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Understanding Feline Depression

Understanding Feline Depression: A Comprehensive Guide


1. Introduction

Introduction We all know about depression in humans – this mental health issue gets a lot of attention indeed. But what about feline depression? Depression in cats has long been ignored, yet more and more vets are noting a rise in the emotional issues of our pets. Among the different domesticated pets, the depression and anxiety of cats have been getting most of the attention because approximately thirty-five million domestic cats were recorded in the U.K. in 2020. A varied range of depressive-like behaviors are not just distressing but also worrying for their owners, sometimes even worrying enough to motivate the calling of the vet. The fact remains that feline depression, anxiety, and numerous other feline mental health issues continue to grow without proper acknowledgment. It’s essential for us to work out the signs of depression in cats in order to confirm that our cats are emotionally unhappy. It will become burdensome and often simply not possible for nervous cat carers to watch their cat 24 hours a day. If, for any reason, your cat starts acting drastically different than normal, it might be tough to differentiate between depression, unease, and pain and find out the ultimate reason behind your cat’s uncommon behavior. Within this in-depth explanation, this guide will talk about why cats sometimes develop depression, the most typical signs and symptoms of emotional distress in domestic cats, their management, and how to institute preventive measures for dealing with feline depression. The reaction of people to determining a pet’s emotions happens to be a rather contentious subject; some people have a tendency to deny that cats even possess complex emotions at all.

2. Signs and Symptoms of Depression in Cats

There are many signs and symptoms that point to a happy or a depressed cat. Because people don't know their cats as well as they think they do, it is not always easy for them to recognize when their cat is depressed. This is because minor changes in their cat's habits are not something people find alarming. A minor shift in behavior, in most people's minds, is not definitive evidence of sickness. However, minor behavior changes are the first step to being depressed. Just as in people, depression in cats can grow over time if not recognized and treated. Without help, missed work, mood disorders, and even suicide can be the result of untreated depression.

There are many signs of cat depression. The most common sign of depression in cats is social behavior. A happy cat is one that loves physical contact with animals and people. Depression in cats is marked by an avoidance of social interaction, where depressed cats avoid caresses from their trusted friends. Another factor that points to a happy or a depressed cat is activity level. Cats, like people, tend to isolate themselves when they are depressed. Normally social cats tend to become inactive and withdrawn. When a cat is depressed, people report that the cat spent more time alone in an unusual location. Some pet owners who visited their veterinarian because of their depressed cats even felt that the cat could not take the time to clean itself. Other signs in this list include eating and grooming habits. If your cat has any of these signs, pay attention to how long they have been present. Some of these activities mentioned briefly in the list may not be of concern. For example, a stressed or depressed cat may eat more or less, but excessive changes in appetite can also be a sign of illness, so it is best to report any changes in behavior to your veterinarian.

3. Causes and Triggers of Feline Depression

Feline depression can appear without a clear cause, but in many cases, genetics and environment appear to be contributing factors. The aspect of a cat's life that affects them most is their living conditions: unlike dogs, they may not usually take part in the world outside. Therefore, feline depression often occurs as a result of life changes, especially for indoor cats. The most common triggers of depression among cats appear to be changes in routine or residents in the home, the loss of a companion, or the introduction of a new resident.

Cats are highly sensitive to changes in their body's internal environment, a state known scientifically as 'homeostasis.' External signs of stress often result from an attempt to restore homeostasis following a major or minor challenge. Early experiences and how an individual represents the world can also influence whether a cat has been conditioned or diagnosed with depression. This is particularly typical if a cat has been spoiled or abandoned, things frequently witnessed in shelters and rescue centers, or has not been given the possibility of enrichment and excitement.

Recognizing the causes and triggers of feline depression is the initial step to prevent it. However, if a cat is currently experiencing or recovering from depression, this information will equip owners with the understanding to create a far more caring and nurturing atmosphere.

