“Look at Me” can often be done with a chin rub and slow eye blinks.

When behavior problems arise, your vet may recommend drug therapy and environmental changes for your cat. These interventions work best when coordinated with a behavior modification plan.

What is behavior modification? What does behavior modification for cats involve?

Behavior modification for cats – more than just training and medication


Behavior modification is a type of behavior therapy. It has its roots in the work of B. F. Skinner in the 1930’s. Skinner was psychologist who believed behavior is a response to an organism’s environment and is not a consequence of mental states (beliefs, memories, desires, plans) (Reference 1).

Skinner came up with the theory of operant conditioning. In operant conditioning, reinforcement and punishment are used to encourage or discourage behaviors (Reference 2).

Reinforce the Behavior – Make It Happen Again!

Add Something “Good” Take Away Something “Bad”
If you reward your cat for sitting with his favorite treat, he is more likely to sit the next time you ask. If you stop trimming your cat’s nails every time she growls or hisses, you are reinforcing her behavior of hissing and growling at nail trims by “removing” the unpleasant nail trim.

Punish the Behavior – Make It Stop Happening

Add Something “Unpleasant” Take Away Something “Good”
If you spray your cat with water when she jumps on the counter, she may be less likely to jump up on the counter. Your cat claws at your hand for a treat. If you put the treat behind your back, the cat learns that the treat goes away when she swats at your hand.

Operant conditioning forms the basis of many training methods.  It appears to be pretty straight-forward: can we just reward the cat for using the litter box and spray her with water if she doesn’t? 

Problem behaviors involve more than just a stimulus and a conditioned response.  Operant conditioning  does not take into account the emotional state of an animal. It may be difficult to positively reinforce or punish an animal that is fearful.

To modify or change problem behaviors, the animal’s emotional state must be addressed. Teaching a cat or dog a substitute behavior for the undesired behavior or medicating him does not teach him how to respond to other stressful situations in his life.

Christine Calder, a member the American College of Veterinary Behaviorists, describes a five step process in working with problem behaviors in dogs (Reference 3).

  1.  Avoid all the things that cause the behavior.
  2. Open the lines of the communication – learn body language; stop punishment.
  3. Build a toolbox of known behaviors such as voluntary eye contact, touch, or a chin rest.
  4. Teach the animal to relax.
  5. Systematic desensitization and Counter Conditioning (to what triggers the behavior).

 Behavior modification for cats can follow this five-step plan.

You may have gotten a new dog or your young nephew comes to stay with you.  Your cat finds these new additions terrifying so she hides under the bed to be safe.  She does not use her litter box because she is afraid the dog or the child will be there. You try to adapt the environment to accommodate your cat and the newcomers but your cat remains fearful. 

Behavior Modification for Cats- More Than Just Training and Medication


  1. Avoid Triggers: We offer the kitty the sanctuary of a room or place in the house off-limits to the dog or child. This area has all the cat’s resources: litter box, cat tree, food and water.
  2. Establishing communication: Spend time with your cat, coaxing her to come to you; brush or pet her if she likes it. Learn her body language so that you know when she is done interacting (see “How to interact with your cat” ). Have your nephew also learn cat body language. Stop punishment: no spraying with water bottles; speak to your cat quietly with a pleasant tone.
  3. Toolbox of known behaviors: For a cat, these may be targeting on your finger or a stick, and learning to pay attention to you through eye contact.
  4. Teach the cat to relax: A cat who is relaxed is calm. She is able to devote more of her energy to learn how to cope with new situations. When the cat can relax on cue, she is able to choose a calm state. We can work up to asking for calm behavior when the dog or child is nearby.
  5. Desensitization: In this case, we introduce the cat to the dog or child in a safe situation. The dog or child is separated from the cat (use a barricade as needed) and the cat can come or go as she pleases. Gradually the distance between the cat and the dog or child is decreased.
  6. Counter-Conditioning: Previously, the cat associated the dog or child with being anxious or fearful. If she can be calm when dog  is on the other side of the barricade, we can start to form some new associations using high-value treats or other things the cat likes, such as being brushed.  With supervision, your nephew may be able offer your cat treats or brush her.

Behavior modification for cats is more than just substituting a desirable behavior in place of a problem behavior.  For the intervention to work, the emotional state of the cat has to be considered.  We need to give the cat a break from the stressful situation, then establish communication with cat.  We need the cat to trust us and look to us for guidance. Teaching the cat to relax and getting accustomed to what triggered the behavior are the final steps of the behavior modification plan.  The services of a cat behavior professional can be helpful in these situations.

references

  1. B.F. Skinner (1904-1990) Advocacy of Behaviorism and its Application to Psychology and Life
    Operant Conditioning and the Law of Effect.  https://psychology.fas.harvard.edu/people/b-f-skinner Viewed 5/2024.
  2. Cherry, Kendra. What is Operant Conditioning? February 24, 2023. https://www.verywellmind.com/operant-conditioning-a2-2794863  Viewed 5/2024.
  3. Calder, Christine D. Behavior Modification for Dogs. Behavior Bytes. December 28, 2022. https://cattledogpublishing.com/blog/behavior-modification-for-dogs/ Viewed 5/2024.

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“Moving with Your Cat” was originally published 9-26-21. This newer version has been updated and contains additional information.

Moving to a new home is stressful even when everything goes right! Imagine how confusing moving is to our cats – the boxes are fun when empty but soon they fill up with things and your cat can no longer jump in.

 

From the Feline Purrspective…


The bed you used to siesta on gets bagged up and taken away by strange humans. Your world seems to be coming to an end. Will you have enough to eat? Will you be safe from predators? Where can you hide?

Cats are territorial animals. An outdoor cat’s home range is the maximum area he roams and hunts in. Within the home range is a smaller area that the cat will actively defend – his territory. Inside this defended area is a smaller area called the “core territory”, where the cat can rest, has shelter, and feels safe from predators and other cats. Moving with your cat removes him from his core territory – the house or apartment he lives in.

