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A saga of dog owner-directed aggression

My dog Chevy snarled, growled and bit to such a degree his owner considered euthanasia

[From Tufts June 2012 Issue]

This is one in an occasional series by best-selling author Nicholas Dodman, BVMS, DACVB, director of the Animal Behavior Clinic at Cummings School.

Back in 2005 a troubled owner brought us her 5-month-old neutered male mixed breed dog, Chevy, for evaluation and treatment of owner-directed aggression. Specifically, Chevy had growled at and bitten his owner in various situations, all involving food or stolen objects.

Chevy, left, also chased his tail and became ill on car rides.

Some people refer to this type of aggression as “possessive aggression,” which is often a component of what is now known as “conflict aggression.” Chevy had a few other issues too, and his owner reported that he was always nervous in the car, salivating and vomiting during car rides. He also chased and chewed his tail and exhibited coprophagia (eating his own excreta). Other than these issues, his owner euphemistically reported, he was a well-behaved dog.

Avoiding further conflict
The initial treatment plan, which was outlined by one of my associates, was to take steps to avoid further conflict by: a) denying him access to things he might steal or want to protect and b) ignoring him if he grabbed a forbidden object despite his owner’s best efforts to keep such items from him. If, however, Chevy managed to steal something that was potentially dangerous — something he might swallow, for example — or something that was valuable to his owner, our instructions were to divert him rather than confront him in order to reduce ongoing conflict.

The other part of the treatment program was what is sometimes referred to as the “nothing-in-life-is-free” protocol, through which a dog has to earn things he takes for granted and either wants or needs. It was particularly important, we felt, to have Chevy working for food and treats by obeying a one-word command — in effect, through his compliance, saying “please.” This limit-setting program is effective in between 70 to 90 percent of dogs within a period of two months or so. In addition to these treatments for his aggression, we also recommended desensitization to car rides because we thought his reaction to traveling in the car was a result of some acquired fear.

Six months later, Chevy’s owner returned for a follow-up appointment and announced that he had been diagnosed with hypertrophic osteodystrophy — a bone disorder — and was now being treated with the powerful pain killer Rimadyl. The local veterinarian had also implemented treatment with Prozac, as we had suggested at the time of the appointment in case he was not responding as quickly or well as anticipated.

Training didn’t help
Chevy’s owner had also enlisted the help of a trainer, but his aggression continued pretty much unabated and now often took the form of snarling or lunging when she came home.

Fast forward two years: After a series of appointments with the local veterinarian and various behaviorists in our section, Chevy was considered by his owner to be getting even worse. Now he was growling not only over food and objects but was also space-guarding, was exhibiting petting-induced aggression, and was particularly aggressive whenever his neck was touched.

He was still being treated with Prozac at this time, and his owner had tried adding the anti-anxiety drug buspirone at our suggestion to see if that would help. At one re-check appointment, Chevy’s owner was again advised about the nothing-in-life-is-free program, and we tried switching his treatment to a different serotonin-enhancing drug, Zoloft.

Four years after his initial appointment, Chevy was finally considered by his owner to be doing very much better. She graded him 1.5 on a scale of 1 to 10 for his aggressiveness (where 10 was the worst she had ever seen). Chevy’s lunging at her was now occurring only about once a month, his aggression over his food was considerably less, and she could even take a stolen object from him.

Barking for hours
That said, she was now noting that Chevy was barking for about three hours a day and seemed to be very moody at times. The new plan at this time was to try a combination of Zoloft and buspirone as “background treatment” and to use a mood-stabilizer, clonidine, on an as-needed basis to treat his occasional outbursts of hyperactivity and barking.

In follow-up phone calls, Chevy’s owner again confirmed that he was much better overall, but just when she thought she had the problem pretty much licked, there was a sudden exacerbation of his aggression to the point of viciousness in July 2011. So bad was this sudden turn of events that his owner was seriously considering euthanasia. It was almost the end of the line for Chevy — and who could have faulted his owner, who had put up with so much and tried so hard to help him overcome his demons?

The fact that Chevy had finally done so well after years of treatment and then had suddenly deteriorated into this violent form of aggression made me think that perhaps he was exhibiting the syndrome known as “rage,” a form of behavioral seizure occurring in the part of the brain with executive function over aggression. As a last-ditch effort (I have to admit) and without offering Chevy’s owner much hope, I suggested treating him with the anticonvulsant phenobarbital to see if that might help. If it did help, the diagnosis of partial seizures would be confirmed by his positive response to this therapy.

