EARLY INTERVENTIONS 10/13/17. Introduction. Introduction. Justine A. Lee, DVM, DACVECC, DABT CEO, VETgirl. Garret Pachtinger, VMD, DACVECC

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1 Introduction Garret Pachtinger, VMD, DACVECC EARLY INTERVENTIONS Lisa Radosta DVM, DACVB Florida Veterinary Behavior Service COO, VETgirl Introduction Justine A. Lee, DVM, DACVECC, DABT CEO, VETgirl VETGIRL ON THE RUN! The tech-savvy way to get RACE-approved, online veterinary CE! A subscription-based podcast and webinar service offering veterinary RACE-approved CE Up to 5 members: $599/year podcasts/year plus 30+ hours of webinars! $199/year 40+ hours of RACE-CE Up to 10 members: $999/year > 10 members: Ping us 1

2 VETGIRL ONLINE VETERINARY CE VIDEO ARCHIVES DOWNLOAD OUR VETGIRL PODCASTS FIND VETGIRL ON SOCIAL MEDIA! A CE experience like no other! August 17-19, 2018! A unique medical conference like no other TED-talk like, short, sweet, real-life, practical and clinically relevant From the top, dynamic speakers out there. HOW TO GET YOUR VETGIRL CE CERTIFICATE! ntype in questions n ed to you 48 hours after the webinar nactive participation = no quiz nwatching video later, must complete quiz nelite members only n / contact with ANY questions ngarret@vetgirlontherun.com njustine@vetgirlontherun.com Introduction Lisa Radosta DVM, DACVB, Board Certified Veterinary Behaviorist 2

3 WHAT ARE THE EARLY SIGNS OF EMOTIONAL DISORDERS IN DOGS AND CATS? UNDERSTAND Normal Behavior Developmental Periods Predispositions NORMAL PUPPY (VIDEOS) NORMAL PUPPY (VIDEO) 15 Courtesy; Cheryl Van Voorhies 16 SOCIALIZATION PUPPY (VIDEO) 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 17 Pierantoni, et al

4 NORMAL ELIMINATION BEHAVIOR (VIDEO) CONFIDENT CAT (VIDEO) NORMAL KITTEN PLAY (VIDEO) 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 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 HOW CAN I GO ABOUT INITIATING EARLIER INTERVENTIONS WITH MY PATIENTS WHO HAVE BEHAVIORAL ISSUES? Godbout, et al

5 OBSERVE BEHAVIOR RECORD OBSERVATIONS KNOW YOUR OPTIONS EDUCATE TEAM AND CLIENTS WHAT EARLY INTERVENTIONS ARE AVAILABLE Socialization class Obedience class Dog trainer Technician Pharmaceutical Diet Environmental changes SCREEN FOR CLINICAL SIGNS Clients may not share openly Use questionnaires Use templates Write things down 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? QUESTIONS TO ASK THE CLIENT-KITTEN FEAR (VIDEO) Have you noted any Growling? Biting? Swatting? Unwillingness to interact with people, animals or things? Urination or defecation outside of the litterbox? Hissing?

FEAR (VIDEO) AROUSED CAT 31 32 AROUSAL (VIDE0) WHAT SUPPLEMENTS OR MEDICATIONS CAN BE USED? Are they a last resort?

33 USE OF MEDICATIONS/SUPPLEMENTS IN PUPPIES AND KITTENS SUPPLEMENTS Reasonable to start with a supplement in an outlier or affected puppy or kitten

6 FEAR (VIDEO) AROUSED CAT AROUSAL (VIDE0) WHAT SUPPLEMENTS OR MEDICATIONS CAN BE USED? Are they a last resort? Can we use them in puppies and kittens? 33 USE OF MEDICATIONS/SUPPLEMENTS IN PUPPIES AND KITTENS SUPPLEMENTS 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. α-casozepine Magnolia officionalis Phellodendron amurense L-Theanine

7 CALM DIET COMPOSURE PRO l-tryptophan α-casozepine Nicotinamide (vitamin B3) PRN or daily Thiamine-100 mg L-tryptophan-75 mg Colostrum Calming complex-25 mg L-theanine-25 mg Chewable Flavored 2 weeks to effect S/O diet base SOLLIQUIN L-theanine Magnolia and Phellodendron Whey protein concentrate Chewable Flavored Small and med chewable Med-large chewable tablet ZYLKENE Alpha-casozepine 75 mg, 225 mg, 450 mg Non flavored Capsule mg/kg SID OTHER MEDICATIONS Moderately to severely affected patients should receive targeted treatment which may include antidepressants such as Fluoxetine Clomicalm HOW DO WE TALK TO CLIENTS ABOUT THESE MODALITIES 41 7

8 THE SAME WAY THAT YOU TALK ABOUT OTHER CONGENITAL DISEASES 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 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 SOCIALIZATION PERIODS 3- (12-16) weeks No exposure = negative exposure 16 weeks No spontaneous play behavior 1 Cannot socialize 2 20 weeks Antisocial behavior Difficult to train More Reactive Gazzano, et al 45 1Scott and Fuller, 1965; 2Freedman, et al, 1961; 3Appleby, et al, DOES SOCIALIZATION FIX FEAR? 68 puppies 5 groups Tested-2nd, 4th sessions, months after completion No difference in baseline S &T and T groups-higher commands ratings Fearful puppies still fearful at 6 months KITTEN SOCIALIZATION Sensitive Period = 2-7 wks Gentle, positive handling 5 min/day, 3x/day Kitten kindergarten Seksel et al,

PHILO Bites Triggers-leash, petting, picking up, veterinarian s office when held Level 3a bite Daily Onset-4 months old-adoption Friendly demeanor PHILO Positive reinforcement training-no significant

Hand touching for CC to reaching DS/CC to leash being handled Low stress handling at the veterinarian s office PHILO 4 months No aggression when picked up Less barking Able to leash him O very

9 PHILO Bites Triggers-leash, petting, picking up, veterinarian s office when held Level 3a bite Daily Onset-4 months old-adoption Friendly demeanor PHILO Positive reinforcement training-no significant change Friendly demeanor, can t be touched Environmental fears Puppy Class-decreased interactions Increased duration of interactionsbarks 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 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 SUMMARY Assess as you would any patient Take action quickly Line up resources Don t just send to trainer Reassess frequently VETGIRL 53 9

10 This material is copyrighted by VETgirl, LLC. None of the materials provided may be used, reproduced or transmitted, in whole or in part, in any form or by any means, electronic or otherwise, including photocopying, recording or the use of any information storage and retrieval system, without the consent of VETgirl, LLC. Unless expressly stated otherwise, the findings, interpretations and conclusions expressed do not necessarily represent the views of VETgirl, LLC. Medical information here should be references by the practitioner prior to use. Under no circumstances shall VETgirl, LLC. be liable for any loss, damage, liability or expense incurred or suffered that is claimed to have resulted from the use of the information provided including, without limitation, any fault, error, omission, interruption or delay with respect thereto. If you have any questions regarding the information provided, please contact 10/13/17 10

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