How can we communicate safety and security to our cats when we move? Somehow, we cat owners have to provide what our cats need even though we are no longer “at home”.Needs of Domestic cats

What our cats need:

  1. Resources : food, water, litter box, shelter
  2. Safe access to resources
  3. Belonging: territory
  4. Human interaction: predictable
  5. Playtime: predatory behavior

Moving with Your Cat

Getting ready


  1. Resources: Stock up on your cat’s preferred litter and food – if you are traveling by air, perhaps you can ship some of this to your new address.
  2. Safe access to resources: Create a “safe place” for your cat. When moving with your cat, this will most likely be her carrier.  Make sure your cat is comfortable in her “home away from home”.  In the weeks leading up to the move, leave it out for her to explore and nap in. Consider feeding her meals in it.
  3. Set up a “mobile” territory: A lot of cat communication is by smell. Cats have some of the best noses -with 30 genetic variants of the V1R receptor protein in their vomeronasal organs, they are able to discriminate between a wide variety of smells (Reference 1). So, avoid laundering cat blankets or quilts that your cat sleeps on – the familiar scent of home can help reassure your cat of his territory when he is on the move.
  4. Predictable, positive human interaction: Try to maintain daily feeding and grooming routines as you travel.
  5. Predatory play: Don’t forget play time – try to set some time aside to play with your cat when traveling.

Other things to consider when moving with your cat:


  • Is your cat microchipped in case he escapes?
  • Consider a calming supplement such as Zylkene, Calming Care. It is best if you start these several weeks before moving.
  • Have copies of your cat’s medical records. Locate a cat-friendly practice in the new neighborhood.
  • Do you need a health certificate for travel?
  • Consider getting your cat accustomed to wearing a harness and leash. Even if not fully leashed trained, a harnessed cat can be more easily handled in an airport or at a rest stop if you have to change out soiled pads in the carrier.
  • Consider asking your vet for calming medication for travel.
  • Multi-cat homes: Identify the social groups in your home before moving.  This can help you when introducing your cats to their new territory.

 

moving day


Although some cats travel well together, it is usually a good idea to have separate carriers for each cat in case some random event frightens one of the cats, resulting in a cat fight.

You may want to keep your cat(s) in their own room with their carriers while furniture, etc is being moved – you don’t want them to escape!

Arriving at your new home…


  • Establish a “safe place” for each cat or social group: Choose a room with a door you can close, that does not have places where your cat can hide (under the bed, behind a bookcase) and you can’t get him. Use one of your smaller moving boxes as a hiding space – put a comfy bed or blanket in this box. 
  • The “safe” room should contain all your cat’s essential resources – food, litter box, water, scratching post.
  • Use pheromone diffusers in the “safe place”. You may also want to have them throughout the new house or apartment.
  • A gradual introduction to the new house is best for most cats. Pay attention to your cat’s body language – if she seems scared or frightened, allow her to stay in the “safe room”. Once she seems curious about the world outside her safe place, allow her to explore the rest of the house – you may want to accompany her (a harness/leash can be handy) on her first forays into the new space.
  • Maintain feeding and play/grooming routines as best as you can.

In a multi-cat homes, you may want to use a protocol similar to introducing cats. Assess how the different social groups are adjusting before allowing free access to everything. A move can disrupt the social order, giving a dominant cat an opportunity to pick on a more timid cat.

Moving with your cat is an adventure…


When your cat arrives at his or her new home, he/she must establish a “new” territory.  We can facilitate this process by:

  • ensuring that your cat has familiar items with her – the food and litter she is accustomed to, beds/blankets that have her scent on them, and a carrier she is comfortable in 
  • allowing him to establish a new “core” territory first in a “safe” room
  • allowing her to choose when she is ready to leave her “safe” place to explore the rest of the house.

Moving is stressful for us and for our cats.  Make sure to monitor your cat(s) for sickness behaviors. Reduced appetite, vomiting, or diarrhea can be signs of stress-related issues. Consult a veterinarian if these problems don’t resolve in a day or two or if your cat does not eat for more than 24-48 hours.

references

  1. Kristyn R. Vitale Shreve, Monique A.R. Udell, Stress, security, and scent: The influence of chemical signals on the social lives of domestic cats and implications for applied settings, Applied Animal Behaviour Science, Volume 187, 2017, pp. 69-76, ISSN 0168-1591, https://doi.org/10.1016/j.applanim.2016.11.011

 

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Marley 2/2006- 2/24/2024

 

Saying the final good bye to your cat is never easy. Medical care for cats has progressed by leaps and bounds in the past few decades and it is not uncommon for cats to live to be 19 or 20 years old. As age takes its toll and the older cat’s mind and body declines, many cat owners hope that their old friend will slip away in her sleep. Unfortunately, this does not happen often and we need to decide if it is time for euthanasia.

The word “euthanasia” comes from the Greek: “eu” or well, and thanatos, “death”, i.e. – the good death. A “good death” is the last gift we can give our cats.

The decision to put your cat to sleep is not made lightly.

  • The cost of medical care may be out of your reach financially and you elect euthanasia rather than have your cat suffer untreated.
  • You may have done all the medical treatments possible and your cat is just not responding.  You must say goodbye.

But, what about the cat that clings to survival but is dwindling, still eating but not thriving? When do you say goodbye?

when to say goodbye and put your cat to sleep


In the case of the cat with the “dwindles”, it helps to make a list of what your cat does during her day. Keep an eye on these behaviors and watch for signs of apathy or disinterest.

It can be helpful to keep a calendar of your cat’s daily behavior or events (such as illness or playfulness). Each day can be evaluated as “good”, “bad” or “average”. When the “bad” days outnumber the “good” ones, it may be time to put your cat to sleep. Your veterinarian can help you with assessing your cat’s quality of life.

