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Mindfulness and Healing in Veterinary Medicine: Insights from Dr. Jyothi V. Robertson

Amidst the hustle and demands of the veterinary profession, the well-being and self-care of veterinarians often get sidelined. However, in a thought-provoking episode of the podcast “Care for the Healer,” hosted by Dr. Steve Kruzeniski, Dr. Jyothi V. Robertson delves into the importance of mindfulness and healing in veterinary medicine. From personal experiences to practical insights, Dr. Robertson’s episode titled “Mindfulness & Veterinary Medicine” offers valuable lessons and perspectives for both veterinarians and the general public.

Click here to listen to the episode.

Dr. Robertson sheds light on the pressing challenges faced by veterinarians, including financial pressures and the need to unlearn certain aspects of their training. She advocates for introducing

mindfulness practices early on in veterinary education to help students navigate the mental and emotional challenges that arise within the field.

Moreover, Dr. Robertson discusses the transformative power of meditation in various settings, including animal control facilities and shelters. Grounding practices can be applied by anyone, and she encourages individuals to embrace the accessible healing potential of mindfulness.

Dr. Robertson emphasizes the trauma experienced by veterinarians and underscores the significance of consistency and holistic healing. She suggests that incorporating self-care practices, such as meditation and yoga, can foster increased success and productivity within the veterinary field.

“There is a pressure that’s placed on veterinarians to make ends meet… Flipping it and demonstrating that grounding practices, contemplative practices, self-healing, self-inquiry, meditation, yoga, all of that, taking care of ourselves, will lend itself to you actually being more successful in your work from a financial and productivity standpoint,” she explains.

The episode is a powerful reminder that prioritizing self-care is essential for everyone, regardless of their profession. Dr. Robertson invites veterinarians, veterinary students, and the general public to embark on a journey of exploring the transformative power of mindfulness practices. Her insights offer a compelling argument for embracing mindfulness and promoting healing, not just in veterinary medicine but in all aspects of our lives.

If you want to know more about Dr. Robertson’s passion project and explore more about mindfulness and meditation, please visit The Journey You Own.

by Jyothi Robertson Jyothi Robertson No Comments

The last veterinarians in town

If you’re having difficulty finding a veterinarian, you’re not alone. Across the nation, accessing pet care is becoming increasingly challenging as more and more veterinary professionals are leaving the field.

As a veterinarian myself, I understand the importance of reliable and accessible pet care. Unfortunately, it’s no secret that the pet care industry has been facing numerous challenges, particularly during the pandemic.

One example of this is Juneau, Alaska’s capital city, which has lost roughly half of its veterinarians since the pandemic began. This means that pet owners have to wait several weeks for appointments, surgery is scarce, and there is no 24/7 emergency care.

This situation has left many pet owners in a difficult position, with few options for proper care. In an industry plagued by burnout, turnover, and high suicide rates, veterinarians and vet techs are being forced to make a difficult choice between taking care of animals and taking care of themselves.

However, one local animal shelter in Juneau is stepping up to try and fill the gap for pet owners in need. They understand the desperation felt by pet owners, who often have nowhere else to turn, and they are doing their best to provide the necessary care for animals.

If you’re interested in learning more about this important issue, I encourage you to tune into this recent podcast from Outside/In and gain a deeper understanding of the challenges facing access to veterinary care in our country today.

Listen to the complete Outside/In podcast episode here – The last veterinarians in town — Outside/In (outsideinradio.org)

We think it’s really important to shine a light on this issue, and we hope that you learn more about the amazing work being done by veterinarians and vet technicians, especially in these challenging times. 

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Your Pets and Their Food

As promised, here is a more expansive look at the overall topic of food for your pets – what food should have, what it shouldn’t have, things to look out for, and tips for making your own food at home!

A good place to start is with the components of a healthy pet diet – what do pets need in their food to thrive?

First and foremost is the nutritional component of the food, which should come as no surprise. Dogs and cats need to make sure that they’re getting the proper nutrients they need every day – pets have similar nutritional needs as humans (high in protein and fat with supplemental carbohydrates for energy, and a healthy balance of vitamins and minerals). Make no mistake though, this does NOT mean they can eat the same diet as a human!

