Evidence-based approaches to treating severe noise phobia in dogs, addressing the neurobiological underpinnings of this common welfare problem.
Noise phobia causes acute suffering during exposure events and chronic anxiety during anticipatory periods in seasonally affected dogs. The progressive worsening of untreated phobia means that early intervention has compounding welfare benefits. Treatment approaches that address only the acute event with sedation without concurrent behavioral modification fail to improve long-term wellbeing. A comprehensive approach combining behavioral modification with pharmacological support during exposure events provides the best welfare outcomes. Owners should be counseled that noise phobia is a medical condition requiring treatment, not a character flaw requiring punishment.