4. Diagnosing Depression in Cats

Understanding Feline Depression:
A Comprehensive Guide to Help You Help Your Cat Get Healthy—Part One
Diagnosing Depression in Cats
Just like humans, the mental state of cats can influence the quality of their lives, including physical health. But diagnosing emotional health problems in cats can be tricky because they can’t tell us what’s bothering them. We must rely on observations and the owner’s historical perspective. Additionally, the signs of depression or emotional upset can overlap significantly with signs of physical health issues. This is why veterinarians trained in animal behavior must take the context of the entire cat’s life into account when considering a diagnosis of depression or anxiety. Behavioral assessments and questionnaires help veterinarians get a comprehensive understanding of various aspects of a cat’s life over time so we can better understand a responder’s subjective actions and beliefs. Finally, a physical examination and appropriate testing help to rule out primary health issues.
Because we are so reliant on context and the owner’s perspective, this means owners play a crucial role in this diagnostic process. Veterinarians start the process working with owners by taking a thorough history, which may include questions like: Do you ever see your cat really playful? Does your cat normally rub up against you? Is your cat affectionate, avoiding, or easily frightened? The questions give the owner the opportunity to provide clues about what might be going on so that the veterinarians can better interpret the reality behind the data. With this information, veterinarians can interpret the questionnaires and work with the available resources to develop a treatment plan and respond to their concerns. No definitive test or diagnostic criteria are currently available for depression in cats. If you believe your cat may have become depressed, contact your veterinarian, who will collect a comprehensive history, perform a thorough physical examination, and obtain any necessary diagnostic tests to rule out health problems. Then we’ll work to get your cat healthier!

5. Treatment Options for Depressed Cats




Depression in cats can be addressed using several therapeutic strategies. Behavioral therapy, including counterconditioning and desensitization for environmental changes, has been explained earlier. Treatment of underlying medical conditions and management of pain are also important to lift the cat’s spirits. In addition to these strategies, the environmental conditions of the cat can be altered to improve her mood. This includes the provision of an appropriate, species- and lifestyle-specific diet, environmental enrichment, fine-tuning the litter box environment—and of course, providing cats with companions if they are social animals. An ideal treatment plan should be tailored to the cat’s individual needs and the care that the pet parent is willing and able to provide.

For cats who suffer from severely depressed moods, supportive care options include increased environmental stimulation and more interaction with an owner or caretaker. While traditional medications have potential value in areas like environmental modification, western medicine approaches for relieving a cat’s blues are also used; certain medications are known for their anxiolytic properties, for example, and they may be helpful in providing symptom relief. Other complementary and alternative treatments in addition to medication options exist. Natural, herbal remedies can be effective. Acupuncture or household remedies may also serve as a means of providing symptom relief. Nutritional supplements or dietary changes are another option to alter the cat’s mood and are sometimes used in the management of depression. Many cat owners have found success in effectively providing support to their feline friends in alternative forms. As a pet owner, researching potential treatment options to reduce depressive symptoms can set you on the path to developing a collaborative plan with your veterinarian. By mapping out the care strategy with your veterinarian, you become more actively involved in the development of a treatment plan.

6. The Role of Environment in Feline Mental Health

As with humans, a cat's environment greatly impacts their mental health. A cat's territory includes both their physical space and anything in it, including people and other animals. The resources provided by their territory are expected to meet their needs, including a safe space for rest, hunting, and play, and a place to eliminate waste. Lack of physical space in the house can lead to cats feeling that their options, such as avoidance or aggression, are limited, and can lead to an increase in conflict and depression. Environmental enrichment is a term used to describe the enhancement of an environment to make it more varied, interesting, and stimulating to an animal, increasing the cat's physical, social, and mental well-being. Enrichment can include such things as toys and games, several perching and resting areas, shelves, and scratching posts that match the individual cat's preferences. In addition to a stimulating environment, cats need a safe one. The stressful experience of sharing space with someone they do not feel safe with or have negative encounters with, such as family members or housemates, can lead to the initial loss of mental well-being. Moving house or visitors to the house can also be a source of stress. Every house has a unique emotional climate that results from a combination of human or pet relationships. Fighting between cats is a strong source of stress for many cats. If conflicts between cats or between a cat and a dog develop, genuine friendships may not recover, even if aggression ceases if nothing is done to help them cope. Unfortunately, these factors are often intertwined to build the overall environment and mental climate. Addressing them all as far as possible is usually the best approach.