Last week I said goodbye to Marley, one of “The Feline Purrspective” team.  Marley was a gentle, extremely sociable cat who enjoyed head rubs and treats. He was friendly with people and fairly tolerant of other cats. His health was generally good until he was about 16 years old.  He will be sorely missed.

Marley’s timeline is summarized in the table below. I have highlighted the concerns that contributed to the decision to euthanize.

AGE TIMELINE OF LIFE EVENTS
3-14 years
  • I adopt Marley from the veterinary technician school I attended.
  • Marley is introduced to my 3 cats and becomes part of my household.
  • He learns to go on morning walks and participate in the evening treat and playtime.
  • He becomes quite adept at food puzzles.
  • His health is good although he does seem to lose teeth at his annual dental cleanings.
14-16 years
  • Marley has two instances of malignant tumors on the bottom side of his tongue, which were successfully removed.
  • His health and demeanor remain good overall: he still goes on daily walks and participates in evening treat and play time.
16-17 years
  • Marley’s vision and hearing begin to deteriorate.
  • He starts to show signs of Cognitive Dysfunction Syndrome (CDS) and starts a Sam-E supplement.
  • He stops going outside with the other cats on walks.
  • He is still chasing treats at night but does not play with toys.
17-18 years
  • September, 2023: a firm, fibrous mass is found in front of Marley’s left ear.
  • I decline surgery due to Marley’s progressing CDS.
  • Marley is becoming less active and seems fearful of the other cats at times. He still comes for treats most nights.
18+ years
  • Marley turns 18 years in early February 2024
  • The tumor on his head has increased in size and his left eye is starting to close and squint.
  • He spends most of his time in a heated basket, leaving only to use the litter box or to eat.
  • He is no longer grooming himself and has stopped coming for treats at night.

Looking at the highlighted sections in the table above, you can see that going for walks outdoors and the evening treat/play time were key activities in Marley’s daily life.  By the time he is 16-17 years old, he has stopped taking the daily walk but still participates in the nightly treat time. In the next year, he stops this activity.

These behaviors defined who Marley was and were indicators of his will to live.  In the final months of his life, he lost this will to live.  It was time to say goodbye.

the final goodbye


On February 24, 2024, I said a final goodbye to Marley. I gave him some gabapentin before taking him to the clinic for euthanasia. He passed quickly and peacefully in his basket – he was gone before finishing his favorite treat and before all the euthanasia solution was injected.

The decision to euthanize Marley was based not only on the progression of his medical condition, but also on the changes in his behavior. I feel he was not in pain but his life was no longer worth living. From a friendly, outgoing cat, he had become a reclusive, confused creature, going through the motions of surviving. I don’t feel that his last years were mismanaged but I do feel it may have been kinder to let him go a few months earlier.

I have shared my experience in the hopes that it can help other cat owners who are wrestling with this very difficult question: when to put your cat to sleep.  I found it helpful to pay attention to Marley’s daily activities, and note how often he participated in them and when he just stopped doing them. Tracking these key behaviors can give you, the cat owner, an idea of your cat’s mental state: is he is still engaged in life or just going through the motions? If he is just going through the motions, is it time to say goodbye?

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Needs of Domestic cats

What do cats need to be healthy and happy? Whether you are a new cat owner or someone who has owned a number of cats, this is a question that needs some careful thought.

Your cat is not human; he/she is a different species. After all, if you were going to have a tiger as part of your household, you would need to learn something about how tigers live in the wild to set up an appropriate habitat. Zoos have found that providing an environment that allows animals to engage in behavior typical of their species reduces mental and physical health problems.

This post was originally published on 7/4/2021.  It has been rewritten and updated with new references on 2/17/24.

What do cats need – Healthy Feline Environments


Let’s start with ourselves. Many philosophers and psychologists have come up with answers to what humans need for a happy and fulfilled life. One of the simpler models is that proposed by the psychologist Abraham Maslow in 1943 (Reference 1).

Needs and motivation


Maslow postulated that people are motivated by five types of needs (Reference 1):

  1. Physical needs (food, water)
  2. Safety
  3. Love/belonging
  4. esteem
  5. self-fulfillment (be all that you can be)

Maslow's hierarchy of needs

As an individual satisfies needs in one of these categories, he is motivated to tackle the next level.

  1. What motivates behavior at the most basic level is the need to survive. We need to eat and drink to stay alive.
  2. Having satisfied these needs, the next step is to ensure that we will continue to have food and water. We need shelter and a job.
  3. Once fed and secure, we can address the need to be part of society – to belong to a group.
  4. The next level of needs is esteem: we need to value ourselves and feel that other people value us.
  5. We are now at the top of the pyramid. We can work on reaching self-imposed goals: maybe become a writer or artist, nurture extended family, or climb mountains.

There is flexibility in this hierarchy- some needs are met at the same time; for some individuals, reaching your full potential may be more important than the esteem of others.

Let’s apply this thinking to cats. We’ll start with the wild cats – those secretive, un-owned cats that populate neighborhoods and barns.

what do cats need? wild cats


  • A wild cat’s needs begin with having prey to eat.
  • Once fed, he will find a safe place where he can sleep, eat and retreat from danger – like a den.
  • He must establish his territory where he can hunt regularly and have access to food.
  • A well-fed wildcat who hunts successfully has good prospects for mating. 
  • As far as Nature is concerned, the wildcat has reached his or her full potential once he or she has ensured that there will be another generation to hunt and mate, continuing the species.What does a wildcat need?

