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Cat anxiety: signs, causes and how to calm an anxious cat

Quick answer

Cat anxiety usually shows as quiet changes: hiding, over-grooming, weeing outside the litter tray, eating more or less, and more hissing or vocalising. Common causes are other cats, a house move, a new pet or baby, and too few safe places or litter trays. (iCatCare, iCatCare, Cornell)

Toileting and grooming changes can be medical, so a vet rules out illness first. Then calm an anxious cat by meeting its five environmental needs, and never punish it. (Merck, VCA)

  • Mild: try these steps

    A sign or two that comes and goes, with no change in toileting or grooming. Check the five pillars at home and keep watching. (VCA)

  • Moderate: start a plan, talk to your vet

    Any weeing outside the tray, any over-grooming, or many signs at once. Rule out a medical cause with your vet, then start a plan. (Merck, VCA)

  • Severe or sudden: see your vet now

    Straining in the tray or passing little or no urine, especially in a male cat. A blocked bladder is an emergency. (Cornell)

Cat anxiety signs checker

Signs from International Cat Care, Cornell and Merck. Answer for the last few weeks. Anything you skip counts as no. The result updates as you go.

  1. 1. Hiding more than usual, or withdrawing from people
  2. 2. Over-grooming: licking or pulling fur until it thins or goes bald

    Often on the belly, sides or inner legs.

  3. 3. Weeing outside the litter tray, or spraying urine on walls or furniture
  4. 4. Hissing, swiping or biting at people or other cats more than before
  5. 5. Eating noticeably more or less than usual
  6. 6. Meowing or crying much more than usual
  7. 7. A new pet, a new baby or a house move recently

    Or another big change to the home or routine.

  8. 8. Straining in the litter tray, or passing little or no urine (an emergency sign)

    Especially in a male cat.

Your tally

Mild: try these steps

This is a sign tally, not a diagnosis. Only a vet can tell anxiety from pain or illness.

Signs by type (0 of 7 seen; 0 answered yes)

  • Behaviour: hiding, vocalising, aggression0
  • Eating and grooming0
  • Toileting0
  • Recent change (a likely cause, not a sign)0

Why

  • Few or occasional signs: check your cat has a safe hiding place, separate resources and daily play, and keep watching for change. (a Zooming Paws tally rule, not a clinical cut-off) (VCA)

A guide, not a diagnosis. If you are worried, call your vet whatever this says.

In short

Key takeaways

  1. Signs of anxiety in cats are mostly changes in eating, grooming, toileting, hiding and how your cat reacts to people and other cats. (iCatCare)
  2. Weeing outside the tray and over-grooming are often medical. A vet always rules that out before calling it stress. (Merck, VCA)
  3. A cat straining to wee, or passing none, needs a vet now: death from a full blockage can come in under 24 to 48 hours. (Cornell)
  4. The fix starts at home: a safe place, separate resources, daily play, predictable handling and a home that respects smell. (VCA)
  5. Pheromone diffusers have mixed evidence. Use one as an extra, not as the plan. (Frank 2010, Mills 2011)

How the checker works

How the cat anxiety checker decides

The checker lists the stress signs International Cat Care, Cornell and Merck describe, and counts each one you answer yes or sometimes, grouped into behaviour, eating and grooming, and toileting. A recent new pet, baby or move is counted separately, because it is a likely cause rather than a sign. (iCatCare, Merck, Cornell)

Two answers always bring up a “Rule out medical first” note: any change in where your cat wees, and any over-grooming. Vets exclude medical problems before treating house soiling as behaviour, and over-grooming counts as behavioural only once no medical cause is found. Straining or passing little urine always gives the severe result. (Merck, VCA, Cornell)

The line between mild and moderate for everything else, three or more signs answered yes, is a Zooming Paws tally rule, not a clinical cut-off: no source gives a number of signs. It is a sign tally, not a diagnosis. (iCatCare)

Three worked examples

AnswersTallyResult and why
Hiding yes; vocalising sometimes; everything else noBehaviour 2; total 2; yes 1Mild. Two signs, one of them only sometimes, and no toileting or grooming change. (iCatCare)
Over-grooming sometimes; new baby yesEating and grooming 1; recent change 1Moderate, with “Rule out medical first”: most cats with hair loss have a medical cause. (VCA)
Weeing outside the tray yes; straining sometimes; hiding yes; appetite yesToileting 2; behaviour 1; eating 1; total 4Severe: straining can mean a urethral obstruction, an absolute emergency. (Cornell)

Scroll the table sideways to see every column.

