Extreme Anxiety And Fear

chipmunk-kim

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One of my young adult cats, Pippin, has been extremely fearful of other cats for about a year. She’s two now and we raised her from a bottle baby with her brothers.

When she was one we had taken two cats from the neighborhood, dumped in the street, inside and naked arrangements for their neuter and adoption. Before they were adopted they began chasing and mounting her and she has been terrified of cats ever since.

Those two have gone to their now home now, but her fear behavior hasn’t stopped. Each time another cats approached her she runs and urinates on a pillow or blanket. It’s not spraying, as it’s never on a vertical surface, rather she seems to urinate in places that she sleeps so it smells even more like her.

Unfortunately, she began to mark (not on vertical surfaces) urine in the places she liked to sleep and has been created for several months. We had hoped the separation from the other cats in the house would reduce her fear, but when she comes out she still is anxious and runs, (and now the two youngest seem to think she is playing because they try to play with her).

We’ve been trying to find her a new situation but no one ever seems to be adopting adult cats, especially those that are fearful, and have urinated inappropriately, and the local humane society’s has said they would likely be unable to find her a home.

We don’t want to crate her for any longer; it’s not fair to her. We used to have an extra room (and I would love to have it back) but unfortunately a human is now residing in there.

I talked with my vet with the intention of asking about anti-anxiety medication until we can find her a new home, and she recommended just getting rid of her. She kept repeating it like she didn’t believe we were actually looking for a new home. We told her (again) we’ve been looking to rehome her but in the mean time would like to get her comfortable outside of a crate. She seemed dubious, and then reluctantly prescribed gabapentin for daily use (which I’ve never heard of used for anxiety before except for pre-vet/travel medicating).

The gabapentin, of course, relaxed her, but it’s a sedative and also made her very tired.

We called back about the lethargy and she prescribed Prozac, which makes more sense for long-term use, and then proceeded to tell us perhaps eight times in a row that it might not work and could result in a worse mood (I’ve taken it, I know all of this). At the same time she ordered a prescription for Xanax to be given every twelve hours daily until the Prozac worked, which she insisted would be four to six months (it’s really not that long to at least START working, if I remember correctly). She didn’t actually talk to us about any of these medications, and instead write the plan in the back and sent us to the lobby, and a technician to tell us what she prescribed and to deliver the medication.

Obviously the Prozac will take time to work, especially to reach its full effects, but I’m more concerned about the dose she wrote up. For a 9lb cat it seems that 5mg daily is a lot for a starting dose.

So far she has taken the medication twice, once yesterday and once today, with dinner. No change psychologically, and a hugely lowered appetite. I know the appetite loss is normal and is likely to be temporary, but of course I’m concerned.

Do any of you have experience with this kind of behavior and using Prozac to help resolve it? Also any ideas on getting her to eat would be appreciated. She has barely eaten since her first dose of Prozac.
 

Mamanyt1953

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Did some digging at some of the better vet sites, and 5mg per day is the MAX recommended dosage. I'm really more worried about your vet's attitude. Is this vet a cat specialist? If not, you may want to consider locating one. PLEASE let me know how she is doing, poor little girl.

And bless you for your patience and determination to do what is best for her!
 
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chipmunk-kim

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It's a small animal practice. The vets often change and we don't get to decide who we see. One of them I like a lot. Usually they're fine, but this specific doctor is very abrasive. When we called about the gabapentin she didn't get back to us for two days. We are thinking of moving to a more expensive clinic if funds allow. It's not going to be easy, we're not swimming in green, but for this case, at least, it may be best.

So far Pippin's still been uninterested in food. I know the lack of appetite is usually temporary, but I'm still worried.

I will be searching for a new vet soon, and in the meantime I will reduce the dose to 2.5 mg or maybe even 1.25 mg daily. Hopefully that will increase her appetite.

I'd rather not break the rx order but my anxiety skyrockets when I think of talking to her, which means I can't say what I'd like, and honestly I'd rather find a new doctor. Hopefully we can find one very soon.
 

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I had my fearful female who did spray and i put her on prozac and it worked and it DID NOT take weeks. Within days she stopped marking. All I remember was it was a human capsule and I believe it was 5 mg. and I cut it in quarters and gave her one-quarter of the pill, once a day. It was very low dose. She is 7 lbs. If I had to, I could increase it to half a pill a day but I never did. I had her on it for about a year and then weaned her off and she's fine. She was never lethargic and never stopped eating. You have to ease into the dose. You shouldn't just BOOM give a 5 mg. pill. Just so you know.

I guess what confuses me about your post is you said you had the two cats, then rehomed them, then you said whenever a cat approaches her she pees on stuff. So do you have another cat in the house? Maybe I missed something here.

The shelter is probably right, another person wouldn't take her, and that is why I had to make things work out with my girl. I knew no one else would want her. Please be patient. Maybe try some Feliway diffusers in the house too. Those didn't work for me, but I hear from others they do.
 
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chipmunk-kim

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Oh yes, I do have other cats but none of them chase her like the Fili and Kili did. She seems to have learned to have these fear behaviors from the two who tormented her, and now she thinks that they’re all going to chase her.