 

When food is plentiful, some cats will group together in colonies near the food source. The colony forms around breeding females with some unrelated male cats in the colony that help with kitten care and protection. A colony fulfills safety and belonging for a wild cat.

what do cats need? Domestic cats


Things are a bit different for the cat who lives with humans. Hunting and establishing a territory have become separate from getting enough food; our house cats are spayed and neutered, so do not have a drive to mate and reproduce. We can construct a hierarchy showing what do cats need for the cats that live with us.

the 5 pillars of a healthy feline environment


The American Association of Feline Practitioners (AAFP) list five things that make a healthy environment for a cat (Reference 2).

  1. A safe place
  2. Multiple and separated key environmental resources
  3. Opportunity for play and predatory behavior
  4. Positive, consistent and predictable human-cat social interaction
  5. An environment that respects the cat’s sense of smell and other senses

 

We can assemble these needs into a pyramid diagram:

  • At the bottom of the pyramid are the needs for survival: food, water, and litter boxes.
  • The next level ensures that these essential resources are available to each cat to use safely, without fear of competition or interference from other cats, pets or humans. The cat owner should provide multiple and separated feeding, watering stations and litter boxes.
  • One of the AAFP requirements is an environment that respects the cat’s sense of smell and other senses.  Such an environment is the cat’s territory. Cats will mark walls and furniture in the home with facial pheromones and scratching posts with pheromones released when scratching. Your cat belongs to his territory.

Thinking about cats as aloof and independent would most likely consider the cat’s needs are met at this point.

Needs of Domestic cats

 

 

the cat-human bond


Our cats share basic physiological needs with their wild relatives. But the domestic cat has chosen a different path and has some different needs because of his bond with his human caregiver. The two final levels of the pyramid are 4) positive and predictable human interaction and 5) the opportunity for predatory play.

  • Human Interaction: To truly feel safe and secure in her territory, a housecat needs to know how the humans in the house will behave: when will she be fed? Will they approach quietly and greet her? Will they swoop down on her and pick her up when she least expects it and hold her dangling in the air?
  • Predatory Play: The need to hunt defines who your cat is – this is what he was born to do.  We need to provide our cats with an opportunity to hunt – whether it is fishing kibble out of a food puzzle or chasing a stuffed mouse at the end of a wand toy.

These last two needs bring us to the heart of the cat-human bond.

Positive and predictable interactions  allow us to communicate with our cats; predatory play helps us recognize the cat’s nature as a born hunter and allows us to share this essential part of his life.

We are one of the “5 Pillars of a Healthy Feline Environment”.

In return for helping our cats satisfy their needs, we humans enjoy the pleasure of our cats’ company, better heart health and reduced stress and anxiety. 

references

  1. Taylor S, St Denis K, Collins S, et al. 2022 ISFM/AAFP Cat Friendly Veterinary Environment Guidelines. Journal of Feline Medicine and Surgery. 2022;24(11):1133-1163. doi:10.1177/1098612X221128763

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An elevated perch allows this cat a good vantage point to survey her surroundings for other cats and people.

Pandora Syndrome refers to cats suffering from multiple medical ailments that do not resolve with appropriate medical treatment. Instead, the symptoms are chronic, waxing and waning in response to environmental stressors. These cats also share a history of traumatic experiences and exhibit an abnormal stress response, partly due to epigenetic changes resulting from the stressful events in their lives (Reference 1).

Pandora syndrome is an “anxiopathy” – a condition resulting from chronic activation of the central stress response system (Reference 1).

Treating Pandora syndrome in cats: the environment


Careful modification of the Pandora cat’s environment (in additional to medical therapies) can reduce the severity and frequency of the cat’s symptoms (Reference 1). One of the first studies to demonstrate the efficacy of MEMO (Multimodal Environmental Modification) studied the response of 46 cats with Lower Urinary Tract Symptoms (LUTS) to MEMO. Cat owners were asked to reduce environmental and social stressors using the following suggestions (Reference 2):

  • avoid punishing the cat
  • change to canned food
  • change to unscented, clumping litter
  • improve litter box management
  • provide climbing structures, viewing and resting perches
  • provide audio/visual stimulation when the owner was gone
  • increase interaction with the cat
  • identify and resolve conflict in multi-cat homes

The most commonly followed MEMO suggestions were:

  • increasing the amount of time interacting with the cat
  • changing to a canned diet
  • adding another litter box

During the 10 months of follow-up, no signs of LUTS were observed in 70-75% of the cats. Owners also reported reduction in fearfulness, nervousness, respiratory signs, aggressiveness, and lower intestinal tract signs (Reference 2).

Treating Pandora Syndrome in cats: MEMO


Environmental modification for the Pandora cat needs to:

  1. increase the security of the environment
  2. allow the cat to feel in control of his environment

Treating Pandora syndrome in cats: choosing the memo that suits the cat


The basic blueprint for cats’ environmental needs can be  found at https://catfriendly.com/cat-friendly-homes/what-your-cat-needs-to-feel-secure/.  Treating Pandora syndrome in cats will be most successful when MEMO is tailored to the individual cat.  Here is some additional information to consider once the basic environmental needs are satisfied.

The Fearful, Nervous Cat that Prefers to Stay Alone

For these cats, MEMO will focus on providing safe places and positive, predictable interactions with humans.

  • make plenty of hiding places available – these can be the top shelves of closets or boxes in the bottom of closets
  • increase the number of “vantage points” through the use of shelves, perches and cat trees (Reference 3)
  • increase the security of the floor space: minimize wide open spaces by positioning furniture to create places where cats can rest and hide (Reference 3)
  • use baby gates to limit the access of potential stressors such as dogs or small children to the cat’s area (Reference 3)
  • allow the cat to choose to interact with humans (https://www.felinepurrspective.com/touch-not-the-cat-interacting-with-cats/)

Treating Pandora Syndrome in Cats in the Multi-cat home

In a multi-cat house, Pandora cats may show aggression or become ill when threatened. Successful MEMO requires identifying the social groups of cats in the house and ensuring that plenty of resources are spread throughout the house. Be prepared to intercept aggression when necessary (https://www.felinepurrspective.com/managing-aggression-in-the-multi-cat-home/) – keep the peace!