Caloric intake is also incredibly important to monitor for your pets, especially if you are cooking for them yourself (more on that later). Pets have very specific metabolisms that are different from that of humans, and need to adjust accordingly:

  • Dogs, on average, need about 30 calories / lb of body weight per day to maintain their current weight
  • Small, active dogs less than 20 lbs can use up to 40 calories / lb per day
  • Large dogs, over 50 lbs, can use as little as 20 calories / lb per day
  • Indoor cats, on average, need about 20 calories / lb to maintain their weight
  • Outdoor only cats should have 35 calories / lb to maintain
  • Indoor / outdoor mix cats fall somewhere in between 20 and 35 depending on level of activity

Calorie calculator for cats can be found here, and a calorie calculator for dogs here.

Now that we’ve covered the building blocks of what your pet’s diet is based on, you can dole out your pet food with care to maintain your pet’s healthy weight. The question is – what food should you buy? There’s countless brands of food out there for your pet, from the everpresent cheap stuff to high quality, well sourced brands. It’s difficult to wade through all of these in one post, but I’ll share an insight from VCA as a part of their helpful guidelines on pet nutrition: “Feed your [pets] the highest-quality food you can afford.”

To explore why pet food is not the monthly expense you should be pinching pennies on, let’s explore some of the pratfalls of the pet food industry and what this can mean for your pet.

Your Pets and Their Food, JVR Shelter Strategies

This 2015 study by the AVMA shows that 40% of food contains different meats than what is advertised on the label. Testing 52 foods, including wet, dry, and treats, 13 contained species not advertised, 4 were missing meats advertised, and 3 foods had both problems.

The study was conducted as a response to the 2013 UK scandal where restaurants were exposed for using horse meat in their meals without advertising it. The problem is reflective in what we give our pets – why spend money on pet food if we’re going to be giving them unidentified meat that could disagree with them or worse make them sick?

The AVMA clarified in their study that mislabeling in pet foods is not often seen as deliberate, but more of a problem from up the supply chain, the cause of formulation errors or miscommunications from suppliers.

There have been many recalls in the pet food industry over the past few years, from a variety of causes. Bacteria is the most prominent, but recalls have been the result of chemical or natural contaminants in food, as well as formulation errors. In 2007, the FDA found melamine in food that was sickening and killing cats and dogs!

The reason for the prominence of recalls lately are not because there are no trustworthy foods for a pet, but more if there is any kind of formulation error or mislabeling, the FDA wants to catch it early. To ease your mind, less than 2% of animal poisonings are food related.

What is a concerned pet owner to do? Again, buying your pets the highest quality food you can afford them is a great way to avoid these problems. Say, however, you’ve had enough of having to worry, and want to start home cooking food for your pets! It’s very possible, but there are many considerations involved.

Home cooked pet diets can also be a great way to be able to feed a pet with skin allergies, intolerances, and other difficulties that can come with store bought food. Let’s break it down into common healthy components for dogs, and then cats:

Dogs:

  • Boneless, skinless, unseasoned lean turkey or chicken
  • Ground or cubed beef
  • Boiled pasta, no sauce
  • Lettuce
  • Most raw or steamed vegetables (absolutely no onions!)
  • Boiled potatoes (the more color to the potato, i.e. red or purple, the healthier)
  • Peanut butter (make sure to go organic to minimize sugar and additives – none if possible please!)
  • Scrambled or hardboiled eggs (must be given sparingly to avoid cholesterol buildup)
  • Cheese (nothing spicy or seasoned)

Cats:

  • Lean animal protein, usually chicken or fish (must be 100% boneless, shellfish / clams can be a good substitute if this is impossible)
  • Rice
  • The above two components will cover most everything, but make sure if you’re feeding your cat homemade food to add some neutral oil such as vegetable, bonemeal tablets, and vitamin supplements to keep their diet balanced!

This should be a good place to start when preparing meals for pets. Please make sure to research thoroughly if you choose to go through with this – every pet is different and can handle different foods!

A big trend in recent years has been to put pets on a raw diet – this can be an option for some but precautions must be taken. The AVMA discourages the use of raw animal protein in dog and cat diets unless it has been subjected to the complete elimination of pathogens like salmonella and campylobacter. This can be no easy feat, and for that reason it’s discouraged to feed your pet any raw:

  • Eggs
  • Chicken
  • Turkey
  • Beef
  • Pork
  • Sheep
  • Fish
  • Deer
  • Buffalo
  • Unpasteurized milk

If you want to find a way to meet in the middle, its possible to purchase air dried / dehydrated food for pets that can provide more nutrients than cooked food and is far more digestible to pets than a raw diet.