Cat stress symptoms

Signs of anxiety in cats, and what else they can mean

Stress in cats is either acute, a sudden fright, or chronic, continuing or recurring for a long time. Acute fear looks like freezing, a tense crouch, dilated pupils, flattened ears and trying to escape. Chronic stress is quieter, and it is what most owners notice as cat anxiety. To read the posture side, see our guide to cat body language. (iCatCare)

SignAlso check forSource
Hiding, withdrawing, resting morePain or illness; a vet visit if it is new (iCatCare, PDSA)
Over-grooming, thinning furFleas, allergies, infection, skin disorders (iCatCare, VCA)
Weeing outside the tray, sprayingUrinary tract disease, cystitis, kidney or thyroid disease, diabetes, arthritis (iCatCare, Cornell)
Hissing, swiping, biting, redirected aggressionFear, pain, poor early socialisation (iCatCare, Merck)
Eating more or lessAny illness; tell your vet (iCatCare)
More vocalisingFear, frustration, separation distress (iCatCare, Fear Free)

Scroll the table sideways to see every column.

If your cat has started biting or swiping, our guide on why your cat bites you covers fear, play and petting-related aggression in more depth. (Merck)

Causes

What causes cat anxiety? New pets, moves and litter-box problems

Cats are territorial and bond strongly to their home, so most causes are changes to that home or competition within it. Stress also matters for health: Cornell calls it an important factor in feline idiopathic cystitis. (iCatCare, Cornell)

CauseHow common, by life stageTell-tale signsWhat to doSource
A new cat or petAny age; cats are naturally solitary and some never accept another catHissing, hiding, spraying when a new cat arrivesSeparate room first, swap bedding, introduce gradually, never punish (iCatCare, Cornell)
Moving houseAny ageHiding, unsettled behaviour in the new homeOne quiet room with familiar things; keep indoors at least two to three weeks (iCatCare)
A new babySensitive cats especiallyHouse soiling, avoiding new areasMake changes gradually; high perches and hiding places out of reach (iCatCare)
Litter-box problemsAny age; mobility problems in older catsWeeing or pooing near, not in, the trayOne tray per cat plus one, scooped daily, in quiet places; vet check first (iCatCare, Cornell)
Lack of resources or other catsMulti-cat homesGuarding food or trays, fights, over-groomingEach resource per cat plus one extra, in separate locations (iCatCare, VCA)

Scroll the table sideways to see every column.

When left alone

Separation anxiety in cats

Separation anxiety in cats is real but little researched. In a 2020 owner survey of 223 cats, 13.45% met at least one criterion for separation-related problems. Among those cats, owners reported destructive behaviour in 66.67%, excessive vocalising in 63.33%, urinating in the wrong place in 60.00% and depression or apathy in 53.33%. The authors say these problems are hard to identify and their questionnaire is a starting point. (Machado 2020)

  • Before you leave, a cat may hide, meow a lot, follow you or get between you and the door. While you are out, signs include weeing on your clothes or bed, not eating, vomiting and over-grooming. (Fear Free)
  • Film your cat while you are out, keep a steady routine and practise short absences, rewarding calm. (PDSA)
  • Schedule 10 to 15 minute play sessions at calm times, use puzzle feeders, and pick up your keys and coat without leaving. (Fear Free)
  • Start with a vet visit, because these signs overlap with medical problems. (Fear Free, PDSA)

Environmental enrichment

How to calm an anxious cat: the five pillars

The American Association of Feline Practitioners and the International Society of Feline Medicine set out five pillars of a healthy feline environment. Meeting them can reduce stress and stress-related disease. (VCA)

  1. Provide a safe place. A private, often raised, retreat; at least as many safe spaces as cats. (VCA)
  2. Provide multiple and separated key environmental resources. Food, water, trays, scratching, play and resting areas apart from each other: one per cat plus one extra. (VCA, iCatCare)
  3. Provide opportunity for play and predatory behavior. Daily hunting-style play and food puzzles. (VCA, VCA)
  4. Provide positive, consistent and predictable human-cat social interaction. Let your cat choose contact; avoid unwanted picking up. (VCA, iCatCare)
  5. Provide an environment that respects the importance of the cat’s sense of smell. Leave your cat’s scent marks in place and avoid strong fragrances. (VCA)

Never punish a frightened or soiling cat. Cornell warns that hitting, kicking or screaming increases anxiety, International Cat Care says punishment makes the problem worse, and AVSAB’s position, written for dogs, is that only reward-based methods should be used. (Cornell, iCatCare, AVSAB)

Pheromones

Do pheromone diffusers work for cats? What the studies found

Synthetic feline pheromone diffusers are recommended for moves, new babies and introductions by International Cat Care. The trials are less clear. Here is what each abstract states. (iCatCare, iCatCare)