Separation Anxiety

Some Pandora cats were orphans or abandoned. These cats may exhibit some separation anxiety due to a strong attachment to the owner. For example, some of these cats follow the owners around like a dog (Reference 1). MEMO can be adapted for these cats.

  1. Encourage Kitty to spend “alone time” in an enriched room or space (don’t force – maybe coax her into the room with some treats). Enrichment can be elevated perches near windows, a play tunnel with toys in it, food puzzles with snacks. Cats have a great sense of hearing and many like music – choose music designed for cats when you are not there.
  2. Establish a routine – help your cat to have control of his environment by knowing what is going happen and when it will happen (https://www.felinepurrspective.com/routines-help-cats-reduce-stress-and-anxiety/).

Many cats cope with environments that are not optimal. However, Pandora cats have suffered traumatic events in their lives resulting in epigenetic changes. These cats exhibit an abnormal response to environmental stress. Consequently, they do not cope as well as other cats with changes in their environment and develop chronic illnesses. MEMO allows these cats to feel safer and more in control of their environments, reducing their stress, and, in turn, reducing the frequency and severity of their symptoms.

references

  1. C.A. Buffington DVM, PhD, DACVN.  Pandora Syndrome in Cats: Diagnosis and Treatment; Today’s Veterinary Practice. August 10, 2018, Issue: September/October 2018. viewed on 1/06/24 https://todaysveterinarypractice.com/urology-renal-medicine/pandora-syndrome-in-cats/
  2. Buffington CAT, Westropp JL, Chew DJ, Bolus RR. Clinical evaluation of multimodal environmental modification (MEMO) in the management of cats with idiopathic cystitis. Journal of Feline Medicine and Surgery. 2006;8(4):261-268. doi:10.1016/j.jfms.2006.02.002
  3. Ellis SL. Environmental Enrichment: Practical Strategies for Improving Feline Welfare. Journal of Feline Medicine and Surgery. 2009;11(11):901-912. doi:10.1016/j.jfms.2009.09.011

 

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Some of the Signs that May Indicate Pandora Syndrome

The term “Pandora syndrome” was coined by Tony Buffington of Ohio State University to describe cats with chronic clinical symptoms suffering from health issues involving multiple organ systems. Buffington initially studied a group of 200 cats that had “incurable” urinary tract symptoms (bloody urine, difficulty urinating, urinating outside the box, and urinating small amounts). These cats had other health issues in addition to the urinary tract disease.  Curiously enough, the cats’ symptoms resolved after living in an enriched environment (Reference 1).

Early studies linked the urinary symptoms to diets containing too much magnesium, causing formation of urinary stones. However, dietary changes did not resolve the cats’ urinary issues and they continued to suffer from bloody urine, difficulty urinating, urinating outside the box, and urinating small amounts, frequently in the absence of stones (Reference 1).

diagnosing Pandora Syndrome in cats


What “Pandora Cats” have in common (Reference 2):

  • history of traumatic experiences such as abandonment, orphaning, infection
  • having more than one disease at once
  • clinical symptoms that wax and wane in response to changes in the environment

More About Pandora syndrome in cats


Genetic makeup and traumatic events are thought to contribute to Pandora syndrome in cats. Our genomes (cats and humans) contains the DNA that makes us unique. DNA is made up of 4 building blocks that can be assembled in different orders. The sequence of the DNA building blocks in a gene provides the code for a particular trait such as eye or hair color (Reference 3).

However, there is more to growth and development than just genes that code for a particular trait. The science of epigenetics studies modifications to our DNA that don’t change the order of the DNA building blocks. The epigenome refers to chemical compounds that are attached to your DNA. Exposure to pollutants, what you eat, and stress are some things that can result in certain molecules attaching to your DNA and turning particular genes on or off. This is why genetically identical twins may have different skills, health, or behavior (Reference 3).

The epigenome is reset when the genome is passed on from parents to their offspring at conception. Maternal stress during pregnancy, traumatic events such as abandonment, orphaning, and infection can subsequently affect the epigenome. While many cats recover from these things, others may develop chronic illnesses or behavioral abnormalities (Reference 2).

Pandora cats are inherently “sensitive” cats who have difficulty coping with challenges presented by their environment.  They have a heightened stress response that increases the likelihood of them becoming ill.

Why the name “Pandora” syndrome?
Pandora is a figure from Greek mythology. She was a human woman made by the gods from clay.  She was endowed with many attributes, such as beauty, charm, cleverness, and curiosity. Before sending her to earth, the gods gave her a box, that she was told NEVER to open. Pandora’s curiosity got the best of her one day and she opened the box, releasing evils to plague mankind – disease, violence, greed, old age, death… However, all was not lost. Hope was also in the box to help people survive and cope with the evils in the world.

Like Pandora’s box, “Pandora cats” have multiple problems (“evils”).

diagnosing pandora syndrome in cats


A diagnosis of Pandora Syndrome is a diagnosis of exclusion – the symptoms may respond to medical therapies but then recur. Diagnostic procedures do not reveal a root cause. Diagnosis requires an extensive review of the cat’s life history, medical history and home environment. Some sample questions are below. (A more complete history form can be found in the supplementary materials of Reference 2).

Life History

  • where did the cat come from? from a shelter? was he/she a stray? an orphan?
  • are other cats/pets in the house?
  • how many people in the house?
  • indoor only? outdoor access?
  • is your cat fearful? friendly?

Medical History

  • vomiting? diarrhea? coughing? sneezing?
  • using litter box?
  • history of medical problems- e.g. allergies, heart problems?