Grain free dog diets have also been growing exponentially in popularity over the last few years. Much like raw diets, they can provide a way for dogs with food allergies to eat healthily. They can also provide a dog with more energy, a healthier skin and coat, and better breath. However, the FDA has released a study linking grain free diets to a specific disorder in dogs called Canine Dilated Cardiomyopathy (DCM).

Foods involving legumes, such as peas and lentils are thought to be causing the problem. The link was discovered somewhat unusually, as DCM is not rare in dogs, but was showing in breeds of dogs not usually prone to DCM.

DCM is caused by thinning of the ventricular wall, and often manifests in all four chambers of the heart. This diminishes the heart’s ability to pump blood, causing lethargy, collapse, exhaustion, and even congestion of blood in the lungs. It can be treated by trying to increase the heart’s systolic pump pressure.

Your Pets and Their Food, JVR Shelter StrategiesDCM is usually seen in big dogs such as Doberman pinschers, Great Danes, Newfoundlands, Irish Wolfhounds, and Saint Bernards. Some small dogs such as English and American Cocker Spaniels also show a higher likelihood for DCM. In the case of grain free diets, atypical cases were manifesting, such as DCM in Labrador and Golden Retrievers, Whippets, Bulldogs, and Shih Tzus. The problem is thought to be linked to all types of grain free food, mostly dry, but including wet, semi moist, and raw.

There’s truly much more to consider to feeding your pets than just picking a bag off of a shelf! If you want your pet to be happy, healthy, and active, the food is the first step in line. Don’t get too overwhelmed though – the concept is simple. Do your research, feed your pets adequate portions of healthy, high quality food, pay attention to how your pet responds, and you should be set!

by Jyothi Robertson Jyothi Robertson No Comments

Thanksgiving and Your Pets

With Thanksgiving coming up, family all around, and food you only get to eat once a year, it can be tempting to share a special treat with your animals as well as your family. However, there are a great many foods that pets can’t have, especially Thanksgiving themed foods. Here’s a list of things to avoid giving them, so that you or any family members can keep your pet happy and healthy this Thanksgiving season.

Turkey – while lean, plain turkey can often be the protein of choice in many pet foods, make no mistake – the turkey we prepare on Thanksgiving is not a substitute. Basted, brined, buttered, oiled, stuffed, or however you may be preparing it this year introduces many dangerous elements to the turkey meat that dogs and cats can have a very hard time digesting. In some cases of older pets, feeding them high sodium, high fat Thanksgiving turkey can even be a fast track to pancreatitis.

Bones – so if you can’t feed your pets your Turkey, perhaps carving it or the process of making any other Thanksgiving style roast has left you with some nice juicy bones to give your pets as treats. However, it’s likely that roasted bones will splinter as your pet tries to get to the marrow, which can be extremely sharp and dangerous. Another possibility is that if they manage to swallow the bone whole, it can get lodged in their intestines.

Alcohol – the holidays for many can be a time to unwind, enjoy time off work, and have a glass of wine. Sometimes a fingerful of champagne can seem like a nice treat for your pets when everyone is celebrating! Unfortunately, alcohol can lead to ethanol poisoning in pets, which affects them the same as it does humans, but becomes dangerous in much smaller quantities. Even rum cakes or other slightly alcoholic dishes are a bad idea to share with your pet.

Thanksgiving and Your Pets, JVR Shelter Strategies

Pepper eyeing Steel Robertson’s dinner.

Sweets – Most pet owners know that chocolate is dangerous for their fuzzy friends, but there is a whole gamut of sweet treats that pets should be kept from. It helps to remember that the darker the chocolate, the more dangerous, as milk and white chocolate (while still off limits!) contain increasingly greater quantities of milk, diluting the dangerous compound theobromine that makes them sick. Xylitol, a sweetener used in many store bought desserts, can also cause liver failure or a dangerous drop in blood sugar.

Caffeine – caffeine affects pets in the very same way theobromine in chocolate does – this makes it equally as off-limits to your pets as chocolate! It can also cause restlessness, vomiting, spikes in blood pressure, and even seizures.

