Vet360 Vet360 Vol 06 Issue 02 | Page 5

BEHAVIOUR Risk factors include age (over 4 years, except for lines where the condition is heritable), exposure to loud noises in the first four months of age, ambilateralism and unstable prior experience. Dogs that stayed with the breeder had a lower risk of developing the condition. provided in a familiar, accessible place such as in a bedroom or on the patio in a sheltered spot, where the dog already tends to go voluntarily. The pet should have free access to it even when the owner is not at home. Get the dog used to it in a fun way when there are no scary sounds so that he will voluntarily enter the den when necessary. Put some soft furnishings like pillows or blankets inside the den as this helps to absorb sounds. A pile of blankets to crawl under, even without a den, will help to block out sounds. If indoors, windows and curtains or blinds should be closed to block out light and sound. Noise phobia often co-exists with other anxiety disorders such as generalised anxiety disorder and separation anxiety. Differential diagnoses Noise phobia can be confused with separation anxiety when the dog shows more severe behaviour in the absence of the owner. Due to the owner being a safety signal the noise phobia is less severe in the presence of the owner, and it can appear to be separation-linked. Another possible differential diagnosis is attention-seeking behaviour – the animal may have learned that fearful behaviour results in the owner giving attention. Such behaviour would be absent in the absence of the owner. Videotaping the patient when the owner is not present during a storm will help to confirm or eliminate this diagnosis, as attention-seeking behaviour per definition only occurs in the presence of the owner. Clinical approach • Pheromonatherapy: The Adaptil range of products (Ceva) contains dog appeasing pheromone. The different formulations can be used individually or combined - a collar lasting one month, diffusers in the home (1 month effectivity) and a spray sprayed inside the den and/or on a scarf that is put around the dog’s neck (unless it is wearing a collar already). • Classical music has been showed to reduce anxiety in dogs and cats and can be played during the thunderstorm or other event. Physical manipulation • A complete physical examination focusing particularly on conditions causing pain should be performed. Concurrent behaviour conditions should be identified by obtaining a detailed history. Treatment The most important aspect of treatment is to start treatment early, when the animal starts showing signs of fear due to noises. The sooner fearful animals are treated, the less likely they are to progress to severe phobias. The mildest signs of anxiety during phobic events justify at least short-term medication. Noise phobias usually progress to severe levels if left untreated. Advising clients to withhold treatment until the condition deteriorates is not in the animal’s best interest. • Behavioural/psychological modification • Treatment consists of environmental modification, medication (chemical manipulation) behavioural modification and physical modification. Environmental modification • Avoid exposure: If possible, keep the dog indoors in a dark room with many furnishings to absorb the sound. In the case of known events e.g. fireworks shows, consider taking the pet to another location for the duration of the event • A safe, soundproof den or crate should be So-called “thunder shirts”: - - Some dogs benefit from a garment or bandage around the trunk e.g. form-fitting anti-static capes (Storm Defender) or anxiety wraps. In some cases just a relatively tight- fitting T-shirt may be helpful. For some dogs, wearing a garment is in itself scary and they freeze when it is put on them – freezing should not be mistaken for reduced anxiety. In controlled trials improvements were noted with these products but the effects were found to be insignificant. Ear muffs or ear plugs may be helpful to dull the sounds • Counter-conditioning: Associate the noise with pleasant stimuli e.g. toys, games, physical interaction between the owner and the dog, music. In very severe cases the animals will be unable to respond to counter-conditioning. Systematic desensitisation: The dog is gradually exposed to low levels of the fear-eliciting sound, slowly becoming louder and louder. The recommended product to use is the Sounds Scary which is available at https://www.dogstrust. org.uk/help-advice/dog-behaviour-health/sound- therapy-for-pets. It is important that this product is used correctly by following the instructions carefully. This is a longer term approach as the desensitisation process should commence when Issue 02 | MAY 2019 | 5