Environmental Resources

  • safe and secure resting places?
  • multiple, separated litter boxes, feeding stations, water bowls?
  • can the cat interact with people and other pets on his/her own terms?

treating pandora syndrome in cats


Pandora syndrome is treated with medical therapies and MEMO (multimodal environmental modification).   MEMO aims to reduce the cat’s perception of threat and increase his/her perception of control of his/her environment. There is no cure for Pandora syndrome but medical therapies and MEMO can reduce the cat’s clinical signs and increase the time between episodes of symptoms (Reference 1).

The goal of MEMO is to create an OPTIMAL environment for the individual cat.  This will be the subject of the next post.

references

  1. C.A. Buffington DVM, PhD, DACVN.  Pandora Syndrome in Cats: Diagnosis and Treatment; Today’s Veterinary Practice. August 10, 2018, Issue: September/October 2018. viewed on 1/06/24 https://todaysveterinarypractice.com/urology-renal-medicine/pandora-syndrome-in-cats/
  2. Tony Buffington CA, Westropp JL, Chew DJ. From FUS to Pandora syndrome: Where are we, how did we get here, and where to now? Journal of Feline Medicine and Surgery. 2014;16(5):385-394. doi:10.1177/1098612X14530212
  3. National Human Genome Research Institute; Epigenomics fact sheet 8/16/20. Viewed on 1/6/24. https://www.genome.gov/about-genomics/fact-sheets/Epigenomics-Fact-Sheet.

 

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Gus greets Miso

Social Groups of cats in the multi-cat home


This post was originally published 8/29/20. This newer version has been edited to incorporate new material and references.

If there is plenty of food around, free-roaming cats tend to form groups called colonies. The core of the cat colony are the females, typically a mother, her sisters, and her daughters. These females share the care of the kittens – they nurse each others’ kittens and even help each other give birth.

Male kittens are driven off by their mothers at maturity to avoid inbreeding. They can become solitary hunters like their wildcat ancestors or become attached to an unrelated colony if accepted by the females.

Smaller social groups of cats often form within the larger social group of the cat colony.   These groups of 2 or more cats typically

  • sleep snuggled together
  • groom each other
  • rub against each other
  • “play fight”.

These cats are comfortable sharing resources: food, water, litter boxes, sleeping and resting places.  Often these are cats that grew up together but that is not always the case. 

social groups of cats indoors -managing the multi-cat home


In the multi-cat home, some cats also prefer to stay together. Identifying the social groups of cats in the home can aid in allocating resources and reduce conflict among the resident cats [Reference 1].

Identifying the social groups of cats


Members of the same social group mayCat sharing a basket

  • sleep snuggled together
  • groom each
  • rub against each other
  • engage in mutual social play.

There are no hard and fast rules to affiliation: some cats will not snuggle together, but will groom each other and play together.

A Multi-Cat Household and its Social Groups


There are 3 social groups in this 4 cat household.

Social Group 1

Athena forms her own social group.  She is a 15 year old spayed female. She recognizes her housemates but prefers to spend time by herself or with her owners.

Social Group 2

Marley (14 yr neutered male) will hang out with 4 year old Zelda. They will rest together and  “share” snacks. They will occasionally “play fight”.

Social Group 3

Zelda and Gus (3 yr old neutered male) groom each other’s heads and play together occasionally.

Gus and Zelda also go on walks together with their owners.

Allocating resources in the multi-cat home to reduce conflict


One of the keys to harmony in the multi-cat home is to provide multiple resources and spread them throughout the house.  The goal is to ensure that all cats have access to litter boxes, food and water without having to compete with another cat. Here is a simple diagram showing the location of litter boxes on the second floor of a multi-story home [Reference 1].

When locating resources, watch for “bottlenecks” such hallway doors where cats may have to pass each other. Try and place litter boxes, water stations… away from these areas.

House map cat resources
A simple sketch of your house can help with locating litter boxes.

tips for managing resources in the multi-cat home


  • # litter boxes =  # social groups + 1
  • Feed cats individually and out of sight of each other.
  • Have daily play time for each cat
  • Have multiple sleeping, resting places – have secluded and elevated choices

monitoring interactions between cats to manage conflict


Once the social groups in the house are identified, it important for the cat owner to monitor how the cats are getting along and intervene, if necessary, to prevent conflict [Reference 1].

  • A cat fight can result in injuries to the fighting cats and the humans who try and manage the fight.
  • Aggression does not need to cause physical injury – psychological stress resulting from one cat guarding resources from another can result in illness and undesirable behaviors such as house-soiling.

signs of conflict – signs of play


It is important to be aware of potential conflict in the multi-cat home.  Signs of conflict not only include chasing, running away, howling and hissing, but also more subtle, seemingly harmless behaviors such as staring and blocking doorways.  To make things more confusing, chasing and running away can be play behaviors! For more information, visit “How Do Your Cats Get Along – Conflict Behaviors”.

 Cats are socially flexible and can form social groups with unrelated cats, although the strength and intensity of these social bonds can vary.  A few aggressive interactions between cats who sleep snuggled together, groom each other and share resources may not point to a deterioration in their relationship [Reference 2].  However, cats whose affiliation is weaker and whose inter-cat interactions are frequently punctuated with hissing and growling may warrant a call to your veterinarian or a cat behaviorist. 

The next post, “Managing Aggression in the Multi-Cat Home“, will look at identifying aggressive behaviors in more detail and what interventions are available to the cat owner.

references

  1. Ramos D. Common feline problem behaviors: Aggression in multi-cat households. Journal of Feline Medicine and Surgery. 2019;21(3):221-233. doi:10.1177/1098612X19831204
  2. Gajdoš-Kmecová, N., Peťková, B., Kottferová, J. et al. An ethological analysis of close-contact inter-cat interactions determining if cats are playing, fighting, or something in between. Sci Rep 13, 92 (2023). https://doi.org/10.1038/s41598-022-26121-1

 

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stressors your cat experiences during a car rideCats tend to be homebodies – your cat’s ideal day may include eating breakfast, then finding a sunny window to nap in. Midday is time for a stretch and a snack; if the weather is nice, he may want to spend some time in his catio. Unlike dogs, few cats become ecstatic at the prospect of a car ride, hanging their heads out of the window.