Onions – most members of the onion family, including green onions / shallots / chives, may be a staple in Thanksgiving flavors, but they all contain thiosulphate, a dangerous compound for animals. It’s important to note that thiosulphate exists within onions even after cooking, and that cooked onions can be just as dangerous as raw.

Grapes – the nature of toxicity of grapes or raisins to dogs is somewhat of a mystery, as the kidney failure that they cause is not yet linked to a certain compound. Even more unsettling, whichever compound causes the kidneys to fail is both acute and sudden in it’s toxicology. A dog could eat a grape, for example, and be perfectly fine, but every time they get ahold of a grape it’s a huge risk to take, and the ASPCA recommends seeking treatment even if they only eat one or a few.

If you’re truly aching to share your Thanksgiving meal with your pet, there are ways to give them plain, lean turkey and unsweetened canned pumpkin properly, but please do your research to make sure that what you’re feeding them doesn’t contain anything harmful.

Thanksgiving and Your Pets, JVR Shelter Strategies

That covers most of the foods unanimously present during Thanksgiving, but it helps to keep in mind that dogs and cats should also not be fed dairy products, avocado, citrus, eggs and anything overly salty. Keep to their regular diet over the holidays and show them love just the same to include them in your festivities!

If you’re looking to up the quality of your pets food, there are home cooked diets that work well for pets. Stay tuned for a larger post soon on what to know about pet food, what to look for when buying, and options for making your own! While we’re working on that, feel free to look here for frequently asked questions about crafting a homemade diet for your pet.

We used a variety of sources to amalgamate the info on this blog post, and if you’d like to browse them, check here, here, and here.

Happy Holidays!

 

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Veterinarians and Suicide

This week’s blog post is one of utmost importance in the veterinary community – suicide in veterinari­ans. Not as oft-discussed as it should be, it’s becoming clearer with time that members of the veterinary medical field are prone to experiencing burnout, depression, and extreme levels of stress.

In a recent article from early September, NPR explored this topic, heading to San Francisco to speak with Dr. Carrie Jurney (DVM, DACVIM) to discuss a nonprofit she works on the board for, Not One More Vet. The statistics she discusses concerning stress and death in the field of veterinary medicine are alarming:

“The Centers for Disease Control and Prevention found male vets are 2.1 times as likely and female vets 3.5 times as likely to die by suicide compared with the general population. The much higher rate for women is especially concerning as more than 60% of vets are women.”

From a study in the AVMA journal, 400 veterinarians out of the 11,600 that have died from 1979 to 2015 died by their own hand.

Jurney even clarifies this from her own experience – out of 85 graduates in her class (2005), 3 have committed suicide.

How does this happen? Why are those in veterinary medicine so likely to take their own lives? There are a few speculated factors that can lead to this. Firstly, the stress of succeeding throughout medical school, an average $140,000 in debt for the average graduate, and median $94,000 made yearly can make for a debilitating mindset of digging out before a career even has a chance to take off.

Burnout in the medical world is extremely common, but there are several specific stressors unique to the field of veterinary medicine.

Veterinarians on average make half as much as physicians but attend schools of equally marked prestige, meaning comparable tuitions, and likelihood of student loan debt with half the efficacy of paying them off.

Ignoring these initial heavy obstacles into the career of the veterinarian, there is the work itself – often dealing with stressed out animals, stressed out owners, and sometimes, very dire situations.

Trying to mend the injuries and illnesses of patients who don’t know what is going on, in addition to their guardians being emotionally heightened can makes for a lot of pressure in even the most routine visits.

Veterinarians and Suicide, JVR Shelter Strategies

Coupled with long hours, underfunding, and understaffing, the day to day life of a veterinarian involves baseline stressors much higher than most medical professions.

Sometimes, there is a brief respite from these stressors when the veterinarian’s work is successful and ends in an animal leaving happy and healthy, but then again, results can be unpredictable, and the emotional investment can make for crushing lows. Immediate access to euthanasia drugs also poses a risk in conjunction with these other factors.

Jurney recalls a dog with chronic disks that she treated with emergency surgery – after many hours, the dog, unable to walk when he arrived, left walking and much improved. However, a few days later, the dog passed due to a complication from both the initial genetic problem and from the surgery to improve his disks. This was truly a painful moment for Jurney:

“I have to be honest — this is gut-wrenching. You came to us to see why the job is hard, and there is no better example than this. I am devastated. I’ve cried through many moments of my mother in law’s birthday dinner tonight because my mind is with Reuben and his poor owners. I wonder if there is anything I could have done differently. Even though I know I did everything I could for him, I still wonder if I could have done more.”

