VSPN AOW : Managing Compulsive Disor... |
Managing Compulsive Disorders in CatsToday's Vet Pract. Sep-Oct 2021;11(5):98-102. 16 Refs1 College of Veterinary Medicine, North Carolina State University, Raleigh, NC 27607, USA.
Author AbstractSustained self-licking and overgrooming are common behaviors associated with compulsive disorders in felines.
Companion NotesOverview on managing compulsive disorders in cats
Compulsive disorders - normal behaviors abnormally repeated, sustained, and out of context - diagnostic criteria generally include the following: - abnormal repetitive behavior done excessively and out of context - difficult to interrupt - replacing other normal behaviors - relatively rare prevalence in the cat - similar to obsessive-compulsive disorder (OCD) in humans - in humans, intrusive thought predate compulsive episodes - episodes in animals are often triggered by stressful or high-arousal situations - behavior can be classified as locomotor, oral, aggressive, vocalization, or hallucinatory (in cats and dogs) - rule-outs differ depending on the proposed underlying dysfunction - oral behaviors may primarily be related to GI inflammation - rather than just a behavioral cause - overgrooming by cats is often due to pruritic skin disease - but overgrooming can be directed to a painful part of the body - like the abdomen during bouts of lower urinary tract disease - common behaviors associated with compulsive disorders in cats - sustained self-licking - overgrooming - for hallucinatory behaviors, ocular differentials should be considered - treatment is often lifelong - generally aimed at reducing the frequency, intensity, and duration of episodes - so alternative behaviors can be trained and reinforced - environmental management - assess cat’s behavior after environmental enrichment - some toys may frustrate the cat - if cat cannot complete the hunting sequence - including catching the prey - look for areas of the environment where episodes are more likely - identify client-specific situations or locations that trigger the behavior - relationship building - compulsive behaviors often seen during acute conflict or high arousal - punishment or aversive measures are contraindicated - owners should have predictable positive interactions with cats (this will reduce overall anxiety and conflict) - ignore all attention-seeking behaviors from cat - if you wish to interact, start with behavior cat is already good at (such as “come” or “touch” or say their name or open food container) - if cat performs the behavior when cued, cat gets something pleasant - such as a food treat, play with a toy, or petting - if cat doesn’t perform the behavior, owner continues to ignore cat - tools; the right tools will dramatically aid in the success of steps above - such as just switching the spray bottle for a wand toy and some catnip - cats with high levels of frustration may benefit the following: - window film, blocking view of potential prey or other outdoor cats - food puzzles and food toys that allow cat to complete the predatory sequence - white noise machine could help if outdoor noises are a trigger - clicker training - behavior modification - recent research shows cats are just as capable as dogs of mastering cues - given via positive-reinforcement training - start by developing a strong foundation - using positive reinforcement–based training for simple behaviors - such as look, touch, and sit - which can be used for the following: - cue-response-reward interactions - response substitution - after cat knows 1 or 2 simple behaviors, behavior modification can be started - interrupt behaviors associated with a compulsive episode without scaring the cat - distract by whistling, clapping hands, or making a kissing noise - then ask cat to perform an alternative behavior and immediately reward cat - alternative behavior should make compulsive behavior impossible - this technique is often referred to as the following: - response substitution - operant counterconditioning - differential reinforcement of alternate or incompatible behavior - local trainers can be helpful (International Association of Animal Behavior Consultants) - medication - there’s limited information on medications for compulsive disorders in cats - fluoxetine and clomipramine show most efficacy for treating compulsive disorders - fluoxetine is a selective serotonin reuptake inhibitor (SSRI) - in human medicine, it’s approved for OCD - clinical effects often not seen for 4-6 weeks - start fluoxetine at 0.5 mg/kg PO q24h - can be increased to 1.5 mg/kg q24h - side effects include the following: (discontinue if side effects are severe or last longer than 1 week) - loss of appetite - vomiting - sedation - increased irritability - clomipramine is a tricyclic antidepressant - in human medicine, only drug in its class approved for OCD - veterinary formulation labeled only for separation anxiety in dogs in USA - approved for dogs with compulsive disorders in Australia and Canada - start clomipramine at 0.25 mg/kg PO q24h - can be increased up to 1.3 mg/kg total daily dose - may take several weeks before any appreciable effect seen - consider consultation with a specialist - for cat’s refractory to initial treatment - for cat’s requiring multimodal medications
Common compulsive disorder behaviors and medical differentials - Locomotor behavior category - behaviors include the following: - tail chasing - light/shadow reflection chasing - freezing - skin rippling - circling - noncompulsive-behavior differentials - partial/focal sensory seizure - pain (neurologic, orthopedic, or generalized) - primary dermatologic (ectoparasites, allergies, or infection) - normal nonpathologic behavior - Oral/Ingestive - behaviors include the following: - overgrooming - self-chewing of legs or feet - licking objects - wool sucking - pica - noncompulsive-behavior differentials - primary GI/nutritional - primary dermatologic (ectoparasites, allergies, or infection) - pain (neurologic, orthopedic, or generalized) - Aggression - behaviors include the following: - self-directed - often a component of feline hyperesthesia syndrome - noncompulsive-behavior differentials - pain (neurologic, orthopedic, generalized) - primary dermatologic (ectoparasites, allergies, infection) - partial/focal sensory seizure - Vocalization - behaviors include the following: - rhythmic, persistent, monotonous meowing or yowling - noncompulsive-behavior differentials - partial/focal sensory seizure - cognitive dysfunction - pain (neurologic, orthopedic, or generalized) - Hallucinatory - behaviors include the following: - avoiding imaginary objects - stargazing - startling without trigger - noncompulsive-behavior differentials - primary ophthalmic - hypertension - primary neurologic
“Overgrooming by cats often results from pruritic skin disease and cannot be diagnosed without a complete dermatologic workup… Alternatively, overgrooming can be directed to a body part that is painful, such as the abdomen during bouts of feline lower urinary tract disease or chronic pancreatitis…”
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VSPN AOW : Managing Compulsive Disor... |
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