Noise phobia in dogs causes significant suffering and is one of the most common welfare problems in companion animal practice. Evidence-based treatment exists but remains underused.
Noise phobia causes millions of dogs to experience repeated, intense panic responses that damage their welfare and their relationship with their owners. Many owners underestimate the severity of their dog's distress or try to manage it with reassurance or restraint, which can inadvertently reinforce fear responses. The combination of desensitisation training and appropriate medication is effective but requires commitment, professional guidance, and advance planning — treatment cannot be started the night of the fireworks. Veterinary consultation is essential both for medication and for ruling out pain or hearing conditions that amplify noise sensitivity. The most effective public health intervention for noise phobia would be regulation of recreational fireworks to reduce the unpredictable noise exposure that makes training and management so difficult.