Veterinarians and Suicide, JVR Shelter Strategies

From my own conversations with veterinarians globally, an additional factor at play appears to be our professions comfort level with euthanasia. Vets are faced with making euthanasia decisions on a daily basis, unlike other medical professionals. We see animals that are suffering and in pain, have that pain and suffering relieved by end-of-life choices that their owners make and that we act upon. We are comfortable with the process of euthanasia (technically speaking) and understand what occurs from a physiological standpoint. Depending on if we are working in animal shelters or not, we may be making these choices on a daily basis on healthy and unhealthy animals alike. Death is not a foreign concept to veterinarians. It is one that they discuss and internalize on a daily basis in their work.

Isolation can also take its toll – due to the aforementioned long hours, and sometimes geographically, the veterinarian in question will be hundreds of miles from another vet, meaning they are the only professional in the area licensed to care for animals. Even still, many practice alone – making for even busier, more stressful, and lonely careers.

In an ironic twist of fate, data collection by Kim Repp and medical examiner Charles Lovato shows a peculiar cycle where in some instances, suicidal people will bring all their animals to a shelter. This happens frequently enough that those in the shelter and veterinary community often undergo training to recognize the signs of stress and depression that can lead to suicide, with no avail in the numbers they lose themselves.

This trend of the veterinary community subjecting themselves more and more to stress and isolation is directly linked to the higher rates of suicide, depression, and anxiety. Luckily, there are important ways to create a capacity of care for members of the veterinary community.

Veterinarians and Suicide, JVR Shelter Strategies

Nicole McArthur, founder of Not One More Vet, works to provide a safe place for veterinarians who understand the stress of the industry to speak with each other, share their insights, feelings and worries, and create a network of care and support.

The more networks that allow for veterinarians to share their feelings and feel heard by others who understand the struggle, the easier it will be to destigmatize these hardships of the industry and work together to find solutions and self care.

There are also methods that veterinarians can utilize in their day to day lives to create a capacity to care for themselves the same way they care for their patients. More to come on that soon!

Veterinarians and Suicide, JVR Shelter Strategies

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Animal Hoarding: Part Two

In this post, I’ll continue my exploration of animal hoarding behavior. I’ll focus specifically on what the veterinary community can do to observe, prevent, and report such behavior.

If you want to stay vigilant about hoarding and contribute to solutions, here are some things to consider and inquire about before supporting an organization or a rescue client:

  • How many animals are currently in the organization?
  • How many animals have been adopted within the last year?
  • What does the animal intake look like on a yearly / monthly basis?
  • What are the average, median and longest length that animals in the organization stay?
  • Do they have a 501c3 and/or a current 990 form?
  • Do they have a Board of Directors and a clear mission statement?
  • Is there a physical location associated with the rescue, and are visitors allowed?
  • Is the rescue foster-based or shelter-based? If shelter, how many employees are there?
  • How are members or fosters selected and screened?
  • What are the adoption and intake processes like?
  • How is their relationship with the local veterinarian and animal control organizations?

Animal Hoarding: Part Two, JVR Shelter Strategies

These questions can give you an insight into the legitimacy of the rescue and if there are any warnings concerning hoarding behavior or connections to clients who hoard.

Of course, the behavior of the owners isn’t the only giveaway. Seeing animals for the following reoccurring problems can be a sign that they aren’t being cared for properly:

  • Matted hair with numerous ectoparasites (fleas and ticks)
  • Overgrown nails
  • Untreated wounds and scars
  • Broken or ground down teeth
  • Lesions from urine scalding
  • Missing fur
  • Ear infections
  • Appearing very dirty and smelling foul

These symptoms can be manifestations of further complications including abscesses, respiratory diseases (often accompanied with coughing and discharge), feral or unsocial behavior, gastrointestinal problems caused by infectious parasites, and even more. All or some of these symptoms in tandem seen across multiple animals could be a clear giveaway to hoarding behavior.