7. Bonding and Interaction: Key Factors in Preventing Feline Depression

Interpersonal bonds and strong social interactions build emotional resilience. The concept is equally true for your feline. Owners with a strong bond with their cat, in turn, have cats with the emotional resilience to handle stressful situations. When establishing a strong bond, the outcome prevents depression and depressive behaviors from developing. Cats should have time allocated daily for interactions, as cats are a highly social species. When establishing social interaction schedules for your cat, it bolsters their natural emotional state and prevents depressive feelings from developing. Feeling sadness and dealing with time alone is not limited to domestic cats. Examples of cats that have been isolated from human contact, other animals, or lacked social stimulation from a young age may become depressed from feeling socially separated. Pain and neglect enhance feelings of isolation and stress in cats unfamiliar with social interaction.

Cats do not self-manage their social interactions with owners. Household cats expect their owner to take an interest in their social self. Especially if isolated or feeling sad, owners can start or initiate basic, healthier social interactions, such as playing, grooming, and feeding. Interactions allow the owner to make sure the cat feels safe, secure, and is mentally and emotionally sound. This can reveal the cat's needs based on the owner's approach and guidance on how to best interact with the cat. Given that the cat’s environment has evolved to include interaction with their natural environment, it is important to allow the owner to feel part of their cat's life. The owner will understand the personality and behavior of their cat on all levels and adjust the everyday routine accordingly. With the deepest bond between a cat and their owner, the cat would feel secure and can freely communicate with the owner about their comfort zone, boundaries, concerns, and feelings. This, in essence, is a very hard bond to break down, and for that reason, the sad or abused cat feels safe.

8. How to Support a Depressed Cat: Practical Tips for Pet Owners



There are many ways to help support a depressed cat. If possible, set up a routine and stick to it. Cats feel more comfortable when they know what to expect from their environment. Keep your cat’s space clean and safe. Cats benefit from having a place to hide and relax where they won’t be disturbed or pursued by other pets in the home. Try to be patient and understanding when interacting with your cat. Some cats will appreciate attention even when they are feeling down, while others may want some extra alone time.

If you see any changes in the way your cat acts or interacts with their environment, contact your veterinarian as they may help to offer solutions or improve behavioral and health issues. Watch your cat for any changes. Depression in people may look different than it does in cats. Consider giving your cat an interactive game or puzzle toy to help stimulate mental and emotional health. Encourage normal social behavior by playing with your cat, petting them, talking to them, or using a laser toy to engage them in physical exercise. Make mealtimes fun by incorporating food puzzles with treats or kibble. Encourage lots of fluids by providing a fountain. Choose regular veterinary office check-ups to ensure that your pet’s physical and mental well-being reach their potential. A sick pet can benefit from emotional support and extra time with you, making it a great opportunity to establish a bond by acting as a caretaker in a loving environment. Ensuring that medications are not causing depression, insomnia, or acting out with destructive or other undesirable behaviors.

9. The Connection Between Physical Health and Mental Well-being in Cats

We dive into the critical relationship between a cat's physical health and its mental condition, and why the two are closely linked. Most commonly, mental discontent is a secondary symptom of some real illness. Depression affects people and animals in remarkably similar ways. Physical health can either lead to or exacerbate mental illness, often by activating a genetic predisposition. Specific chronic illnesses themselves, when uncontrolled, can make cats feel depressed when experienced. Nevertheless, many forms of physical discomfort predispose animals to feelings of depression rather than worry. For example, pain or hunger are common reasons for mild depression in pets.

The general rule is that a cat with untreated medical conditions of any kind is at a higher risk for mental illness than one in perfect physical condition. Veterinarians may look for potential health problems or sources of continuous pain to help stop a cat from getting depressed. As is common sense, a balanced diet and regular exercise are beneficial to a cat's physical health. Our pets' physical health will benefit as we pay closer attention to these two aspects of pet ownership. Addressing a cat's physical discomfort will automatically improve its mental state in many cases. We have to be vigilant in addressing a cat's individual problems. If a cat is starving, taking dietary pills would not make it feel more at ease until the food problem is solved. The animal's physical well-being can carry significant weight. It's critical to recognize and handle both concerns.

10. Understanding the Difference Between Normal Behavior and Depressive Symptoms in Cats

The elusive and sometimes baffling nature of cats means that almost anything can appear normal or pathological, depending on the context. Despite that confounding factor, we are lucky enough to have an ample wealth of data, most of which tells us that some cat behaviors are normal and some behaviors are signs of something physically or emotionally wrong. Cats do feel sad sometimes, and their normal behavior—be it playing, carrying out body care, monitoring their environment, and demonstrating territorial behaviors—can change as they adapt and age. As cats grow older, they could become less active and show fewer of these normal behaviors. But normal shifts don’t generally occur overnight, and they should occur at a rate consistent with the cat’s progressing age or with changes in life or household. So what are the red flags you could look for to determine whether your cat’s behavior is best explained by depression?

