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The hidden costs of fear and anxiety on your dog's health and happiness

We've all witnessed it: the quivering pup during a thunderstorm, the frantic pacing when their owner leaves, or the hesitant retreat from a friendly stranger. These behaviors, often dismissed as mere personality quirks, may signal something far more profound. While fear and anxiety in your pet dog are common, they can have significant effects on physical well-being and longevity .

Just as chronic stress impacts human health, your canine companion is also susceptible to the detrimental physiological consequences of prolonged fear and anxiety. This article explores the science behind this connection, revealing how these emotional states impact your dog's health and offering insights into fostering a happier, healthier life for your furry family member.

Understanding the roots: What causes stress and fear in dogs?

Fear is your dog's immediate response to a perceived threat, while anxiety is a more sustained emotional state characterized by worry and apprehension, often without an immediate threat present. Common triggers include separation anxiety, noise phobias (particularly thunderstorms and fireworks), and fear of strangers.

Novel environments, feeling constrained, and inconsistent daily routines can also contribute significantly to stress. Stressors can be social (interactions with others) or non-social (loud noises), and either controllable or uncontrollable, influencing the intensity of your dog's stress response. For example, a dog with a thunderstorm phobia living in an area with frequent storms experiences repeated, uncontrolled stressful episodes.


How dogs physically respond to stress

When your dog experiences fear or anxiety, their body undergoes a complex physiological response mediated by two interconnected systems: the sympatho-adreno-medullary (SAM) axis and the hypothalamic-pituitary-adrenal (HPA) axis.

The fight or flight mechanism: immediate responses

The SAM axis initiates the "fight or flight" response, a rapid reaction to stressors. Activation of the sympathetic nervous system triggers the release of catecholamines like epinephrine and norepinephrine, resulting in increased heart rate, elevated blood pressure, dilated pupils, heightened alertness, and raised glucose levels.

The sustained stress response: long-term effects

The HPA axis orchestrates a slower but more sustained response. This pathway begins in the hypothalamus, stimulating the pituitary gland to release adrenocorticotropic hormone (ACTH), which signals the adrenal glands to produce cortisol. These glucocorticoids directly affect your dog's metabolism and immune function.

While an acute stress response is adaptive, chronic activation of these systems can harm your dog's health . Even a single acute stressor can lead to long-term neurochemical changes. Anxious animals responding to many day-to-day stimuli may live in a constant state of chronic physiological stress.

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When fear affects physical wellbeing

Research clearly indicates a link between emotional distress and physical health in dogs. Studies of deceased dogs found that those with extreme non-social fear and separation anxiety had increased severity and frequency of skin problems . Chronic stress can disrupt the epidermal barrier, making your dog more susceptible to dermatological conditions.

Compromised immunity: vulnerability to illness

The immune system is significantly influenced by chronic stress. Stress hormones like cortisol can suppress immune cell activity , potentially increasing your dog's vulnerability to infections.

Digestive distress: stomach and bowel problems

The gastrointestinal system is also vulnerable to stress effects. Studies in humans and animals show that stress can contribute to stomach ulcers, and stressful environments have been linked to chronic idiopathic large-bowel disease in dogs.

Heart health concerns: cardiovascular impact

The cardiovascular system is negatively affected by psychogenic stress. Acute social stress increases T-wave alternans in normal dogs, and chronic stress is associated with increased cardiovascular disease risk in humans, suggesting similar effects in your canine companion.

Recovery complications: effects on healing

Research indicates that stress can impair early wound repair following surgery, with possible similar effects in dogs undergoing medical procedures.

How fear can shorten your dog's life

Research has linked stress and fear to shortened lifespans in pet dogs. The Dreschel study revealed that dogs with extreme stranger-directed fear had half-year shorter lifespans compared to dogs without this fear. While specific mechanisms are still being explored, this finding supports the hypothesis that chronic stress associated with fear or anxiety disorders negatively affects your dog's health and longevity.