Animal Hoarding: Part Two, JVR Shelter Strategies

After a few visits with clients bringing animals in under these conditions, there are a few extra observable conditions to look out for on their behalf:

  • Their bills add up
  • They keep bringing in animals once without ever following up
  • Multiple animals seen for symptoms listed above
  • Asks for extra medication for other animals in household
  • Will take extreme measures to preserve the animal’s life, even removing from care
  • Claims to have found or received multiple animals in their present condition
  • Vague, avoidant answers

Staying vigilant to these signs can keep those in the veterinary community from enabling hoarding behavior and even actively halting it. The behavior of hoarding is harmful to both client and animal, and taking the time to ask these questions and train on the patterns of behavior help to keep animals happy and safe.

Animal Hoarding: Part Two, JVR Shelter Strategies

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Animal Hoarding: Part One

Over the past few months, I have been invited to speak at three national conferences: the Pacific Veterinary Conference in Long Beach, CA; the World Small Animal Veterinary Association Conference in Toronto, Canada; and the American Veterinary Medical Association Conference in Washington D.C. I covered a range of topics that I plan to outline in my upcoming blog posts, starting with the topic of animal hoarding.

In my series of lectures concerning the topic of animal hoarding, I explore several situational definitions and signs to identify and prevent animal hoarding. As veterinarians, we represent the first line of defense against this treatment of animals.

Beginning with how animal hoarding is defined, the situation isn’t always as simple as owning an atypical number of animals. To explore this definition further, we use the acronym FIDO:

  • Failure to provide for the animals in question
  • Inability to recognize this failure and its effects on animals, people, society
  • Denial or minimization of the problem
  • Obsessive persistence to continue to accumulate animals

This was a classic hoarder case not a rescue hoarding with over 170 cats inside the residence. Photo from HSUS.

Being cognizant of these factors will not only help to solve the problem, it’s important to remain vigilant so that we can support our patients, the animals, as well as our clients, especially when the client is not properly caring for their animals.

If encountering animal hoarders and treating their animals seems like an unlikely situation, it may be more likely than you think. A sample taken of 54 cases showed 32 repeat investigations into the owners. The hoarder in question may not seem obvious as well – up to 75% of this sample was shown to be unmarried women, generally well educated with at least some college, and many from caregiving backgrounds. There were a variety of income levels, but many of the sample subjects were on disability, retired, or unemployed. Concerning age, the study saw that most began hoarding in their 30’s, and nearly half were over 60. That said, we now have many cases of very well-educated people in animal hoarding situations.

As the study shows, the profile of a hoarder is not so obvious visually! Next, we will discuss which profile traits of a hoarder we can identify! A preoccupation with animals is a given, but this may take many different forms – usually this preoccupation takes up most of their time and money. There’s an element of companionship that comes with owning one or many pets, but a hoarder has little social contact with others, potentially relying on animal companions instead.

Some reasons as to why people commonly hoard include rescuing them from euthanasia, feeling a special ability to communicate with the animals they surround themselves with, and the traits of pathological altruism intersecting with an unconditional love of animals.

In many cases, these situations and reasons aren’t exclusive from one another. See the venn diagram below to understand how this can manifest:

Animal Hoarding: Part One, JVR Shelter Strategies

Let’s explore some of the hoarder profiles listed above:

Overwhelmed Caregiver – Of the three profiles listed above, the overwhelmed caregiver is usually more firmly rooted in the reality of their situation – and has some awareness of the problem. They acquire animals more passively, and their situation is usually attributed to a change in their circumstance. They may have kept acquiring animals because they are unable to problem solve and are socially isolated and not receiving advice or feedback from others. However, this profile usually has fewer problems with authorities than other cases.

The Exploiter – This type of hoarder usually collects animals based on their use, not because of any empathy or compassion towards them. This can go hand in hand with sociopathic tendencies. They are indifferent to harm caused to the animals and tend to ignore other’s concerns about their behavior. In some cases, this can even be paired with manipulative or cunning behavior to cover up their actions, including a charismatic personality to deflect criticism. Some exploiters even claim to be experts to justify their actions to control the situation.

The Rescuer – This hoarding profile usually comes from a self-driven mission which eventually leads to unavoidable compulsion. The mindset that only they can provide care leads to active acquiring of animals that they are looking to save. In some cases this can be a sign of a bigger emotional disruption, such as a fear of death. As the number of animals acquired rises, they stop being able to rescue and follow up by adopting, leaving rescue only care. The illusion of proactive care in this situation can be enabled by networks of people in similar situations. The resulting echo chamber can fuel delusions and pathological altruism.

