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Psychogenic Alopecia

Compulsive hair-pulling, overgrooming, licking, biting, or chewing that leads to hair loss, thin coats, or baldness in cats. A diagnosis of exclusion — medical causes (allergies, parasites, food reactions) must be ruled out first. Only ~10% of suspected cases are purely behavioral.

Key Facts

  • "Psychogenic" means "of the mind" — behavioral rather than medical origin
  • Study found 76% of suspected cases had medical causes (food reactions, allergies, parasites)
  • Most affected areas: flanks (sides), belly, inner legs
  • Cats often overgroom when alone or at night — owner may not witness it
  • Behavioral triggers: environmental stress, new pets/people, resource competition, lack of enrichment
  • Diagnosis requires ruling out: allergies, mites, fungal infections, food sensitivities, thyroid disease
  • Treatment: address underlying stress + environmental modification (Five Pillars)
  • Medications: fluoxetine (Prozac), clomipramine (Clomicalm), amitriptyline (Elavil)
  • pheromone-therapy can help reduce anxiety component
  • Prognosis varies — some cats need lifelong medication

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