Chevy’s owner wrote to me a few weeks later and reported that shortly after starting the phenobarbital, he had ceased showing aggression toward any human, including her. Though he continued to harass the cat, she was able to separate them by grabbing him by the collar without getting bitten. This was, to her, a major breakthrough. She emailed me as follows:

“I cannot tell a lie. I was scared to death. I pulled Chevy away and allowed the cat to flee. He did not turn that aggression towards me and calmed right down.”

She went on to say that living with Chevy now was like having a different pet and went on to express her gratitude toward me and other members of the behavior section for all we had done to make his new life possible. Although not a typical presentation for “rage,” it did seem that Chevy had elements of partial seizure activity underlying his excessive and irrational aggression.

His response to phenobarbital, which was rapid and dramatic, supports this diagnosis. Perhaps his seizure-based aggression was superimposed on a generally cantankerous nature, accounting for some of his earlier, milder aggressive incidents, but seizures certainly seemed to be involved laterally. We suspect that Chevy will need to remain on anticonvulsant medication forever and, hopefully, because of this treatment, his new improved mood will continue.

The good news
Partial seizures are not common but do sometimes occur and may take many forms, including aggression, extreme irrational fear, and sometimes abnormal eating behavior. They have also been associated with tail-chasing, which you’ll remember Chevy was showing much earlier on when he was a puppy. I think that the fact that partial seizures are so rare is the reason that we initially missed this diagnosis and tried the usual measures, but the exacerbation later on finally gave away the underlying nature of his condition. The good news for Chevy’s owner is that she no longer has to contend with his aggression. The good news for Chevy is that he likely feels a lot better, therefore acts a lot better and, though he doesn’t know it, his life was saved.

Comments (3)

Please don't ever feel guilty because you have to put a dog down. Every situation is different. We had a beautiful cocker spaniel (appropriate named Rocket). I had had another cocker spaniel before Rocket (Joshua) who was a terrific dog (in fact they overlapped - Joshua died in 1996). Rocket was a wonderful dog 95% of the time but the other 5% was so unpredictable. We were terrorized by this dog & our other dogs were too (at the time we actually had a group of 8 dogs - all of the other dogs got along fine - Rocket was definitely "odd man out"). We had him for 3 1/2 years (1994-1997). During these years, we worked closely with our vets & tried a number of behavioral techniques that were recommended. Medication was not in the picture. Honestly, my experience with dogs placed on phenobarbital for seizure disorders (my sister & my college roommate) is that it didn't prevent the seizures and it caused side-effects (in the instance of my sister, behavioral disinhibition). In retrospect, Rocket was a "free-to-good-home" dog who had been in a kennel for months before we got him. I think the reason he was in that kennel was that he had bitten someone before he came to us.

In June 1997, my 57-year-old mother passed away unexpectedly. It was a very traumatizing experience for me as my mother & I were extremely closed. She also died in a hospital ICU. We drove 13 hours home with her 11-year-old miniature dachshund Penny. We had not even brought Penny into the house when Rocket attacked my partner. He bit her hand severely enough that we had to go to the ER. The last place in the world I wanted to be was back in a hospital. To have had Rocket attack & hurt Penny would have destroyed me so my partner & I made the truly difficult decision to let Rocket go.

I am glad that Chevy is doing better but frankly I think this family put up with way too much with this dog for too long. Dog attacks can be life-changing. There are many dogs with no aggression problems dying in shelters every day. I think it's great that medications are being found to be helpful but they are not a panacea.

Posted by: JRZGRL1 | January 2, 2017 1:03 PM    Report this comment

I am glad that Chevy got all this help. However it makes me feel even more guilty for putting my dog down after a rappid succession biting incident. The biting was escalating. i was so traumatised, it didn't even occur to me to try medicine. I was all alone, animal control came, i sent them away. we went to my vet, and I never looked at her. About 1/2 hr. after this episode I went towards her, and said Cosette it's mommy, and she groweled. So walked back, and drove her to the vet w/o looking at her. I loved her so much, i had trainers, and i was working with her. I don't know how to let go of the guilt for this poor little girl who was abused al her life.

Posted by: chellparis1@yahoo.com | January 2, 2017 11:10 AM    Report this comment

Thanks to the patience of Chevy's owner, hopefully other dog owners might think twice about euthanasia. There are always underlying problems for a dog's behaviour as this article is proof of that. We are too quick to give up if the dog doesn't conform to our wishes. Thank you for publishing Chevy's story with a happy ending.

Posted by: sylvia07@rogeers.com | January 2, 2017 8:31 AM    Report this comment

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