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WHAT
TO EXPECT FROM YOUR BEHAVIOR appointment
( Full behavior consultations)
The initial consultation for a pet
with an existing behavioral problem typically lasts
between 1 and 3 hours and consists of three parts.
Part 1: Making a diagnosis
In order to best help you and your pet, it is important
that we try to understand the underlying causes of your
pet's problem behavior(s) and that we determine any
factors that may be reinforcing or aggravating those
behaviors. This requires a detailed behavioral history,
observations of your pet and of your interactions with
your pet during the visit, review of your pet's medical
history, and review of any videos or journals of your
pet's behavior that you provide. In some instances,
where a medical cause for your pets' behavior is suspected,
your appointment may also involve a physical examination,
further diagnostic testing (such as bloodwork, urinalysis,
X-rays or ultrasonography), or a consultation with another
specialty service.
Part 2: Discussion
of Diagnosis and Prognosis
Once all information has been collected, the doctor
will explain her diagnosis to you, discuss your goals
and expectations, and discuss your pet's prognosis.
Part 3: Treatment
Plan
The clinician will outline a treatment plan tailored
to your individual pet and household situation. In most
cases, the treatment plan will consist of a combination
of behavioral and environmental modification, and in
some cases, psychoactive medications or pheromones may
also be prescribed. Behavior modification techniques
used at the RBVH Behavior Service are based on positive
reinforcement training and not on physical punishment
or coercion. The doctor may also recommend the use of
training tools such as head halters, basket muzzles,
clickers, and deterrent devices as part of the treatment
plan, which the staff will demonstrate to you. At the
end of the appointment, you will be provided with a
written summary of your pet's treatment plan, which
will also be forwarded to your veterinarian.
Follow-up care
In order to achieve the best success, it is critical
that you follow-up with the Behavior Service after your
appointment to update us on your pet's progress and
to ask any questions that arise during implementation
of the treatment plan. Two months of free phone/e-mail
follow-up are included in the appointment fee.
How many appointments
will my pet need?
During the initial appointment, the doctor will formulate
a diagnosis and provide you with a plan for the first
1-2 months of treatment. In some situations, this will
be all that your pet requires, but in many cases, the
doctor will recommend additional recheck appointments.
The number of rechecks will vary depending on the complexity
of the case, your consistency in following the recommended
plan, your goals for treatment, and your pet’s
response to the treatment program. Typically, dogs require
between 1-3 rechecks, while cats can often be managed
in just 1-2 visits. If your pet is receiving medications
as part of the treatment plan, a recheck visit will
be required every 6 months to carefully re-evaluate
the efficacy and need for therapy.
Will you contact
my primary care veterinarian?
After your appointment, Dr. Reinisch will contact your
pet's primary care veterinarian and/or any referring
veterinarians to update them on your pet's case. This
will help ensure the best continuity of care for your
pet.
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