StudyWhat it testedFinding as statedEvidence
Frank 2010, systematic reviewProspective studies from 1998 to 2008, cats and dogs (Frank 2010)11 of 14 reports gave insufficient evidence and 1 gave lack of supportWeak or early evidence
Mills 2011, meta-analysisTreatments for urine spraying, 10 studies (Mills 2011)Pheromonatherapy may help beyond placeboMixed evidence
Chadwin 2017, randomised trial336 shelter cats (Chadwin 2017)No effect on stress scores or respiratory infectionNo controlled studies found
DePorter 2019, pilot trialAggression in 45 multi-cat homes (DePorter 2019)Scores fell in both groups; difference favoured pheromoneMixed evidence
Shu 2022, pilot trialCar travel, 150 cats (Shu 2022)Fewer stress behaviours with pheromone sprayMixed evidence

Scroll the table sideways to see every column.

In short: a diffuser may help in some situations, especially spraying, but the evidence does not support it as a stand-alone treatment for anxiety. (Frank 2010, Mills 2011)

Getting help

When to see a vet vs a veterinary behaviourist

Start with your own vet. Cats with medical conditions do not always act sick, and many anxiety signs, from soiling to over-grooming, have medical causes the vet needs to rule out with an examination and tests. (Cornell, Merck)

A veterinary behaviourist is a vet who has gone on to certify with the American College of Veterinary Behaviorists after an internship, a residency of 3 to 5 years and a board examination. Because they are vets, they can treat both physical and behavioural diagnoses. A behaviour consultant or trainer may help with mild problems, but the title alone shows no qualification. (VCA)

Ask for a referral when behaviour is intense, unsafe, sudden or not improving. The same split applies to dogs: see our dog anxiety guide and the wider dog behaviour hub. (VCA)

Treatment

What a vet may discuss for cat anxiety

Treatment is a behaviour modification plan and changes to the home, sometimes with medication. Merck lists these drug classes used for behaviour problems in cats, for anxiety, aggression, compulsive disorders and urine marking: tricyclic antidepressants, selective serotonin reuptake inhibitors, azapirones and benzodiazepines, plus a monoamine oxidase inhibitor for cognitive dysfunction. Your vet may discuss whether any fits your cat. This page does not recommend any medicine. (Merck, Merck)

Red flags

Cat stress signs that need a vet

  • Straining in the tray, crying while weeing, or passing little or no urine, especially in a male cat (Cornell, iCatCare)
  • Blood in the urine or frequent licking of the genital area (Cornell)
  • Sudden soiling in a cat that always used its tray (Cornell, iCatCare)
  • Bald patches or broken skin from grooming (VCA)
  • Not eating, or new aggression when touched (iCatCare, Merck)

What to do

What to do today for an anxious cat

  1. Write down what changed, when, and every sign you see. (iCatCare)
  2. Use the checker at the top of this page.
  3. Book a vet check if toileting, grooming or appetite has changed. (Cornell, VCA)
  4. Count your trays, bowls and hiding places against one per cat plus one. (iCatCare)
  5. Add a daily hunting-style play session and stop any punishment. (VCA, iCatCare)

FAQ

Questions people ask

What are the signs of anxiety in cats?
Common signs are hiding, over-grooming, weeing or spraying outside the litter tray, eating more or less than usual, more hissing or swiping, and more vocalising. Sudden fear looks different: freezing, a tense crouched body, dilated pupils and flattened ears. Many of these signs can also come from pain or illness, so a vet check comes before treating them as stress. (iCatCare, Merck)
Can cats have separation anxiety?
Yes, although it is far less studied than in dogs. In one owner survey of 223 cats, about 13% met at least one criterion for separation-related problems, most often destruction, excessive vocalising and urinating in the wrong place. Before you leave, an anxious cat may hide, meow or follow you to the door. See your vet first to rule out a medical cause. (Machado 2020, Fear Free)
How do I calm an anxious cat?
Work through the five pillars of a healthy cat environment: a safe hiding place, separate food, water, litter and resting spots, daily play that mimics hunting, gentle and predictable handling, and respect for your cat’s sense of smell. Never punish fearful behaviour, because that makes anxiety worse. If the signs carry on, your vet can build a behaviour plan with you. (VCA, Cornell, Merck)
Do pheromone diffusers work for cats?
The evidence is mixed. A systematic review found insufficient evidence for feline facial pheromone in most of the uses it examined, and a large shelter trial found no effect on stress scores. A later meta-analysis found pheromones may help with urine spraying, and small trials reported benefits for fights between housemate cats and for car travel. Use one alongside changes at home, not instead of them. (Frank 2010, Chadwin 2017, Mills 2011, DePorter 2019, Shu 2022)
What causes stress and anxiety in cats?
Other cats are a leading cause, especially having to share food, litter trays or resting places with a cat they do not get on with. House moves, a new pet or baby, changes in routine, unwanted handling, punishment, boredom and too few hiding places or clean litter trays are other common causes. Cats are territorial, so changes to their home matter more than owners expect. (iCatCare, iCatCare, Cornell)
When should I take my anxious cat to the vet?
Go now if your cat is straining in the litter tray or passing little or no urine, especially a male cat, because a blocked bladder is an emergency. Book a prompt visit for any new weeing outside the tray, over-grooming, appetite change or new aggression, since all of these can be medical. If the vet finds nothing, ask about a veterinary behaviourist. (Cornell, iCatCare, VCA)

