfortable with, so the holidays is always "hard".
"There is pressure to spend time with loved ones, and I wish to, but it's exhausting on all levels.
"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 fight-or-flight will take over.
"It may seem as if I'm being unreasonable and melodramatic, but it's hard to explain unless you've experienced it."
If you suffer then there are a few methods you can try to cope the situation, according to clinical psychologists.
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