Noise phobia causes significant suffering in affected dogs and requires systematic treatment rather than dismissal as normal fear.
Noise phobia causes acute terror responses that are genuinely distressing experiences for affected dogs. During phobic episodes, cortisol spikes, heart rate increases dramatically, and dogs may injure themselves trying to escape. The progressive worsening without treatment means dogs suffer increasingly severe episodes over time. Medication during exposures prevents terror experiences and halts sensitization, making it a welfare-critical intervention rather than optional comfort.