Interestingly, how "well-behaved" an owner felt their dog was positively correlated with lifespan, suggesting dogs in more harmonious households may live longer . While the study didn't find direct relationships between specific fears and disease-related deaths, the evidence indicates chronic stress detrimentally impacts your dog's overall well-being and longevity.

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Warning signs: How to recognize stress in your dog

Recognizing stress signs is essential for helping your dog live healthier. The Cannas study found that dogs with cancer, who had higher pre-diagnosis stress levels, showed more attention-seeking behaviors, followed owners excessively, hid without reason, were hyper-vigilant, and exhibited greater fear of loud noises . They were also more likely to display aggression and excessive body licking and chewing.

Other stress indicators include changes in activity levels, panting when not hot, trembling, appetite or sleep changes, excessive vocalization, destructive behaviors, and avoidance. These signs vary between dogs and situations, so observe your dog's behavior closely and note even subtle changes.


Practical solutions: Creating a stress-free environment

Based on research findings, here are practical tips for reducing your dog's stress:

  • Establish a predictable daily routine for feeding, walks, play, and rest. The Cannas study identified inconsistent routines as a significant factor in increased stress.

  • Provide a safe retreat space where your dog can go when feeling overwhelmed.

  • Use positive reinforcement training to build confidence. Punishment can increase fear and anxiety, potentially worsening stress-related issues.

  • Gradually socialize your dog to various sights, sounds, people, and animals from a young age. Positive early experiences can prevent later fearfulness.

  • Minimize exposure to known stressors and consider calming aids when necessary.

  • Seek professional help for significant fear or anxiety-related behaviors. Early intervention with behavioral techniques and sometimes medication can improve emotional well-being and potentially long-term health.


Conclusion: investing in emotional wellbeing for better health

Evidence clearly shows that stress and fear in your canine companion can detrimentally affect physical health and potentially shorten lifespan. By understanding the physiological stress response and recognizing anxiety signs, you can create a calmer environment for your dog.

Establishing routines, providing safe spaces, using positive training, and minimizing stressors are crucial aspects of responsible pet ownership. Addressing these emotional factors isn't just about improving behavior—it's investing in your dog's overall health , potentially leading to a longer, more fulfilling life together.

If you observe significant stress in your dog, consult your veterinarian for guidance. Prioritizing your dog's emotional health ensures they live happily by your side.


Dr. Lauren Asusa, a professional Registered Veterinary Technician in scrubs, providing skilled care to a small animal in a clinical setting, demonstrating her expertise and compassionate approach to veterinary medicine.

VT Lauren Asusa

VT Lauren Asusa is an experienced Registered Veterinary Technician with over a decade in small animal, emergency, and shelter medicine, committed to mentoring emerging professionals while advocating for continuous education to improve animal welfare.

The information in this article is based on the following scientific publications:

  • Beata, C., Beaumont-Graff, E., Diaz, C., Marion, M., Massal, N., Marlois, N., Muller, G. & Lefranc, C. (2007). Effects of alpha-casozepine (Zylkene) versus selegiline hydrochloride (Selgian, Anipryl) on anxiety disorders in dogs. Journal of Veterinary Behavior, 2(5), pp. 175-183.

  • Kato, M., Miyaji, K., Ohtani, N. & Ohta, M. (2012). Effects of prescription diet on dealing with stressful situations and performance of anxiety-related behaviors in privately owned anxious dogs. Journal of Veterinary Behavior, 7(1), pp. 21-26.

  • Palestrini, C., Minero, M., Cannas, S., Berteselli, G., Scaglia, E., Barbieri, S., Cavallone, E., Puricelli, M., Servida, F. & Dall’Ara, P. (2010). Efficacy of a diet containing caseinate hydrolysate on signs of stress in dogs. Journal of Veterinary Behavior, 5(6), pp. 309-317.

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