Once your cat accepts his carrier, the next step to getting him to the vet is the car ride. The car ride introduces additional stressors for your cat to experience. Here are some tips to help your cat cope with the stress of the car ride.

Help your cat cope with the stress of the car ride


Unfamiliar Smells and Scents

 

Include your cat’s familiar bedding in her carrier to offset the unfamiliar smells of the car with the reassurance of her own, individual scent. Spraying the carrier with feline facial pheromones (Feliway Classic, Comfort Zone Calming) also sends a message of security and territory to the traveling cat. Make sure to spray the carrier 15-20 minutes before your cat enters it so that the alcohol in the spray dissipates.

Lack of Resources

Delays due to accidents or road construction are part of car travel. Make sure to provide your cat some resources on the way. A non-slip absorbent pad for accidents is part of a well-equipped carrier. On long car rides, you may want to consider putting some ice cubes in a bowl that will gradually melt, provide water to drink and less mess in case of spills.

Motion

Some pets may be prone to motion sickness – this may be in part due to anxiety. Carrier/travel training can alleviate some of this. Travel medications for anxiety and nausea will be addressed in a later post in this series.

Unfamiliar Noises

Horns honking, engine noise, and sounds of passing vehicles are part of the car travel experience. Try offsetting these unfamiliar noises with some cat-specific music (https://www.musicforcats.com/).

Researchers at the University of Wisconsin composed music that would calm cats. In 2019, this cat music was tested in the veterinary clinic at Louisiana State University.  Stress and handling scores were lower for cats exposed to the “cat music” than the scores of cats exposed to silence or classical music. (see Cat Music:Just for Cats).

Unfamiliar Sights

 

Flashing lights and large vehicles going by your car can startle and frighten your cat. Consider covering your cat’s carrier to shield him from unfamiliar sights.

Cat-Carrier-Cover

Help your cat cope with the stress of the car ride: Practice rides


Of course, there is nothing like actually having some positive travel experience. When teenagers first get their drivers’ permit, there is some anxiety and excitement on those first few drives that goes away as they gain experience driving.

Some short “practice drives” with positive reinforcement can help your cat cope with the stress of the car ride.  If your cat is clicker-trained, the clicker can be used to trigger some positive emotions – your cat associates the sound of the click with something good such as treats.

First, let’s get your cat used to the car.

  • Have your cat enter his carrier. Click and treat.
  • Carry the carrier to the car and put it inside.
  • After a few minutes, take the carrier back into the house and let kitty out.  Click and treat.

Once your cat is comfortable sitting in his carrier in the car, get ready to do some driving.

  • Have your cat enter his carrier.  Click and treat.
  • Carry the carrier to the car and put it inside.
  • Start the engine and let the car idle for a few minutes.  Play music if you plan to use it.
  • Go for a drive around the block.
  • Return home and turn car off.
  • Take the carrier back into the house and let kitty out. Click and treat.

Your cat now has some travel experience under his belt. Car travel should now be a little less scary.  Every so often, take kitty for a spin around the block or to a park nearby if he will ride in a backpack or stroller.  Try to allow him some positive experiences where the car drive does not end up at the vet.  (For information about your cat’s safety and carrier placement in the car, visit https://www.centerforpetsafety.org/).

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Art by Kal Meyer

Imagine being suddenly snatched up by a giant from your favorite chair. You are lifted up into the air, your legs flailing as you try to maintain your balance. Scary, huh?

Some of the more exciting scenes in fantasy movies include the hero or heroine being snatched up and taken away. In the Wizard of Oz, a troop of flying monkeys swoop down and grab up Dorothy and her dog, Toto, taking them to the castle of the Wicked Witch of the West. A giant ape carries Ann Darrow up the Empire State Building in the movie “King Kong”, as the audience shrieks and squeals.

Picking up your cat can be frightening for him. He often has little warning before he is airborne. He feels helpless and scared. But, you say, I pick my cat up all the time and he does not seem to mind.  In certain circumstances though, he might redirect his fear as aggression and  bite or scratch you, if you try to pick him up, say, to move him away from the vacuum cleaner.

Okay, so maybe you can coax him to go where you need him to by using treats or a target stick. But there still will be times when picking up your cat is necessary – for example, you may need get him out of the way of a car. What can you do?

Picking Up Your Cat Step-by-Step


The “Pick Up” behavior was a by-product of training Gus, a feral cat caught in a live trap when he was three years old.

When you picked Gus up, he often would thrash and flail in your arms, biting and scratching. He responds well to clicker training so I wondered if I could teach him to be picked up, in the same way he learned to sit and target.

We broke the behavior of being picked up into the following steps.

  1. Kneel next to him on the floor and touch him where I would if I were going to pick him up. Give the verbal cue “UP”, then, click and treat.
  2. Slide my arms around him like I was going to pick him up. Give the verbal cue “UP”, then, click and treat.
  3. The next step was to actually to start to pick him up briefly, lifting him off the ground, with the cue “UP”. Click then treat.
  4. Finally, I would pick him up off the ground for a few seconds while saying “UP”.  I would click when he was off the ground, then treat him when I placed him back on the ground.
  5. I “shaped” the behavior by picking him up and holding him longer and longer, always rewarding him afterwards.

 

Unlike most of the time we train our cats, “UP” does not require the cat to actively choose to do something. It involves a passive response. The click marks that the cat is being lifted up and will be rewarded in the near future. But, the “click” can also make your cat feel good.