When symptoms manifest to such an extent where the normal range of emotional states in cats no longer explains the most frequent cat behaviors, we call that depression. Depression in cats—like any entity in the world of animal behavior, biology, or medicine—occurs along a spectrum. On one end of the spectrum, a cat with depression first develops a decrease in the number of one or more of her most frequently displayed behaviors. At first, she might become less interested in playing, decreasing the time she spends hunting or exploring for prey. Later, she may spend the same time playing, but decrease the time she spends resting or running around previously undesirable household areas. This decrease in time spent demonstrating her most frequently selected behaviors would continue until they reach a level usually observed only in a much smaller percentage of cats at any given point in time, until several behaviors begin to gradually increase in the time spent performing them.

11. The Impact of Changes and Transitions on Feline Mental Health

Changes, whether in the form of everyday adjustments or larger transitions, have the potential to significantly impact an animal’s mental health. For cats, changes such as moving homes, rehoming, the arrival of a new pet, a new person, or a new baby, the loss of a loved one or companion, or unusual changes to routine are major stressors that can create intense feelings of stress, fear, or anxiety. These stressors can lead to loneliness and depression, or to physical symptoms that mimic depression. Cats are sensitive animals, and many routine shifts, large or small, such as different food, owners changing jobs, redecorating a room, their owners crying, or a change in litter brand, can cause drastic, sudden, and potentially dangerous behavioral changes in an otherwise healthy pet. These shifts send a cat reeling and cause a loss of confidence that may take many weeks to rebuild.

This is often a result of stress, fear, or anxiety, and when they linger long enough to become unwanted, disruptive, and difficult to ignore, they ultimately lead to withdrawal, severe and chronic lack of the activities of interest, especially food and play, leading to lethargy. This typically manifests in lethargy, loss of vigilance, fatigue, and exhaustion. In many cases, especially where the stressor is unavoidable, we must simply help facilitate the pet’s ability to cope with change. We must prevent the pet from falling into a full mental health crisis by introducing change gradually and providing a constant stream of pleasing food or toys, interaction, and play, all promoting the basic drives, to allow the pet time to adapt. Over time, the pet will adapt with the support provided, demonstrate adaptability in times of change, and avoid the mental health crisis or manifestation of depression.

12. Research and Studies on Feline Depression

As your final section, we must acknowledge all research available on feline depression. This will give us a more comprehensive understanding of the current state of knowledge around the topic. Renewed attention has been given in veterinary science regarding the treatment of mood disorders in pets. Feline depression has been acknowledged for a long time; however, studies regarding its treatment, prevention, and symptoms are still recent. Not long ago, it was stated that the body response to the feelings of cats could be neurobiologically and behaviorally assessed. For this reason, further steps need to be taken in monitoring and managing the emotional aspects of feline pets. Moreover, it was acknowledged that domestic mammals can suffer from behavior problems and devoted a task force to develop behavior management guidelines. This growing need for knowledge and the still unsatisfying purpose regarding therapy related to the complementary use of medications make the field of depression in cats very interesting.

To date, studies indicate that cats feel fear, frustration, sadness, joy, and even solicit care and attention from their human companions. Symptoms of feline depression need to be completely understood in order to plan treatment and decide the extent and the point of care for these animals. This situation may be due to the fact that the evidence of feline emotional states mainly relies on clinical observations and interview-based data from caregivers. Indeed, several signs such as decreased or increased feeding, grooming, overall function, social behavior, habits, and responsiveness may suggest a potential depressed condition. Better exploring the environmental impact in this sense is a further need. Changes in appetite, anhedonia, or an excessive need for sleep are the most cited. Public beliefs regarding environmentally caused depression should guide future analyses. Treatments should be evidence-based.

13. Case Studies: Real-life Examples of Cats Dealing with Depression

In case you’re still in doubt about whether cats get depressed or not, here are some real-life examples to help you know better.