We did try feliway for about six months and unfortunately saw little difference. My hope with the Prozac was to leave her on for a while, or until she was settled in a new home, and hope she unlearns her fear responses, and can eventually be taken off of it. It’s unlikely we can find her a home, and possibly not necessary considering the situation is much calmer without the two who had chased her.

I thought to ease into the dose as well, but the vet said nothing about it and neither did the bottle. In fact the bottle was very clear to give the entire dose. I am reducing the dose to 1-1.25 over the next couple days and hope it will remain effective and help her appetite.

In the meantime I’m going to try putting catnip on her food as a stimulant, and try greenies because the pilling is really stressing her out.
 

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Does the medication need to be taken on an empty stomach? My girls are hard to pill manually so I put their meds in soft Whisker Lickin treats. I just squish the treat around the pills. One of my girls didn't like the pill pockets. But the soft treats have saved us a lot of grief.

I would be looking for a new vet also. That is just so different from how things are done at my vet clinic. :(
 
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chipmunk-kim

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I don’t think it required an empty stomach. We have some soft treats too but so far she hasn’t had much of an appetite so has refused even those. Maybe once the dose is lowered I’ll be able to convince her to eat some treats and can stop the hand pilling.
 
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chipmunk-kim

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Well, I got the greenies in salmon flavor, and she ate those right quick, so that’s one stressor removed. I only administered 1.25 mg, although considering the pills come in 10 mg tablets, some was probably lost in powder from cutting. In any case, I hope that the lowered dosage and reduced stress from manually pilling will help her appetite. I also got bonito flakes and she enjoyed those as a treat. Not calorie-heavy but I want her to associate the pill pockets with other good treats to reduce stress.
 

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Think about it, if you were giving her an entire pill before, that was meant for a human. I think she should respond better with the lower dose and start eating again. I had both of my cats on prozac -- one for anxiety and aggression and the other one for marking.
My story is that I had my Lupita for several years and another female. The other female died and I got a male cat -- Timmer. I had Timmer for 8 years and he terrorized her from the day they met. It was so bad I had to build a door at the top of my second floor and keep them separated. Lupita was spraying around the house too but at one point she did pee in a corner. That was out of fear to try and use the litter box. She also runs and hides. I believe there is also some feral in her and maybe that's the case with your cat??? I wonder.

I am wondering if your cat is afraid to use the litter box. Is she still using the litter box to pee? She might be afraid. And now she thinks a pillow or blanket is the place to go.
Does she have a UTI? Just asking.

Feliway products never did anything for my situations either. They were a waste of money.
 
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chipmunk-kim

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She does use the litter box consistently when in her crate and away from other cats. Primarily, from my observations, she urinates when triggered by another cat (if they are very forward and sniff or try to play with her even though she clearly signals her disinterest). She has no issues with her brothers, but two other cats, young adult foster fails who are still in their playful phase are very scary to her.

She’s not feral, as I raised her from three weeks on a bottle, but her genetics may predispose her to anxiety or mood issues. I have no other history on her. The neighbors found her and we bottle-fed her and her brother. She was fine for a year until we took two recently abandoned cats inside to arrange for their neuter and adoption, and they chased her relentlessly. She’s been fearful of most other cats since then.

I think it’s unlikely that she has a UTI, considering her regular use of the box outside of triggering incidents.
 

Timmer

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Aw. That's sad they chased her like that so much she is still fearful. Even though my Timmer and Lupita were separated for years, and he has since passed away (three months ago), she still occasionally hides as if he were still around. It can be very traumatizing.
It sounds like she needs to be the only cat in the house from now on so perhaps if she is re-homed she will be OK.
 
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chipmunk-kim

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Well, the lowered does of prozac has her eating again, although not as much as I'd like. She seems really into fish-flavored food right now, which I don't usually feed, but hey, if she'll eat it, she gets it.

Her mood has already improved a little. Instead of keeper to her crate she wants to come out and play, and had her tail up instead of down horizontally. I've also noticed that she's less fearful of the other cats when they're playing with each other, and hasn't run away when they come up to sniff her.

I cut a sentry calming collar up and put a piece on each of the collars just to avoid stressing everyone out.

She's still nervous, and she runs if they try to initiate play, but so far hasn't marked after a triggering incident.

I've had no luck in finding her a home. I'm disabled and a very solitary person, so I have no friends. I have posted in my neighborhood forum and craigslist, but so far nothing. I think her fearfulness is limiting interest. I don't want to rehome her, but if the prozac doesn't resolve her stress, I know it's the best choice and I will. In the meantime I will have to keep looking and wait.
 

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Bless her. My heart goes out to the little girl! I hope the medication works and she can have the safe happy life she deserves! Do keep us updated on her.
 

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Now that she is on prozac can you re-introduce her to your other 2 cats?

If Sarah (was declawed, elderly & in heaven now) could be brave enough to eat by my bulling fully clawed young punk Dante ... and be brave to walk by him, I think your girl can learn to like her old friends again.
 
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