“boom boom pow” by: erin mcintyre hinds
TRANSCRIPT
“Boom Boom Pow”
By: Erin McIntyre Hinds
http://www.doggiestylish.com/store/blog/2011/06/20-pictures-of-good-dogs-caught-doing-bad-things/
http://www.google.com/imgres?q=dog+destructive&um=1&hl=en&biw=1024&bih=514&tbm=isch&tbnid=9U_Uy4Zuh4khYM:&imgrefurl=http://blogs.sundaymercury.net/weirdscience/2010/10/destructive-dogs-show-signs-of.html&docid=c3m3N6FXTdopwM&w=346&h=346&ei=MI1ETq-FLaHx0gGT4ZnNBw&zoom=1&iact=rc&dur=176&page=1&tbnh=114&tbnw=120&start=0&ndsp=15&ved=1t:429,r:6,s:0&tx=83&ty=104
http://www.digmydog.org/tags/chew
http://www.digmydog.org/tags/chew
http://www.doggiestylish.com/store/blog/2011/06/20-pictures-of-good-dogs-caught-doing-bad-things/
http://www.wikihow.com/Stop-Destructive-Behavior-in-Dogs
Meet Fantine
• 8 years old• Female Spayed• Mixed Breed• Adopted from shelter in 2004
Important Previous Medical History
• 1st week home:– Destructive– Defecated in crate, laundry room
• September 2004: Moved to Phoenix– Walks, dog park and apt manager– Destruction continues (blinds)
Important Previous Medical History
• July 2007: Moved to Tucson – Escape artist, apt manager– Destruction continues (blinds, shoes)– Rescue Remedy and Dog Appeasing Pheromone
• Spring 2008: – Destruction worsens (blanket, mats, beds, toys)– Exercise– Owner sought rDVM/behaviorist assistance
Presentation to MSU-CVM
• July 2009: Moved to Starkville• July 14 2009: Presents to MSU-CVM– Clinical signs: Pants, paces, whines, shakes, eyes
dilate, panics during storms (new since moving)– PE: WNL– CBC/CHEM: WNL
Problem List
• Anxious• Destructive• Not always sensitive to pain• Occurs only when owner is not home or during thunderstorms
http://blogberrygarden.blogspot.com/2011/03/agoraphobia-cats-meet-fellows-ago.html
http://billiesblog.com/uncategorized/thunder-anxiety-dogs/
Rule Outs
• House soiling:– Medical causes of house
soiling• UTI, Cystitis, Bladder Stones• IBD, Anal Sac problems, Food
sensitivities
– Inadequate house training– Marking (mostly intact
males)– Prolonged periods without
going outside– Cognitive dysfunction
syndrome
• Destruction:– Limited play or exercise– External stimuli
• Neurological• Separation Anxiety• Thunderstorm Phobia
http://www.lafayette-online.com/community/2009/06/manage-pets-during-fireworks
Diagnosis
• Thunderstorm Phobia complicated by Separation Anxiety
Fear vs. Phobia
• Fears of strange noises or animals are adaptive responses because these can sometimes be associated with an increased risk of injury or even death.
• “Phobias are generally thought to be maladaptive responses of persistent fear and anxiety reactions that are out of proportion to the actual stimulus”
http://animalshak.com/2009/07/to-comfort-or-not-to-comfort-a-scared-dog.html
Thunderstorm Phobia
• Thunderstorm phobia falls under the category of noise phobia, with a few added components to complicate the issue.– the barometric pressure drops, the sky usually
darkens, lightening can occur, the sound of wind and rain can vary
• Dogs that are fearful of storms • Dogs that have a thunderstorm phobia
What’s next?
• July 14 2009:– Took her off Phenobarbital – Tried the thundershirt– Started on Fluoxetine (Reconcile) 20mg Q24H
• August 13 2009:– Refilled Fluoxetine (Reconcile) 20mg Q24H– Recommended Veterinary Behaviorist at Univ of Tenn
• September 16 2009:– Increased Floxetine (Reconcile) to 25mg Q24H
• Fall 2009:– Began fostering dogs to find Fantine a “friend”
Fantine and Eponine
The Destruction Continues
• April 2010:– Fantine and Eponine
chewed up carpet while owner was out of the house
– Both got new crates
The Thunderstorm Phobia Worsens
• May 6 2010: – Presented to MSU-CVM
for fractured tooth and damaged nails/pads from trying to escape from crate during storm
– Took her off Fluoxetine – Prescribed New
Medications:• Clomipramine
(Clomicalm)• Alprazolam (Xanax)
This owner tried
everything!
Exercise
Desensitization
Rescue Remedy & D.A.P.
Phenobarbital & Fluoxetine
Thunder shirt
What did not help Fantine?
Fantine’s Current Medications
• Clomipramine (50 mg) 1 caps Q12H • Alprazolam (2 mg)
.5-1 tab Q24H• Acepromazine (2 mg ) 2 tabs as needed
And she’s doing well right nowon these drugs and dosages.
The Role of Veterinarians
• Client Expectations• Veterinary Medicine includes behavior• Overlooked in some practices
Summary
• We have discussed only one behavior issue, but the reality is there are many behavior issues that owners deal with on a daily basis. It is our job as veterinarians to be there when they need us.
Questions?