One young woman is looking forward to spending time with her relatives over the holidays, but says a key strategy she'll manage to get through it is by relying on her earplugs - particularly at the main festive feast.
For the 23-year-old, the holidays can be a notably tough season as the noises of family members munching, drinking noisily and nose-blowing make her feel profound anxiety.
"I get this wave of instant dread, my every muscle will just tense up and it feels like I'm in a threatening situation, and I need to manage these noises."
She has suffered from this condition for several years and for her that renders the holiday period "incredibly overwhelming".
Misophonia is an intense sensitivity to specific noises, especially noises produced by other people.
It's surprisingly common across the population. Experts found nearly 20% people experience it.
Often it's sounds connected to bodily functions that cause distress, including things like chewing, breathing, and foot tapping.
The sufferer notes: "There are so many various auditory triggers at the holidays and that can be stressful and make you want to avoid it.
"Those close to me are aware, but I'm very aware that I don't want to spoil the mood. It's like a constant struggle of enduring my distress to make sure everyone else is happy."
So it's easy to understand why the most wonderful time of the year can quickly turn into a source of agony for sufferers.
Sounds that may seem harmless, like someone slurping a Buck's fizz, opening presents, or eating the holiday meal can trigger a visceral feeling that can even lead to them skipping events entirely.
She, a 21-year-old student, who has struggled with misophonia from childhood, says her strategy is to listen to music to cope. Typically, she would usually isolate herself in a quiet area to escape problematic noises.
She says her sensitivity is more intense around people she's most comfortable with, so the holidays is always "difficult".
"There is pressure to spend time with loved ones, and I desire to, but it's draining.
"The sensation is this uncontrollable anger comes over me, which can feel shameful, or I'll feel panicked and burst into tears and then fight-or-flight will take over.
"It may seem as if I'm being difficult and melodramatic, but it's hard to explain unless you've experienced it."
For those affected then there are various strategies you can attempt to manage the situation, according to specialists.
Maya Chen is a seasoned gaming journalist with over a decade of experience covering video game releases and industry trends.