Tiger Lily is our eight-year-old Bombay cat. She’s lived with us since birth, and we know her very well. A month after we went on lockdown, she started to change. She was sleeping longer, was very quiet, and looked very deep into her bowl as if she knew something about life we didn’t. After six weeks of suffering with what I thought was just an eating problem – loss of appetite, massive weight loss, and then what I thought was a swallowing problem – I took her to my vet and told the vet at the desk that she was suffering from severe depression. I can usually help trigger her hunger: we always open windows for her where there’s a good chance a spider will fly in, and we talk about it with her very excitedly. But that day, I also stopped opening windows for a bit because we all really needed a break. Our cat stopped hunting that day and began losing weight.

This case study is a great demonstration of an intuitive understanding of your pet helping you better calibrate your reaction to their changed behavior. Just because your pet sometimes needs some help – be it a medical intervention, behavioral counseling, or simply love and reassurance – doesn’t mean you’re falling short as a pet parent. It simply means you have a being in your care who’s asking for the same level of understanding and affection you’d give any other family member who might be dealing with depression.

14. The Importance of Seeking Professional Help for Depressed Cats



If you believe your cat is depressed, it’s time to seek the help of an animal behaviorist or a veterinarian. Although there is no depression test for cats, there are no blood tests or physiological screenings that can definitively diagnose depression in your cat. A professional’s trained eye can tell you if your cat is sad, depressed, or suffering from a different ailment. The signs and symptoms of feline depression can often be severe, so it’s important to address them as soon as possible. When you take your cat to her appointment, the professional will ask you for a detailed history of your cat’s behavior and look for common signs and symptoms of depression in your cat. Each sign will be assessed and given a severity score. This will help the veterinarian or animal behaviorist create a tailored treatment plan for your cat. Although you may feel ashamed or worry about judgment from others, you need to make treatment for your depressed pet a priority to help her feel good again.

Before you bring your pet to her professional behaviorist or veterinarian, take a few minutes to jot down notes about your pet’s behavior. Writing down what your cat has been doing and how long she has been doing it will help you communicate with the professional and make the most out of your appointment. List the signs and symptoms of depression in your cat, along with a start date and frequency, as well as any changes in your home that could have led to her feeling blue. Be open with the professional about your cat’s behavior and ask questions about her diagnosis, treatment, and what to expect from any prescribed medications. Staying informed about and involved in your cat's treatment will help ensure that intervention is tailored to her needs. If you feel like animal psychology is pseudoscientific, you're not alone. Mental illness in animals gets less attention than mental illness in people, and for this reason, many people aren't sure whether their depressed pet really needs help.

15. Creating a Safe and Enriching Environment for Cats at Risk of Depression

Creating a safe and enriching environment

Helping owners provide an environment that's safe while minimizing the risk of depression is key. The environment should be large enough that cats who are predisposed to stress-associated mental health problems can get away from the family when needed and reduce conflict or bullying among cats. Cats should have a good rest area and not be disturbed. Enriching your cat's environment with sensory experiences, which include a variety of toys, scratching posts and pads, climbing furniture, different textures to sit and lie on, and a range of heights and perches for observation, can be beneficial for both owners and cats.

Enrichment strategies can include: - Interactive toys - Perches near a window - Climbing structures - Scratching surfaces - Safe access outdoors or opportunities to observe the outdoors - A place to hide - Secure attachments to reduce accidental human-caused injury - Natural light - Elevated resting and bed areas - Visual stimuli such as a bird feeder view - Movement, including between levels or places and also vertical movement, not just horizontal - A private litter box - Regular play with owners

Predictability in the home environment can be helpful, as cats may come to expect the world around them to be at least somewhat predictable based on past experiences. Providing a predictable environment for an animal that craves routine and predictability can help mitigate emotional upset, fear, anxiety, depression, frustration, and the development of long-term stress-associated physical and mental health problems. Environments that are designed to meet their physical, social, and environmental needs are places that set them up to experience positive emotional well-being and physical health outcomes. A safe and appropriate environment is essential in order to prevent stress and depression in cats. Owners should ensure their management of their cats meets not just their basic welfare needs but also considers their emotional well-being as an important priority. Encouraging the maximum amount of exploration and physical activity in the home environment can be a great way to fulfill cats' environmental needs in a controlled and safe manner. Permission to roam in a controlled outside environment can certainly enrich a cat's life, but it will reduce the amount of natural activity within the house. Each cat is unique, and enrichment plans should be tailored to their individual needs.

