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10/13/17
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EARLY INTERVENTIONS Lisa Radosta DVM, DACVB
Florida Veterinary Behavior Servicewww.flvetbehavior.com
GarretPachtinger,VMD,DACVECC
COO,VETgirl
Introduction
JustineA.Lee,DVM,DACVECC,DABTCEO,VETgirl
IntroductionVETGIRL…ON THE RUN!
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HOW TO GET YOUR VETGIRL CE CERTIFICATE!Introduction
Lisa Radosta DVM, DACVB, Board
Certified Veterinary Behaviorist
10/13/17
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WHAT ARE THE EARLY SIGNS OF
EMOTIONAL DISORDERS IN
DOGS AND CATS?UNDERSTAND…
Normal BehaviorDevelopmental Periods
Predispositions
NORMAL PUPPY (VIDEOS)
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NORMAL PUPPY (VIDEO)
16Courtesy; Cheryl Van Voorhies
SOCIALIZATION PUPPY (VIDEO)
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CAUSES OF EMOTIONAL DISORDERS
➤ Purchased from a pet store➤ Removed from litter before 6 weeks➤ Weimaraners predisposed to
separation anxiety➤ Oriental breeds predisposed to Pica➤ Lack of exposure ➤ Inherited predisposition➤ Traumatic event
18Pierantoni, et al 2011
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NORMAL ELIMINATION BEHAVIOR (VIDEO)
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CONFIDENT CAT (VIDEO)
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NORMAL KITTEN PLAY (VIDEO)
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ASSESSMENT
➤ Snapshot➤ Combine with history➤ Caution when making predictions➤ Outliers➤ Identify sensitivity➤ Slow or lack of recovery➤ Arousal➤ Lack of interaction with environment➤ Repeatable pattern with a certain
stimulus-scared of all men
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LOOK FOR OUTLIERS
➤ 102 puppies, 8-16 weeks old➤ Obs of puppy free on floor, PE,
manipulations on the floor ➤ All puppies looked stressed➤ Outliers-
➤ More avoidance➤ Locomotion➤ Panting➤ Vocalization in multiple sitautions
23Godbout, et al
HOW CAN I GO ABOUT INITIATING EARLIER
INTERVENTIONS WITH MY PATIENTS WHO HAVE BEHAVIORAL
ISSUES?
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OBSERVE BEHAVIORRECORD OBSERVATIONS
KNOW YOUR OPTIONSEDUCATE TEAM AND CLIENTS
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WHAT EARLY INTERVENTIONS ARE AVAILABLE
➤ Socialization class➤ Obedience class➤ Dog trainer➤ Technician➤ Pharmaceutical➤ Diet➤ Environmental changes
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SCREEN FOR CLINICAL SIGNS
➤ Clients may not share openly➤ Use questionnaires➤ Use templates➤ Write things down
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QUESTIONS TO ASK THE CLIENT-PUPPY
➤ Have you noted any…➤ Growling?➤ Biting?➤ Snapping?➤ Unwillingness to interact with
people, animals or things?➤ Urination or defecation in the
house?
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QUESTIONS TO ASK THE CLIENT-KITTEN
➤ Have you noted any…➤ Growling?➤ Biting?➤ Swatting?➤ Unwillingness to interact with
people, animals or things?➤ Urination or defecation outside of
the litterbox?➤ Hissing?
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FEAR (VIDEO)
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FEAR (VIDEO)
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AROUSED CAT
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AROUSAL (VIDE0)
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WHAT SUPPLEMENTS OR MEDICATIONS CAN
BE USED?Are they a last resort?
Can we use them in puppies and kittens?
USE OF MEDICATIONS/SUPPLEMENTS IN PUPPIES AND KITTENS
➤ Reasonable to start with a supplement in an outlier or affected puppy or kitten➤ Better to start now as the brain is developing as opposed to waiting to see what
happens➤ If the puppy is not doing better after a high quality puppy class, consider a
supplement and a more targeted treatment plan.
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SUPPLEMENTS
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L-Theanineα-casozepine Magnolia officionalis
Phellodendron amurense
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CALM DIET
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l-tryptophan
α-casozepine
Nicotinamide (vitamin B3)
PRN or daily
2 weeks to effect
S/O diet base
COMPOSURE PRO
➤ Thiamine-100 mg➤ L-tryptophan-75 mg➤ Colostrum Calming complex-25 mg➤ L-theanine-25 mg➤ Chewable➤ Flavored
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SOLLIQUIN
➤ L-theanine➤ Magnolia and Phellodendron➤ Whey protein concentrate➤ Chewable➤ Flavored➤ Small and med chewable➤ Med-large chewable tablet
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ZYLKENE
➤ Alpha-casozepine➤ 75 mg, 225 mg, 450 mg➤ Non flavored➤ Capsule ➤ 15-30 mg/kg SID
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OTHER MEDICATIONS
➤ Moderately to severely affected patients should receive targeted treatment which may include antidepressants such as
➤ Fluoxetine➤ Clomicalm
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HOW DO WE TALK TO CLIENTS ABOUT THESE MODALITIES
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THE SAME WAY THAT YOU TALK ABOUT OTHER CONGENITAL
DISEASES
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TALKING TO CLIENTS
➤ Educate as you would any other medical disease
➤ Risk factors➤ Likelihood of improvement without
treatment➤ Treatment cost➤ Empathy to avoid defensiveness➤ Define the problem-put a diagnosis
on it, then offer treatment options
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PREVENTATIVE ADVICE
➤ One hour of advice from vet behaviorist
➤ Decrease in…➤ soiling➤ nonstop playing➤ mouthing of people➤ begging for food➤ demanding food at the table➤ aggression
45Gazzano, et al
SOCIALIZATION PERIODS
➤ 3- (12-16) weeks➤ No exposure = negative exposure➤ 16 weeks
➤ No spontaneous play behavior1
➤ Cannot socialize2
➤ 20 weeks➤ Antisocial behavior➤ Difficult to train➤ More Reactive
461Scott and Fuller, 1965; 2Freedman, et al, 1961; 3Appleby, et
al, 2002
DOES SOCIALIZATION FIX FEAR?
➤ 68 puppies➤ 5 groups➤ Tested-2nd, 4th sessions, + 4-6
months after completion➤ No difference in baseline➤ S &T and T groups-higher
commands ratings➤ Fearful puppies still fearful at 6
months
47Seksel et al, 2009
KITTEN SOCIALIZATION
➤ Sensitive Period = 2-7 wks➤ Gentle, positive handling
➤ 5 min/day, 3x/day➤ Kitten kindergarten
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PHILO
➤ Bites➤ Triggers-leash, petting, picking up,
veterinarian’s office when held➤ Level 3a bite➤ Daily➤ Onset-4 months old-adoption➤ Friendly demeanor
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PHILO
➤ Positive reinforcement training-no significant change
➤ Friendly demeanor, can’t be touched➤ Environmental fears➤ Puppy Class-decreased interactions➤ Increased duration of interactions-
barks
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PHILO
➤ Zylkene➤ Behavior modification➤ DS/CC to handling➤ Hand touching for CC to reaching➤ DS/CC to leash being handled➤ Low stress handling at the
veterinarian’s office
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PHILO
➤ 4 months➤ No aggression when picked up➤ Less barking➤ Able to leash him➤ O very pleased. ➤ Recheck-most clinical signs resolved
➤ exception-aggression at the veterinarian’s office
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SUMMARY
➤ Assess as you would any patient➤ Take action quickly➤ Line up resources➤ Don’t just send to trainer➤ Reassess frequently
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VETGIRL
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