That’s a really difficult situation Jessie. If you’re exhausted all the time your stress levels will be higher than usual and your amygdala more reactive. This in turn will make the misophonia much worse, resulting in even more stress and even less sleep and less on. Is there somewhere you can go to get some respite (a quiet room or a nice walk)? If you can reset from time to time that will really help. Also, if you haven’t already it might be worth investing in some headphones that you can use when it’s particularly bad at home.