16. The Future of Feline Mental Health: Innovations and Advancements

The future of feline mental health is becoming an increasingly research-driven field. Several early studies researching genetics, animal behavior, and veterinary medicine show promise. Researchers are looking at the influence of genes on anxiety sensitivity in animals, which might help identify the genes connected to anxiety and depression in cats. Researchers have also tried using innovative technology to scan for mental health issues. Brain scans of individual cats have found interesting patterns in the gray matter, some of which are related to a mental health condition known as cognitive dysfunction syndrome. Over time, this might lead to quick, easy, and reliable diagnostic tools. Studies in veterinary medicine have also seen advancements in cats. Veterinarians who want to study a cat’s mental health are coming together to create guidelines on the way cats are assessed, to make sure that assessment results reflect a cat’s mental health and not just their physical well-being. This is important to be able to understand how common mental health issues like depression and anxiety are in cats, and to have an early indicator of which cats will be more likely to develop mental health problems so that they can receive treatment before symptoms become severe instead of determining that an animal has a problem that doesn’t hurt them now and might never hurt them later.

Studies into treatments for depression in cats and other pets have also taken place. There are also new behavioral treatments being tested for depression in animals. These could work in combination with current treatments or replace them. There is much investigation into developing new ways of preventing depression before it gets a chance to affect cats, including changing their environment and life experiences to make depression less likely. Some other interesting questions have been asked, such as what would happen if vets and pet owners took a new, more integrated approach to caring for cats’ physical and mental health together? Studies have also suggested that some problems could come from a lack of accurate knowledge of cats and cat care in the community, and that greater understanding and education of cats and their needs in general could be good for the welfare of all cats. This means there are a lot of efforts being made to better understand and treat depression in cats and other animals. Continuing to work in these areas and taking new research-inspired approaches to cats’ life experiences, behavior, environment, and treatments means there is much to be hopeful about when it comes to the future for all cats.

17. Conclusion: Empowering Cat Owners to Recognize and Address Feline Depression

Growing recognition that cats can, and do, get depressed has led pet owners to better understand their emotional needs and the responsibility they share for the health of their cats. Combining the insights of animal behavior specialists, veterinarians, veterinary behaviorists, researchers, and a growing body of scientific studies, a comprehensive guide to feline depression has been produced. The purpose of this guide is to provide you with a comprehensive and in-depth look at feline depression, how to prevent it, and how to heal your cat if he or she has depression.

When the guide was put together, the overarching goal was to help you, the caring pet owner, feel that you are not alone. A great cat parent, even faced with the possibility of something as bleak as depression, can feel empowered and know what to do... what worked for others. They want you to know the stages and symptoms of depression, so healing begins quicker, and perhaps you can prevent it. The guide is offered with a powerful point of view. The more you know, the better you can help your cat—and help yourself to know you are doing what you can, learning, and growing. Losing cat guardians to depression would also be a sad side effect for the person's cat family, so this is another overlapping aspect of the feline depression spectrum.

References:

Limbu, B., Unwin, G. and Deb, S., 2021. Comprehensive assessment of triggers for behaviours of concern scale (CATS): Initial development. International Journal of Environmental Research and Public Health, 18(20), p.10674. mdpi.com

Salokangas, R.K., Schultze-Lutter, F., Schmidt, S.J., Pesonen, H., Luutonen, S., Patterson, P., von Reventlow, H.G., Heinimaa, M., From, T. and Hietala, J., 2020. Childhood physical abuse and emotional neglect are specifically associated with adult mental disorders. Journal of Mental Health. mindmedicineaustralia.org.au

Pickersgill, O., Mills, D. S., & Guo, K., 2023. Owners' beliefs regarding the emotional capabilities of their dogs and cats. Animals. mdpi.com

Gadomski, A., Scribani, M.B., Tallman, N., Krupa, N., Jenkins, P. and Wissow, L.S., 2022. Impact of pet dog or cat exposure during childhood on mental illness during adolescence: A cohort study. BMC pediatrics, 22(1), p.572. springer.com

Fatjó, J. & Bowen, J., 2020. Behavior and medical problems in pet animals. Advances in Small Animal Care. advancesinsmallanimalcare.com

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