The issue of noise and storm phobias and their tendency to be associated with other anxiety disorders was an issue much discussed by me and others at the recent AVMA meetings and the associated behavior meetings. Ironically, as these meetings were wrapping up, a dog I loved very much was dying - because of her terror of storms.
About nine years ago, I obtained a retired show champion Tibetan Spaniel, Susie, for my mother, with the understanding that should my mother predecease the dog, the dog would come to me. During the time that my mother had Susie, the dog became more fearful of storms of all kinds, as are many dogs in the southeast United States.
Client resistance My mother's response was invariably that drugs were overused. Susie just needed love. My mother would hold her to get through the storm, and Susie was fine, but tired, the next day. It's entirely possible that my mother could or would have taken advice about medication from anyone but me, but this logic is also something that veterinarians in practice tell me they often hear from clients. Surely, I failed to convince the client to avail herself of expertise.
When my mother died, the people who had been fostering Susie for the months when my mother was unable to care for her asked if they could keep her. I had no choice but to acquiesce: they loved her and were in tears at the thought of me taking her away. Again, I mentioned treatment for storms, but their response was that their other little dog was also distressed during storms and they would just sit with her.
The day after the AVMA meetings wrapped up, I answered the phone to hear the voices of Susie's adopted parents. They wanted me to know that there had been a terrible series of storms the night before.
Susie had trouble breathing during the first one. During the second storm — in the middle of the night and in these people's arms - Susie went into cardiac and respiratory arrest and died.
Susie's adopted parents asked me if she had always been so terrified of storms. My response was no; her terror worsened with time and exposure. How could I revisit the drug argument with someone who held a dead dog?
So, for all the pets who suffer, here's the take home message:
Storm and noise phobias are emergencies.
They will only worsen with exposure, and the rate at which they worsen depends on the neurochemistry of the dog and the severity and unpredictability of the storms.
Data talks Data suggest that ~70 percent of all dogs who react profoundly to miscellaneous noises also have storm phobias, and 90 percent of dogs with storm phobias react badly to other noises.
Co-morbidity is the rule: ~70 percent of dogs seen in a clinical setting with noise or storm phobias also have often undiagnosed separation anxiety. Screen for all of these at every visit.
Dogs experiencing fearful noises (e.g. shipping on a plane) as youngsters may be at increased risk for later development of more profound noise or storm phobias.
Dogs who react to storms may not be reacting to the noise: trigger stimuli could include other sounds (wind, rain), darkness, changes in light intensity, barometric pressure changes, ozone changes and changes in human behavior. Any of these can lead to panic and must be treated. The medications that treat phobias also treat panic.