Sources

Where this comes from

Every figure and threshold on this page comes from the veterinary sources below, and each one is linked where it is used. Where no source gives a cut-off, we say call your vet rather than invent one.

  • Stress in cats

    International Cat Care - dated 26 September 2025 - read 2026-10-27

    icatcare.org
  • Soiling indoors

    International Cat Care - dated 26 September 2025 - read 2026-10-27

    icatcare.org
  • Cats and babies

    International Cat Care - dated 26 September 2025 - read 2026-10-27

    icatcare.org
  • Moving house with your cat

    International Cat Care - dated 26 September 2025 - read 2026-10-27

    icatcare.org
  • Introducing cats

    International Cat Care - dated 28 November 2025 - read 2026-10-27

    icatcare.org
  • Feline Lower Urinary Tract Disease

    Cornell Feline Health Center - dated October 2016 - read 2026-10-27

    vet.cornell.edu
  • Feline Behavior Problems: House Soiling

    Cornell Feline Health Center - dated January 2015 - read 2026-10-27

    vet.cornell.edu
  • Behavior Problems in Cats

    Merck Veterinary Manual (owner version) - dated April 2026 - read 2026-10-27

    merckvetmanual.com
  • Drugs Used to Treat Behavior Problems in Cats

    Merck Veterinary Manual - read 2026-10-27

    merckvetmanual.com
  • Feline Environmental Needs Guidelines

    VCA Animal Hospitals - read 2026-10-27

    vcahospitals.com
  • Cat Behavior Problems - Compulsive Disorders in Cats

    VCA Animal Hospitals - dated July 19, 2019 - read 2026-10-27

    vcahospitals.com
  • Do I Need a Trainer, a Behaviorist, or a Veterinary Behaviorist?

    VCA Animal Hospitals - dated September 10, 2025 - read 2026-10-27

    vcahospitals.com
  • Position Statements

    American Veterinary Society of Animal Behavior - dated 2025 - read 2026-10-27

    avsab.org
  • They’re Not Loners: Cats Can Have Separation Anxiety, Too

    Fear Free Happy Homes - read 2026-10-27

    fearfreehappyhomes.com
  • Vet Q&A: How can I stop my cat getting separation anxiety?

    PDSA - dated 28 May 2020 - read 2026-10-27

    pdsa.org.uk
  • Identification of separation-related problems in domestic cats: A questionnaire survey

    PLoS One (PubMed 32294083) - dated 2020 - read 2026-10-27

    pubmed.ncbi.nlm.nih.gov
  • Systematic review of the use of pheromones for treatment of undesirable behavior in cats and dogs

    Journal of the American Veterinary Medical Association (PubMed 20550445) - dated 2010 - read 2026-10-27

    pubmed.ncbi.nlm.nih.gov
  • A meta-analysis of studies of treatments for feline urine spraying

    PLoS One (PubMed 21525994) - dated 2011 - read 2026-10-27

    pubmed.ncbi.nlm.nih.gov
  • Effect of a synthetic feline facial pheromone product on stress scores and incidence of upper respiratory tract infection in shelter cats

    Journal of the American Veterinary Medical Association (PubMed 28763279) - dated 2017 - read 2026-10-27

    pubmed.ncbi.nlm.nih.gov
  • Evaluation of the efficacy of an appeasing pheromone diffuser product vs placebo for management of feline aggression in multi-cat households: a pilot study

    Journal of Feline Medicine and Surgery (PubMed 29757071) - dated 2019 - read 2026-10-27

    pubmed.ncbi.nlm.nih.gov
  • Effect of a synthetic feline facial pheromone product on stress during transport in domestic cats: a randomised controlled pilot study

    Journal of Feline Medicine and Surgery (PubMed 34493099) - dated 2022 - read 2026-10-27

    pubmed.ncbi.nlm.nih.gov

Keep going

Last reviewed . Estimate only. For health questions, ask your vet.