Lottie is a 3yo aussie who was fine with sounds until last july 4th when a neighbor set off mortars at 11pm. She went from normal to panting, trembling, hiding in the bathtub, refusing food for 18 hours. From that night forward she generalized. Fireworks, then thunder, then trash trucks, then the icemaker, then a chair scraping the floor. By october she was reactive to her own collar tag jingling. I want to write down what we actually tried, in order, because the firehose of advice online sent us down a few dead ends that cost us months.

Months 1-3, the wrong order. We did what most people do. Thundershirt, calming chews from petco, white noise machine, hiding spot in a closet, a single sit-down with our regular vet who prescribed trazodone PRN. Each of those things helped a little but the underlying thing was getting worse because she was learning that loud sounds predicted her own panic attack. We did not understand we were chasing the symptoms instead of treating the disorder. The trazodone in particular, given only on storm days, was not enough on its own to stop the spiral and it made me complacent because i thought "we have medication for this." We did not. We had a band-aid.

Month 4, the actual turn. We got referred to a board certified veterinary behaviorist (DACVB) which was a four hour drive and a 380 dollar appointment and the single best money i have ever spent on this dog. She diagnosed Lottie with sound phobia with generalization and explained the difference between PRN meds and daily SSRI baseline. We started fluoxetine daily, kept trazodone as PRN for known events, and most importantly she gave us a behavior modification plan. Not "play sounds quietly and reward calmness," an actual structured DS/CC protocol with sound files at measured volumes, daily sessions, and a tracking sheet. We were doing two ten minute sessions a day for six months.

Months 5-10, the slow climb. The fluoxetine took about 6 weeks to reach a noticeable baseline. We did not see dramatic changes at first, we saw small ones. She could hear the icemaker without leaving the room. She could eat dinner during a distant thunderstorm. She had a few setbacks (we had to back the DS/CC volumes down twice) and the behaviorist kept saying setbacks are the work. Around month 8 we added CBD to the protocol, full spectrum hemp product from a company that publishes their COA, dosed by weight, given 90 minutes before known events on top of the trazodone. CBD on its own would not have done anything for this dog. As an add-on to a real treatment plan it was the last 10% we needed for fireworks season.

Where we are now, almost 11 months in. Lottie slept through a thunderstorm last week. She still gets PRN meds for fireworks and the four big known events on the calendar (4th, NYE, two town festivals). We are starting to talk with the behaviorist about whether we eventually try a daily SSRI taper next summer. She is a different dog. Not a "cured" dog, a managed dog with a good life, who can hear a delivery truck without leaving the room.

The order that worked, if i could do it again. Step 1 was the DACVB referral. Step 2 was daily SSRI plus trazodone PRN. Step 3 was a real behavior modification protocol from a credentialed source. Step 4 was the environmental management (white noise, safe spaces, predictable routine). Step 5, only after all of the above were in place, was CBD as an add-on. The CBD on its own is what every facebook group will tell you to try first and for most truly phobic dogs it is the last piece of the puzzle, not the first one. The boring credentialed care is the actual treatment

Alternative Medicine

noise phobic aussie, a year of trying every protocol, what actually moved the needle for us and the order we tried things in case it saves someone else twelve months