Like Pavlov’s dogs, who salivated when they heard a bell, the “click” is a classically conditioned response.   Once the click has been consistently associated with food or another reward, it ultimately triggers the same pleasurable emotions as the reward.

The “Pick Up” command was so successful that I taught all my cats this. Gus still squirms sometimes when the hold is taking him somewhere he does not fancy going… but, the biting has stopped! And he is rewarded for his patience with treats or head rubs when we arrive at our destination.

Although your cat is not in control of the situation when being picked up, if he hears the cue and the click, he knows what is going to happen, and can anticipate something good which should reduce his fear and anxiety.

 

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outside the box

 

When your cat thinks outside the box, it may be due to medical, environmental or social issues or a combination of these. In the two previous posts, we considered some of the medical and environmental issues that can give rise to house-soiling. When your cat thinks outside the box, we must also consider his social environment: are his interactions with people and other pets positive?

 

 

 

When your cat thinks outside the box: the social environment


People and pets other than cats


Positive and predictable interactions with people are a key element of a healthy feline environment. Our cats should expect that we will:

  • allow them to choose whether or not to interact with us
  • pay attention to their body language
  • handle them in a way they accept

Following these simple guidelines can help reduce a cat’s anxiety and insecurity. Making your cat feel secure and confident can go a long way to avoiding house-soiling problems.

Do ask family and visitors to follow the CAT guidelines .

Do not punish your cat for house-soiling even if you catch him in the act. Most likely, he or she will not make the connection. Punishment will only increase his or her stress and may increase the motivation to pee or poop in less obvious places (ISFM House-Soiling Guidelines). Punishment may also cause your cat to be afraid of you.

Do consider restricting children and dogs from the litter box areas using baby gates and gadgets such as a “door buddy“.

Be proactive and try to anticipate how your cat will handle new situations: For example, if you are going to have house guests, think how your cat will react to these strangers. Say you have a litter box in the guest bath – you may want to close your cat away from that area when guests are visiting in your home and provide a litter box elsewhere.

dealing with Inter-cat issues


CATS OUTSIDE THE HOME


Neighborhood cats coming into your yard can impact your cat’s behavior. These cats may mark your doors or yard with urine

They may come to the windows and look in. In response, your cat may mark or soil near the doors and windows that lead to the outside. Cat doors may trigger a similar response.

In  the previous post, When your cat thinks outside the box: the environment, we talked about noting house-soiling incidents on a map of your house.

If the “x’s” on your house map are near outside doors and windows, neighborhood cats may be a problem.  (House-Soiling Guidelines)

Taking Action: Secure Your Cat’s Territory!

  • Move your cat’s food and water stations away from doors and windows
  • If necessary, block your cat’s view of the outside by using window film, cardboard, paint… so he cannot see the intruder.
  • If you see outdoor cats in your yard, consider a motion activated sprinkler or critter spikes (for fences) to discourage the neighborhood cats from coming into your yard.

CATS INSIDE THE HOME


Where are the “x’s” on the housemap?

If the “x’s” are in hallways, stairways, doorways leading into rooms (in the interior of the house), your problem may be coming from inside the house – other cats. (House-Soiling Guidelines)

Cats are socially flexible. They do very well on their own but can live with other cats if there are enough resources and if these are spread out.

Diagram social groups cats
There are 3 social groups in this 4 cat household.

Social Groups of Cats

Within a cat colony, there are often smaller groups of 2 or more cats that prefer to spend time together. These cats will often:

  • sleep together touching each other
  • groom each other
  • rub against each other
  • “play fight”

These social groups are comfortable sharing resources: food, water, litter boxes, sleeping and resting places. (See Social Groups of Cats)

Most of the time, things go smoothly and different social groups will take turns using the resources. However, occasionally a cat or cats will “pick on” a particular cat. In a wild setting, this cat could move on, joining another colony or living a solitary life. These options are not available to the indoor cat.

Is your house-soiling cat being picked on by another cat? Does your other cat:

  • stalk and track the house-soiling cat?
  • stare directly at her?
  • attack him? (do not mistake aggression for play: see Cats at Play)
  • block her from using critical resources – litter boxes, food, sleeping places?

 

The house-soiling cat may feel safest on the owner’s bed and use the bed as a litter box.

What to do:

  1. Diagram the social groups in your multi-cat household using the criteria above.
  2. Note on the house map where different social groups hang out.
  3. Draw the paths cats have to follow to reach food, water and litter boxes.
  4. Which social group does your house-soiling cat belong to?
  5. Does he or she have an open path to reach the litter box? Can a “bully cat” hide behind furniture and ambush him or her?

Taking Action – Make the house-soiling cat feel confident and secure again


  • Separate the different social groups.  Make sure that each group has all their resources (food, water, litter boxes, cat trees). 
  • Set up a time-sharing scheme for different social groups to use the common areas while you are resolving the problem.
  • Make sure that there are enough resources so that cats of different social groups do not have to share.
  • Move furniture if necessary to eliminate ambush spots in the litter box areas and on the way to the litter boxes.
  • Your vet may prescribe medication for the cats involved.

Taking Action: keep the “bully” cat busy and reduce boredom


  • food puzzles
  • regular play time
  • outdoor access on a leash

Once your house-soiling cat is using his or her box again, you can consider gradually reintroducing him or her to the other cats (see Introducing Cats). If he or she is the victim of a “bully”, be sure to go slowly and supervise the interactions between the bully and victim. This may not be successful and cats may need to remain separated or be re-homed.

This is the final part of “when your cat thinks outside the box”. These three posts only scratch the surface of a complex behavior that can be due to medical, environmental or social issues or a combination of these. Your first resource should be your veterinarian. Do consider making a house map and, if you have a multi-cat household, a social diagram. These simple tools can provide you and your vet insight into why your cat thinks outside the box.

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