Animal Hoarding: Part One, JVR Shelter Strategies

Above, we can see a shift in the trends of causation for these certain profiles of hoarders and where some symptoms of their hoarding hold greater weight comparatively.

In its first revision since 1994, the DSM-5, or Diagnostic Statistics Manual of Mental Disorders, ed. 5, hoarding behavior is now classified as a disorder. Recognizing hoarding is a big step in treating the disorder, as the DSM-5 is a standardized resource for licensed U.S. mental health specialists who can treat its symptoms consistently and at a deeper level. It also allows for comparison between the prevalence of cases, risk factors involved, and the results of different treatment methods.

In Part 2 of my blog series on animal hoarding, I will discuss what we can do as veterinarians to prevent and solve for this behavior.

 

References

Ung JE, Dozier ME, Bratiotis C, Ayers CR. An Exploratory Investigation of Animal Hoarding Symptoms in a Sample of Adults Diagnosed With Hoarding Disorder. J Clin Psychol. 2016;73(9):1114–1125. doi:10.1002/jclp.22417

Frost RO, Patronek G, Rosenfield E. Comparison of object and animal hoardingDepress Anxiety. 2011;28(10):885–891. doi:10.1002/da.20826

Frost, R. O., Patronek, G., Arluke, A., & Steketee, G. (2015). The Hoarding of Animals: An Update. Psychiatric Times. Retrieved from http://www.psychiatrictimes.com/addiction/hoarding‐animals‐update

Frost, R. O., Steketee, G., & Williams, L. (2000). Hoarding: a community health problem. Health & Social Care in the Community, 8, 229–234. https://doi.org/10.1046/j.1365‐2524.2000.00245.x

Frost, R. O., Tolin, D. F., & Maltby, N. (2010). Insight‐related challenges in the treatment of hoarding. Cognitive and Behavioral Practice, 17(4), 404–413. https://doi.org/10.1016/j.cbpra.2009.07.004

Levy HC, Worden BL, Gilliam CM, et al. Changes in Saving Cognitions Mediate Hoarding Symptom Change in Cognitive-Behavioral Therapy for Hoarding DisorderJ Obsessive Compuls Relat Disord. 2017;14:112–118. doi:10.1016/j.jocrd.2017.06.008

Lockwood, R. (1994). The psychology of animal collectors. American Animal Hospital Association Trends Magazine, 9, 18–21.

Nathanson, J., & Patronek, G. (2011). Animal hoarding: How the semblance of a benevolent mission becomes actualized as egoism and cruelty. In B. Oakley, A. Knafo, G. Madhavan, & D. Wilson (Eds.), Pathological Alltruism (pp. 107–115). New York, NY: Oxford University Press.

Patronek, G., Loar, L., & Nathanson, J. (Eds.) (2006). Animal hoarding: Structuring interdisciplinary responses to help people, animals and communities at risk. Boston, MA: Hoarding of Animals Research Consortium.

Patronek, G. (1999). Hoarding of animals: An under‐recognized public health problem in a difficult to study population. Public Health Reports, 114, 82–87. https://doi.org/10.1093/phr/114.1.81

Patronek, G. J., & Nathanson, J. N. (2009). A theoretical perspective to inform assessment and treatment strategies for animal hoarders. Clinical Psychology Review, 29(3), 274–281. https://doi.org/10.1016/j.cpr.2009.01.006

Steketee G, Frost RO, Tolin DF, Rasmussen J, Brown TA. Waitlist-controlled trial of cognitive behavior therapy for hoarding disorderDepress Anxiety. 2010;27(5):476–484. doi:10.1002/da.20673

Reinisch AI. Characteristics of six recent animal hoarding cases in Manitoba. Can Vet J. 2009;50(10):1069–1073.

Reinisch AI. Understanding the human aspects of animal hoarding. Can Vet J. 2008;49(12):1211–1214.

Patronek GJ. Hoarding of animals: an under-recognized public health problem in a difficult-to-study population. Public Health Rep. 1999;114(1):81–87.

by JVR JVR No Comments

Diplomate!

WaterIt’s official!

The studying paid off and I am now boarded in Shelter Medicine, the newest speciality in the American Board of Veterinary Practitioners ( ABVP ).

Congratulations to all my amazing colleagues who passed through the hoops also!

#ABVP

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