One young woman is looking forward to seeing her relatives over the holidays, but says a key strategy she'll cope is by relying on her earplugs - notably for Christmas dinner.
In her case, this time of year often feels like a particularly difficult time as the auditory triggers of other people chewing, sipping loudly and nose-blowing trigger extremely uncomfortable.
"I experience this feeling of immediate anxiety, my whole body will just tense up and it seems as if I'm in danger, and I need to somehow control these sounds."
She has suffered from sound sensitivity for several years and for her that renders the festive season "incredibly overwhelming".
Misophonia is an intense sensitivity to specific noises, especially noises made by individuals.
It's surprisingly common amongst adults. A study reported almost one in five people are affected by it.
Typically it's sounds linked to mouth, throat or facial movements that trigger a reaction, including examples such as chewing, breathing, and foot tapping.
She explains: "There are so many different triggering sounds at the holidays and that can be anxiety inducing and make you want to avoid it.
"My relatives are aware, but I'm very aware that I don't want to spoil the mood. It's like a really big battle of managing my symptoms to ensure others enjoy themselves."
So it's clear why the supposedly joyous period can rapidly become a source of agony for affected individuals.
Noises that may be considered normal, like someone slurping a Buck's fizz, opening presents, or eating the holiday meal can trigger a powerful reaction that can even lead to them avoiding social settings altogether.
Jenna, a young adult, who has dealt with misophonia for over a decade, says currently her plan is to put her earphones in to cope. Typically, she would usually isolate herself in a different room to minimize distressing triggers.
She notes her condition is more pronounced around people she's most comfortable with, so Christmas is always "challenging".
"There's an expectation to socialize with family, and I want to, but it's exhausting on all levels.
"I feel as if this sudden rage washes over me, which can feel embarrassing, or I'll feel anxious and immediately start crying and then fight-or-flight will kick in.
"To others it appears as if I'm being oversensitive and melodramatic, but it's difficult to convey if you haven't felt it."
For those affected then there are a few methods you can attempt to manage the situation, based on advice from clinical psychologists.
Smartwatch enthusiast and tech writer based in Enschede, covering wearable innovations.