Understanding FAS (Fear, Anxiety, and Stress) in the Vet Clinic

Sep 22, 2021 at 08:00 am by FamilyPetHealth


How does your pet react to a visit to the veterinarian's office? 

Does your dog wag her tail, solicit pats from the staff, lick the faces of the associates and otherwise generally exhibit “smiling” behavior? Or does she cower behind your legs, avoid eye contact, tuck her tail and avoid interacting with the associates? 

Does your cat raise his tail and rub up against the legs of the veterinary associates, eagerly accept treats and curiously explore the exam room? Or does he loudly vocalize his fear, exhibit “crazy cat eyes” and hunker down in the corner of the room or his cat carrier?

All of these signs of your pet’s comfort level are indicators of their relative fear, anxiety and stress (FAS). Using an FAS scale, your veterinary team can assess and assign a score of 0-5 based upon obvious and subtle signs of your pet’s emotional health. The team can track the pet’s comfort level before, during and after the exam to adjust the treatment plan if necessary. A pet experiencing particularly high FAS may require a slower approach or even a follow-up exam with anxiety medication.

A pet’s FAS score may vary during their veterinary exam. Some pets may exhibit fear of the weight scale but otherwise enjoy the office visit. Many pets tolerate exam handling but not blood collection. Even examining particular body parts (face or paws) can elicit FAS responses from a pet. 

Let’s take a look at the FAS scale and where pet behavior falls. 

Level 0-1: 

Pet is relaxed and readily accepts treats, attention and/or toys. The veterinary team can easily continue procedures with a level 0-1 patient.

Level 2-3: 

Pet is fidgeting and not readily accepting treats or attention. May interact with staff. At this point, the staff can assess the situation and try to find ways to comfort the patient. They may use a different treat, form of handling or take a break. If the pet continues to struggle, sedation may be recommended or the exam may be rescheduled for a later date with pre-visit pharmaceuticals (PVP).

*PVP is a term used to describe anti-anxiety medications that are prescribed to help ease the FAS a pet experiences with vet visits or other stressful events.

Level 4: 

Pet is not willing to participate in procedures and may attempt to get away or escape. Pet may exhibit fight, flight or freeze response. Pet does not accept treats or attention. Sedation may be recommended or rescheduling with PVP.

Level 5: 

Patient shows signs of aggression such as growling, snapping, barking, hissing or lunging. Pet will not tolerate procedures and most likely needs sedation for handling or procedures. PVP will likely be prescribed before future visits.

Pet owners who would like more information about FAS and how it affects their pet’s emotional well-being can speak to one of our pet specialists here at Family Pet Health by calling 615-907-8387. 

About Family Pet Health, PLLC

Family Pet Health is located at 3307 Manchester Pike in Murfreesboro. The practice, owned by Dr. Amy Shirley and her husband Michael, is a small and exotics animal veterinary hospital. They provide a full range of veterinary services including exams and vaccinations, lab work and diagnostics, surgeries and referral services. All of their staff members are Fear Free certified and have undergone extensive training on recognizing signs of fear, anxiety and stress in their patients. Learn more at www.familypethealth.com.

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